Objective: To analyze on the effect of Tongyuan acupuncture combined with modified Yiqi Tongluo Decoction in the treatment of patients with limb movement disorders (Qi deficiency and blood stasis syndrome) after stroke.Methods: 172 patients with post stroke limb movement disorders (Qi deficiency and blood stasis syndrome) admitted to Zhengzhou Central Hospital from January 2021 to March 2023 were randomly divided into 4 groups. All four groups received routine treatment, and the acupuncture group was additionally treated with Tongyuan acupuncture, and the Decoction group was additionally treated with modified Yiqi Tongluo Decoction, while the combination group was additionally treated with Tongyuan acupuncture combined with modified Yiqi Tongluo Decoction. All four groups were treated for 3 months. Scores of traditional Chinese medicine symptoms, degrees of neurological deficit, limb motor functions and daily living abilities, clinical efficacy, hemorheological changes and safety were observed.Results: After treatment, the main symptoms, secondary symptoms, tongue pulse and total scores, NIHSS scores, blood viscosity, whole blood high shear viscosity, whole blood low shear viscosity, and red blood cell aggregation indexes of the four groups all decreased (P <0.05), which were lowest in the combination group, higher in the acupuncture group and B, highest in control group (P <0.05). After treatment, the Fugl - Meyer and BI scores in all four groups increased (P <0.05), and those of the combination group were higher than the other three groups (P < 0.05), of which the acupuncture group and the Decoction group were both higher than the control group (P <0.05). The total effective rate of the combination group was highest (97.50%), followed by the acupuncture group and B (80.00%, 82.50%), lowest in control group (63.42%). The incidences of adverse reactions were consistent among the four groups (P >0.05).Conclusion: For patients with limb movement dysfunction (Qi deficiency and blood stasis syndrome) after stroke, Tongyuan acupuncture and modified Yiqi Tongluo Decoction can alleviate symptoms, enhance efficacy, and improve blood rheology. Moreover, the combination of the two has a better effect, with safety.

Tongyuan acupuncture  /  Yiqi Tongluo Decoction  /  Post - stroke limb movement dysfunction  /  Qi deficiency and blood stasis syndrome