Experience
HONG Rongqing, LI Shengju, GUAN Jinzhen, FENG Liya
Objective: To explore the therapeutic effect of Xiaoxuming Decoction combined with Chinese medicine scalding on hemisensory disorder after stroke based on the theory of “Six Differentiation”. Method: 100 post-stroke hemiplegia patients Yangjiang City Hospital of Traditional Chinese Medicine from May 2022 to May 2024 were selected. According to the randomized table method, they were divided into treatment group and control group, with 50 cases in each group. Two groups received conventional medical treatment and rehabilitation training. The control group received traditional Chinese medicine scalding treatment, and the treatment group in the control group based on the theory of “six meridians” small life-supporting soup treatment. The control group was treated with herbal medicine and scalding, while the treatment group was treated with Xiaoxuming Decoction based on the theory of “Six Differentiation”. Comparison of the two groups before and after treatment: changes in Chinese medicine symptom score, anxiety [Hamilton Anxiety Scale (HAMA)], sensory impairment [Sensory Impairment Rating Scale (Improved Fugl-Meyer and Lindmark Scale)], neurological impairment [National Institutes of Health Stroke Scale (NIHSS)], activities of daily living (Barthel Index), electromyographic integral of biceps and triceps brachii (IEMG) with root-mean-square (RMS) values, and central nerve-specific protein beta (S100β) levels were compared. Result: After treatment, the scores for sensory loss or disappearance, hemiplegia, dizziness or vertigo, and shortness of breath and fatigue decreased in both groups. The treatment group had lower scores than the control group, with statistically significant differences (P<0.05). After treatment, the NIHSS scores and HAMA scores in both groups were lower than before treatment, with the treatment group showing a greater reduction. Meanwhile, the MBI scores, Fugl-Meyer scores, and Lindmark scores in both groups were higher than before treatment, with the treatment group showing a greater increase. These differences were statistically significant (P<0.05). After treatment, the biceps brachii RMS, biceps brachii IEMG, triceps brachii RMS, and triceps brachii IEMG were all lower in both groups, with the treatment group showing a lower value, and the difference was statistically significant (P<0.05). After treatment, the S-100β levels in both groups were lower than before treatment, with the treatment group showing a lower value, and the difference was statistically significant (P<0.05). Conclusion: Based on the theory of “Six Differentiation”, the application of Xiaoxuming Decoction combined with Chinese medicine scalding treatment can significantly reduce hemisensory disorders after stroke, reduce the degree of anxiety and nerve function damage of patients, improve the activities of daily living of patients, alleviate the symptoms of muscle spasm after stroke, and promote the recovery of nerve function of patients.
