The Journal of Practical Medicine ›› 2023, Vol. 39 ›› Issue (4): 499-504.doi: 10.3969/j.issn.1006⁃5725.2023.04.020

• Modernization of Traditional Chinese Medicine • Previous Articles     Next Articles

Therapeutic effect of rTMS of different frequency combined with Buyang Huanwu Decoction on motor function in stroke patients with qi deficiency and blood stasis

HUANG Tingting,WU Haike,LIAN Mengjie, YANG Xuan.   

  1. Department of Encephalopathy,Foshan Hospital of Traditional Chinese Medicine,Foshan 528000 China

  • Online:2023-02-25 Published:2023-02-25

Abstract:

Objective This study aims to explore the effect of repetitive transcranial magnetic stimulation (rTMS)with different frequencies combined with Buyang Huanwu Decoction on the motor function of patients with stroke of qi deficiency and blood stasis type,trying to find an effective therapy for restoring the limb motor function of stroke patients. Methods A total of 120 patients with subacute stroke of qi deficiency and blood stasis type were enrolled and divided into Traditional Chinese Medicine(TCM)treatment group(n = 30),low frequency rTMS (1 Hz)+ high frequency rTMS(10 Hz)+ TCM treatment group(n = 30),high frequency(10 Hz)+ TCM treatment group(n = 30),and low frequency(1 Hz)+ TCM treatment group(n = 30). The rehabilitation of limbs,clinical efficacy of rTMS combined with TCM,and the improvement of daily activities were observed and analyzed. The Fugl⁃Meyer Motor Rating Scale(FMA)was used to evaluate the limb motor function of the patients in the four groups before and after treatment,and the TCM efficacy of the four groups was compared. The ADL(Modified Barthel Index)was used to evaluate the improvement of daily activities before and after treatment. Results After treatment,the FMA value and Barthel index of the four groups were improved compared with those before treatment (all P < 0.01). The effect of high frequency(10 Hz)+ low frequency(1 Hz)+ TCM treatment group was more significant compared with other groups(P < 0.01). Conclusion rTMS combined with TCM with different frequen⁃ cies can improve moderate⁃severe motor function after stroke. High frequency(10 Hz)+ low frequency(1 Hz rTMS changes the previous simple high frequency or low frequency mode to adjust the imbalance between the two hemispheres through the dual mode of action. Combined with Buyang Huanwu decoction,it is a new painless and non⁃invasive rehabilitation therapy for stroke patients and it can improve their motor function and daily life. It is of value for clinical application.

Key words:

stroke, repetitive transcranial magnetic stimulation, motor function, Buyang Huanwu Decoction