Evaluation the motor rehabilitation and symptom improvement of kidney yin deficiency syndrome on patients after stroke more than 3 months by combining liu wei di huang with bu yang huang wu tang, modified acupuncture and physiotherapy

Abstract

Stroke is the leading cause of long-term disability in adults worldwide. Traditional medicine has been shown to make a positive contribution to motor rehabilitation after stroke such as modified acupuncture and Bu yang huang wu tang. However, the majority of studies have been carried out in patients after stroke at the early stage and have not really paid attention to treat syndromes by traditional medicine syndrome. After stroke, kidney yin deficiency syndrome is really common and often treated by a classic decoction - Liu wei di huang. This study was conducted to investigate the effectiveness of symptom improvement and motor recovery in patients after stroke more than 3 months with kidney yin deficiency by combining Liu wei di huang with Bu yang huang wu tang, modified acupuncture and physiotherapy. A multi-center, randomised controlled clinical trial was conducted from January 2013 to September 2019 on 152 patients after 3 months of stroke, who had been classified as kidney yin deficiency, divided into 2 groups: using (group 2) and not using Liu wei di huang (group 1). And both the groups received the treatment of Bu yang huang wu tang, modified acupuncture and physiotherapy for 40 days. The results exhibited that after treatment, most of the observed indexes had positive changes with statistical significance in the group 2 (p<0.05). When comparing the effects between the two groups, indexes in the group 2 were improved better than that of the group 1 (p<0.05). In conclusion, combining Liu wei di huang with Bu yang huang wu tang, modified acupuncture and physiotherapy could improve symptoms significantly as well as increase motor recovery in patients after stroke more than 3 months with kidney yin deficiency.