title: [Efficacy observation of chronic obstructive pulmonary disease due to lung and kidney deficiency treated with acupoint-catgut-embedding therapy combined western medication].
abstract: OBJECTIVE
  To observe the clinical efficacy of acupoint-catgut-embedding therapy combined conventional western medication on chronic obstructive pulmonary disease (COPD) at stable stage due to lung and kidney deficiency.
  
  
  METHODS
  The cases were randomized into observation group and control group, 30 cases in each one. In control group, the conventional western medication was administered. In observation group, on the basis of conventional western medication, the catgut-embedding therapy was applied at Dingchuan (EX-B 1), Feishu (BL 13), Shenshu (BL 23), Fenglong (ST 40) and Zusanli (ST 36). The total attack frequency of acute exacerbation of COPD (AECOPD), the attack frequency of AECOPD at moderate or above moderate stage and TCM syndrome score were compared before treatment and 6 months after treatment in two groups.
  
  
  RESULTS
  The total effective rate was 93.3% (28/30) in observation group and was 90.0% (27/30) in control group, indicating equivalent efficacy between two groups. 6 months after treatment, in two groups, the total attack frequency of AECOPD and the attack frequency of AECOPD at moderate or above moderate stage were reduced remarkably as compared with those before treatment (P < 0.01, P < 0.05). The total attack frequency of AECOPD in observation group was reduced remarkably as compared with that in control group (P < 0.05). The scores of cough, expectoration and chest oppression as well as the total score of TCM syndrome were reduced remarkably after treatment in observation group (all P < 0.01).
  
  
  CONCLUSIONS
  Integrated therapy of acupoint-catgut-embedding and conventional medication has similar efficacy as simple medication. But, the combination of acupoint-catgut-embedding therapy and western medication can reduce the attack frequency of AECOPD and improve in cough, chest oppression and other symptoms in patients with COPD at stable stage effectively.
authors.affiliation: Acupuncture-Moxibustion Department, Yueyang Hospital of Integrated Chinese and Western Medicine, Shanghai University of TCM, Shanghai 200437, China.
authors.forename: Jing
authors.initials: J
authors.lastname: Li
authors.forename: Yan-Li
authors.initials: YL
authors.lastname: Zhou
authors.forename: Jie
authors.initials: J
authors.lastname: Tang
authors.forename: Pei Lan
authors.initials: PL
authors.lastname: Yang
authors.forename: Hai-Yin
authors.initials: HY
authors.lastname: Huang
authors.forename: Yi-Yun
authors.initials: YY
authors.lastname: Shen
authors.forename: Gui-Rong
authors.initials: GR
authors.lastname: Dong
mesh_terms: D015669:Acupuncture Points; D015670:Acupuncture Therapy / Q000295:instrumentation; D000368:Aged; D000369:Aged, 80 and over; D002398:Catgut; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D007668:Kidney / Q000503:physiopathology*; D008168:Lung / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D029424:Pulmonary Disease, Chronic Obstructive / Q000188:drug therapy / Q000503:physiopathology / Q000628:therapy*