Clinical study of Chinese medicine holographic scraping combined with hot ironing in improving early diabetic retinopathy

Weiying Yan; Yan Wang

Clinical study of Chinese medicine holographic scraping combined with hot ironing in improving early diabetic retinopathy

Am J Transl Res. 2023 Jan 15;15(1):511-521. eCollection 2023.

Authors

Weiying Yan¹, Yan Wang²

Affiliations

¹ Department of Nursing, Hangzhou Lin'an TCM Hospital Hangzhou 311300, Zhejiang, China.
² Acupuncture, Moxibustion and Tuina, Zhejiang University of Traditional Chinese Medicine, The Third Clinical School of Medicine Hangzhou 310053, Zhejiang, China.

PMID: 36777822
PMCID: PMC9908488

Abstract

Objectives: To investigate the clinical effect of holographic scraping combined with Chinese medicine hot ironing on the improvement of early diabetic retinopathy (DR).

Methods: The clinical data of 120 inpatients with diabetes mellitus were retrospectively analyzed. All patients had early retinopathy. According to different treatment methods, the patients were segmented into a scraping group (accepted holographic scrapping), an ironing group (accepted Chinese medicine hot ironing), and a combined treatment group (accepted holographic scraping combined with Chinese medicine hot ironing). The traditional Chinese medicine (TCM) symptom scores, efficacy in TCM symptom relief and fundus symptom relief, quality of life, blood glucose index level, and safety were compared among the three groups.

Results: Compared with the scraping group and the ironing group, the TCM symptom scores of the combined treatment group on the 3rd day, 7th day, and 14th day of treatment were decreased; The total effective rates in TCM symptom relief and fundus symptom relief were increased; The scores of four dimensions in QoL of patients increased (all P<0.05); and Fasting blood glucose (FBG), 2 h postprandial blood glucose, and glycosylated hemoglobin were decreased (all P<0.05). There was no significant difference in the distribution of DR grade (I, II, and III) in the combined treatment group compared with the scraping group and ironing group (all P>0.05). The resistance index of the combined group after treatment was lower than that before treatment and lower than that of the hot ironing group and scraping group (all P<0.05).

Conclusions: The application of holographic scraping combined with Chinese medicine hot ironing in the treatment of early DR could alleviate the symptoms of blurred vision and dry eyes. Early intervention for retinopathy with both methods can reduce the disability rate and improve the quality of life of patients, which has a better effect than simple therapy.

Keywords: Chinese medicine; Scraping; diabetic retinopathy; early; hot ironing.