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Gua Sha treatment is a kind of external therapies to treat with internal disease, based on the theory of meridians and visceral outward manifestations, using tailor-made board made of buffalo horn and lubricating oil, to scrape on the skin where veins and arteries circulate, thereby be widespread utilized. Gua Sha treatment is widly used in the scope of miscellaneous diseases, external infection, orthopaedics, gynecopathy, E.N.T. Disease, etc. The research of Gua Sha treatment is mainly about disease kind, observation of curative effect. And there is lack of research in experiment study, contrast on curative effect, operational standardization, standardization of curative effect. Due to a spread of SARS and other infectious disease in recent years, the treatment of external infection has turned into hot spot of research. The study of Gua Sha treatment on external infection and try to seek a kind of complementary or adjuvant therapy, and is importance to study mechanization of Gua Sha treatment, standarzation of Gua Sha treatment, to combine external and internal treatment.Aim:This research aims at the purpose of evaluating timeliness effect, the demic safety and clinical generalization of the Gua Sha treatment, through clinical observation of therapeutic.effect of Gua Sha treatment on exogenous fever for abatement of fever. And to dicuss the mechanism of Gua Sha treatment, further to study and research pyretolysis by Gua Sha therapy for abatement of fever.Methods:we choose the external inflectional patient with body temperature between 38-40℃, whose age is between 18-70 Years old, diagnosed in Fever outpatient department of Guanganmen Hospital for the research according to the proposed inclusion and exclusion criteria. There are 60 cases in this research, including 33 males and 27 females with average age is 43.88±2.22 years-old. The therapy group is Gua Sha treatment team, the control group is treated by tepid water sponge bath, and the scope treated are DUl4 Of DU Meridian、from BL13 to BL22 of Bladder Meridian of Foot—Tai yang. In therapy group,31 cases are chosed and one case is lost. Randomly selected cases of 30 cases are included in the control group, with the same period in the fever outpatient conditions of this Study. Body temperature is measured separately five minutes before and after 30 minutes,1 hour, 2 hours,4 hours. The instant effect is to contrast abatement of fever 30 minutes after treatment between 2 groups, and the sustained effect is to contrast integration of temperature abatement after 30 minutes,1 hour,2 hours,4 hours treatment. To analysis data for the instant effect, the quantitative data is used T test, the enumeration data is used X2 Test, and the ranked data is used Ridit. To analysis data for the sustained effect, integration of temperature abatement is analysis with SPSS 13.0, the quantitative data is expressed by x±s, used Wilcoxon and T test.Result:The test cases were included 60 cases(one case of loss cases excluding all), without excluding cases. The treatment group included 30 patients scraped measles.30 minutes after the treatment, there were 11 patient with obviously effect, 13 patients with general effect and 6 patients with none effect among 30 cases in treatment group. The total effectiveness level was 80%. While there were 6 patients with obviously effect,10 patients with general effect and 14 patients with none effect among 30 cases in control group, the total effectiveness level was 53.33%. Ridit test shows that there is significant difference between these two groups, P<0.05. There was not any untoward effect in these two groups. The integration of temperature abatement for the first 30 minutes and 1 hour after treatment has no significant difference between these two groups (P>0.05). The integration of treatment team for continuely 2hours and 4 hours after treatment excelled that of control group (P<0.01). The instant effect in treatment group excelled that in control group, and the sustained effect in treatment group is steady.Conclusion:The method of Gua Sha treatment has obviously instant effect, with no side effect, which is easily accepted by patients. And Gua Sha treatment can make effect steady and sustained in 4 hours. Therefore, it will be of great value for popularized use as one kind of non-drug therapy of TCM and can be supplement therapy for abatement of fever.
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