2.2.2. Trial group.
spasticity
(1) The enrolled patients were orally administered TCM tablets designed to nourish the brain for recovery. The Specific prescriptions were as follows: 10 g red peony, 6 g chuanxiong, 10 g pollen typhae, 10 g pueraria, 10 g raw sophora flower, 10 g pheretima, 6 g safflower, 15 g siegesbeckiae herb, and 9 g pseudo-ginseng. One portion per dose was divided into 2 doses by either oral (with water) or nasal feeding, and a treatment course of 4 weeks. (2) Tuina treatment uses massage techniques such as rolling, kneading, tapping, holding, and stretching. The governor vessel meridian was chosen to improve circulation in the body, and the yin and yang meridians of the upper and lower limbs were chosen to improve circulation in the affected limb, as well as the following acupoints on the affected side: Quchi, Hegu, Weizhong, Yanglingquan, and Taichong. Intervention timing and duration: Each treatment lasted about 30 minutes, and was administered once a day, 5 times a week for 4 weeks. (3) Acupuncture kinesiotherapy was performed at acupoints at the top and anterior of the head. The skin around the acupoints was first disinfected with a 75% alcohol cotton ball. Then, using either the hold-and-insert needling method or the press-and-insert needling method, a 40 mm × 0.35 mm needle was used to quickly puncture the acupoints at an angle of 30° and slowly inserted until the needle was horizontal to the underside of the galea, and had penetrated 1 to 1.5 inches. Subsequently, the KWD-8081 electro acupuncture simulator was used to connect the acupoints of Baihui and Qianding (both sides) with a dense waveform setting in which the patient was able to withstand 30 minutes of electroacupuncture treatment, after which the needles were left on the acupoints for 6 hours. With the needles on the acupoints, kinesiotherapy training during the period of spasticity was performed for 30 minutes with reference to the 2017 Rehabilitation Diagnosis and Treatment Program and Clinical Pathway by the National Administration of TCM. The intervention timing and duration were a total of 6 hours of treatment per session, once per day, 5 days per week for a treatment course of 4 weeks.