Production and Characterization of a Composite Based on Plaster and Juncus Maritimus Plant Fibers

Nowadays,materials with a limited impact on the environment are required in the construction sector.Considering the interesting properties of natural elements such as natural fibers,it seems advantageous to use them to reinforce materials while protecting the environment and guaranteeing economic gain.Along these lines,this research was devoted to studying the effect of untreated natural fibers extracted from the Juncus maritimus plant(from Southern Morocco)on plaster.First,the effect of the percentage of added fibers on the fluidity of the plaster was evaluated by means of the Marsh’s cone method,that is,by measuring the time taken by a known volume of plaster to flow from a cone through a short tube.Then,the highly porous microstructure of the plaster was observed using a scanning electron microscope(SEM).The diffractogram of Juncus maritimus fibers was built by means of a X-ray diffraction(XRD)method.The values obtained for the wet thermal conductivity of the composites decreased from 0.4853 W/m.K for the reference specimen to 0.4324 W/m K for a fiber volume content of 40%.The densities were calculated to determine the lightness of each composite.The mechanical strengths[flexural and compressive]were evaluated for different percentages of rush fibers.The addition of 20%volume fiber was found to improve the flexural strength to 3.63 MPa compared to the sample without fiber(3.36 MPa),thereby ensuring good toughness of the considered material.Nevertheless,a reduction in compressive strength was observed,due to the poor adhesion between the fibers and the plaster matrix.

Thermo-Physical Potential of Recycled Banana Fibers for Improving the Thermal and Mechanical Properties of Biosourced Gypsum-Based Materials

The development of bio-sourced materials is essential to ensuring sustainable construction;it is considered a locomotive of the green economy.Furthermore,it is an abundant material in our country,to which very little attention is being given.This work aims to valorize the waste of the trunks of banana trees to be used in construction.Firstly,the physicochemical properties of the fiber,such as the percentage of crystallization and its morphology,have been determined by X-ray diffraction tests and scanning electron microscopy to confirm the potential and the impact of the mode of drying on the quality of the banana fibers,with the purpose to promote the use of this material in construction.Secondly,the results obtained with the gypsum matrix allowed us to note a preponderant improvement in the composite’s thermal properties thanks to the variation of the banana fiber additive.Thirdly,the impact of the nature of the banana fiber distribution(either fiber mixed in matrix or fiber series model)on the flexural and compressive strengths of the composites was studied.The results obtained indicate that the insulation gain reaches up to 40%.It depends on the volume fraction and type of distribution of the banana fibers.However,the thermal inertia of the composites developed,represented by thermal diffusivity and thermal effusivity,was studied.Results indicate a gain of 40%and 25%,respectively,in terms of thermal diffusivity and thermal effusivity of the developed composites compared to plaster alone.Concerning the mechanical properties,the flexural strength depends on the percentage of the volume fraction of banana fibers used,and it can reach 20%more than the flexural strength of plaster;nevertheless,there is a significant loss in terms of the compressive strength of the studied composites.The results obtained are confirmed by the microstructure of the fiber banana.In fact,the morphology of the banana fibers was improved by the drying process.It reduces the amorphous area and improves the cellulosic crystalline surfaces,which assures good adhesion between the fiber and the matrix plaster.Finally,the dimensionless coefficient analysis was done to judge the optimal proportion of the banana fiber additive and to recommend its use even on false ceilings or walls.

Investigation of the Fermentation Mode of Rice Husk for the Stabilization of Earth Plaster

Despite its low resistance to humidity, adobe remains the most widely used material for housing construction, particularly in developing countries. The present study aims to assess different modes of use of fermented RH and to evaluate their influence on the behavior of raw earth for application in plaster. The influences of two types of RH are evaluated: granular rice husk (RHg) and powdered RH (RHp). The clay mainly consists of clay (40%), silt (22%), and sand (38.4%), with a small proportion of gravel (0.24%). Its liquidity limit is 40% and the plasticity index is 26.5%. The mixtures were designed using earth and each of the two rice husks at the volumetric content of 10%, 15% and 20% of the total volume mixed with water 36.5%, 38.5% and 40.3% and fermented for three weeks. Each fermented mixture was added to the soil to form the paste, and 40 × 40 × 160 mm3 test speciments were made for characterization. The results generally show an improvement in the physico-mechanical properties and water resistance of the mortars containing fermented RH, with an optimal content between 10% and 15%. The powdered RH improved the performance of the mortar better than granular RH.

Thermal Performance Analysis of Plaster Reinforced with Raffia Vinifera Particles for Use as Insulating Materials in Building

The present study focuses on the formulation of new composite consisting of plaster and raffia vinifera particle (RVP) with the purpose to reducing energy consumption. The aim of this study is to test this new compound as an insulating eco-material in building in a tropical climate. The composites samples were developed by mixing plaster with raffia vinifera particles (RVP) using three different sizes (1.6 mm, 2.5 mm and 4 mm). The effects of four different RVP incorporations rates (i.e., 0wt%, 5wt%;10wt%;15wt%) on physical, thermal, mechanicals properties of the composites were investigated. In addition, the use of the raffia vinifera particles and plaster based composite material as building envelopes thermal insulation material is studied by the habitable cell thermal behavior instrumentation. The results indicate that the incorporation of raffia vinifera particle leads to improve the new composite physical, mechanical and thermal properties. And the parametric analysis reveals that the sampling rate and the size of raffia vinifera particles are the most decisive factor to impact these properties, and to decreases in the thermal conductivity which leads to an improvement to the thermal resistance and energy savings. The best improvement of plaster composite was obtained at the raffia vinifera particles size between 2.5 and 4.0 mm loading of 5wt% (C95P5R) with a good ratio of thermo-physical-mechanical properties. Additionally, the habitable cell experimental thermal behavior, with the new raffia vinifera particles and plaster-based composite as thermal insulating material for building walls, gives an average damping of 4°C and 5.8°C in the insulated house interior environment respectively for cold and hot cases compared to the outside environment and the uninsulated house interior environment. The current study highlights that this mixture gives the new composite thermal insulation properties applicable in the eco-construction of habitats in tropical environments.

Yinqiao Sanhuang Paste Combined with Traditional Chinese Medicine Plaster for the Intervention of Drug Rash Induced by Targeted Therapy in Lung Cancer

Objective:To observe the efficacy and safety of Yinqiao Sanhuang Paste combined with traditional Chinese medicine plaster in treating drug rash caused by targeted therapy in lung cancer.Methods:A total of 100 lung cancer patients treated at our hospital from January 2021 to December 2023 were selected and randomly divided into an observation group and a control group,with 50 patients in each group.The control group received conventional medication,while the observation group was treated with Yinqiao Sanhuang Paste combined with traditional Chinese medicine plaster.The clinical symptom improvement and adverse reactions in both groups were observed.Results:The effective rate in the control group was 80.00%,while in the observation group,it was 96.00%,with a statistically significant difference between the two groups(P<0.05).The onset time,duration,and significant effect time in the control group were(2.41±0.29)days,(4.42±1.21)days,and(5.45±0.29)days,respectively;in the observation group,they were(2.44±0.21)days,(4.28±1.11)days,and(5.57±1.01)days,respectively.There was no statistically significant difference in the total onset time and total duration between the two groups(P>0.05).The incidence of adverse reactions in the control group was 28.00%,higher than the observation group’s 10.00%(P<0.05).Conclusion:Yinqiao Sanhuang Paste combined with traditional Chinese medicine plaster can effectively reduce the symptoms of drug rash induced by targeted therapy in lung cancer and lower the incidence of adverse reactions,indicating good clinical application value.

Effect of Head Meridian Massage Combined with Auricular Acupoint Plaster on Patients with Insomnia

Objective:To study the effect of head meridian massage combined with auricular acupoint plasters on patients with insomnia.Methods:The sample consisted of 50 cases,and all of them were admitted to Yixing Hospital of Traditional Chinese Medicine from January 2022 to December 2023.The patients were divided into an observation group and a control group,with 25 cases in each group.The observation group was treated with a combination of head meridian massage and auricular acupoint plaster while the control group underwent conventional nursing care.The improvement of sleep quality and nursing effect were used as evaluation criteria to compare the clinical effects of the nursing programs.Results:After nursing intervention,the Pittsburgh sleep quality index(PSQI)score of the observation group,which was 7.17±1.41 points was lower than that of the control group(9.04±1.96 points),(t=3.8724,P<0.05).The total efficacy was 96.00%for the observation group and 76.00%for the control group(2=4.1528,P<0.05).Conclusion:Head meridian massage combined with auricular acupoint can improve the sleep quality of patients with insomnia.

Meta-analysis of the efficacy of volar plate internal fixation versus closed reduction and external fixation in the treatment of adult distal radius fractures

Objective:To compare the efficacy of open reduction and volar locking plate internal fixation with closed reduction and external fixation in the treatment of distal radius fractures by using meta analysis.Methods:The databases of CNKI,Wanfang,Weipu,Chinese biomedical literature,Pubmed,Embase,and Cochrane Library were retrieved,and the randomized controlled studies that directly compared the efficacy of plate internal fixation and closed reduction external fixation in the treatment of distal radius fractures published publicly from the establishment of the database to April 2023 were collected.The two researchers independently screened the retrieved literature according to the inclusion and exclusion criteria,extracted data,used Cochrane risk bias assessment tool for quality assessment,and used RevMan 5.4 software for meta analysis.Results:A total of 10 randomized controlled trials were included,all of which were in English.There were 1042 patients in total,and 9 of them were rated as low risk.Meta analysis results showed that one year after the treatment of distal radius fracture with volar locking plate internal fixation,DASH score[MD=-5.64,95%CI(-7.21,-4.06),P<0.00001];One year later,PRWE score[MD=-5.90,95%CI(-8.88,-2.92),P=0.001];Palm flexion[MD=5.92,95%CI(1.29,10.55),P=0.01];Pronation[MD=2.48,95%CI(0.59,4.36),P=0.01];Postrotation[MD=4.73,95%CI(2.15,7.31),P=0.0003];Grip strength[MD=0.61,95%CI(0.12,1.10),P=0.02];palmar tilt angle[MD=9.84,95%CI(5.66,14.02),P<0.00001];Radial inclination[MD=4.33,95%CI(2.97,5.69),P<0.00001]was superior to closed reduction plaster or splint external fixation.One year later,the European Five dimensional Health Scale(EQ-5D-5L)score[MD=0.02,95%CI(-0.01,0.05),P=0.27];Back extension[MD=2.22,95%CI(-4.15,8.59),P=0.49];Ulnar deviation[MD=3.49,95%CI(-0.80,7.78),P=0.11];Radial deviation[MD=2.05,95%CI(-2.39,6.50),P=0.37];Ulnar variance[MD=-1.14,95%CI(-3.16,0.88),P=0.27];There was no significant difference in complications[MD=0.77,95%CI(0.54,1.10),P=0.16](P>0.05).Conclusion:Based on the current clinical data,internal fixation with volar locking plate is more conducive to mid-term DASH score and grip strength recovery than closed reduction plaster or splint external fixation,but there is no significant difference in the quality of life and complications of patients.For adult distal radius fractures,surgical indications should be carefully grasped,and non operative treatment should be given priority.

Clinical Study on Treatment of Chronic Prostatitis with Lingze Tablets Combined with TCM Herbal Acupoint Plasters

Objective:To study the therapeutic effect of Lingze tablets combined with traditional Chinese medicine herbal acupoint plasters on chronic prostatitis.Methods:A total of 64 patients with chronic prostatitis who were admitted to the Andrology Clinic of Shuyang County Hospital of Traditional Chinese Medicine from March 2021 to March 2023 were randomly divided into a treatment group and a control group,with 32 cases in each group.The control group took Lingze tablets orally,4 tablets/time,3 times/d;the treatment group took the same medication along with traditional Chinese medicine acupoint herbal plasters.The two groups of patients were treated continuously for 6 weeks,and the differences in the relevant indexes of the curative effect were observed.Results:The NIH-Chronic Prostatitis Symptom Index(NIH-CPSI)scores of the two groups significantly reduced after treatment(P<0.05),and the scores of the patients in the treatment group were lower than those in the control group(P<0.05).The treatment received in the treatment group achieved and efficacy of 96.88%,which was significantly higher than that of the group,which was 81.25%(P<0.05).The maximum flow rate(MFR),average flow rate AFR,and urine output of the patients of both groups improved significantly after treatment(P<0.05).However,the experimental group showed better improvements in these indicators(P<0.05).Conclusion:Lingze tablets combined with traditional Chinese medicine acupoint herbal plasters can significantly improve the symptoms and urodynamic function of patients with chronic prostatitis.

Terranova Render: A “Polychrome Resource for Modern Aesthetics”. A Study for Analysis and Characterization

The industry,which developed into an endless source of new formulations and technologies,supported the typological innovation that took place in the architectural field in the first half of the 20th century.The world of plaster was revolutionised by the introduction of ready-mixed mortars that only required the addition of water.The plaster was no longer created on site,and the workers only dealt with the application.In Italy,the so-called“special plasters”based on cement and/or lime with the addition of various substances,the formulations of which were kept secret by the manufacturing companies,appeared in the period after the World War I.Despite being widely spread,their composition is still little known today.Samples of Terranova plaster,characterized by high durability,were investigated in this study to understand their main characteristics.The analysed samples appear to be based on dolomitic lime with characteristic iridescent aggregates and high porosity,probably due to air-entraining agents and pigments based on oxides of different nature.The aim of this paper is to compare three samples of Terranova plaster from the Emilia-Romagna region with the literature.

Analysis of the Effect of Shenghua Zhuyu Herbal Acupoint Plaster in the Treatment of Postpartum Malodor

Objective:To assess the clinical effect of Shenghua Zhuyu ointment,which was applied onto the Zhongji,Qihai,and Guanyuan acupoints,on postpartum lochia.Methods:We randomly divided 166 patients who were admitted in 2018-2021 into an observation group and a control group.The control group was treated with conventional clinical methods,whereas the observation group was treated by applying Shenghua Zhuyu ointment on the Zhongji,Qihai,and Guanyuan acupoints.The amount and duration of lochia,abdominal pain,hospitalization time were observed;B-scan ultrasonography was performed to check whether the placenta was discharged.Results:The treatment received by the observation group of patients was shown to be more effective than that of the control group.Besides,the experimental group had less lochia than that of the control group.The observation group also had shorter duration of lochia and hospital stay than those of the control group(P<0.05).The placenta excretion was better,and the degree of abdominal pain was lower in the observation group than those of the control group(P<0.05).Conclusion:The acupoint application of Shenghua Zhuyu herbal acupoint plaster has a significant impact on retained placenta,in which it can aid the discharge of residual placenta and improve the patients’physical functions and symptoms.

高分子石膏加压固定治疗耳廓假性囊肿

耳廓假性囊肿是耳廓软骨间的无菌性浆液性渗出性炎症,是耳鼻咽喉科的常见病,多发病。目前对耳廓假性囊肿的临床治疗方法多样,缺乏统一,且多数疗效不佳,复发率高,遗留有耳廓增厚,变形等后遗症。本研究首先对耳廓假性囊肿穿刺抽液,然后采用高分子石膏加压外固定治疗耳廓假性囊肿66例,取得了满意的疗效,现总结报道如下。

PREPARATION OF THE OPEN PORE ALUMINUM FOAMS USING INVESTMENT CASTING PROCESS

This paper briefly presents characteristics, application and development of the metallic foams. Sound specimen has been achieved with prepared foam aluminum by using investment casting process. The preparation of plaster prefabricated mould is one key in investment casting. Main composition, ingredient and affecting factors of plaster mould are also discussed and the vacuum-infiltrated shaping technique is found to be another important link. The penetration model and the affecting mechanism of the main parameters are also analyzed. As a result, the optimum values are determined.

Properties of fiber reinforced plaster molds for investment casting

In order to improve the performance of plaster molds for investment casting,a diverse content of glass fiber and polypropylene(PP)fiber was incorporated into the slurry for the preparation of a fiber-reinforced mold.The green and fired bending strengths,thermal expansion properties,permeability,and thermal shock resistance of the mold were examined,and the scanning electron microscope(SEM)with energy dispersive spectrometer(EDS)was applied for the observation of fracture morphology.With appropriate content,the introduction of glass fiber was proved to increase the green bending strength and fired bending strength,restrain the thermal expansion and improve the thermal shock resistance of the mold,while the polypropylene fiber added was able to raise the green bending strength and the permeability,reduce the thermal expansion and heighten the thermal shock resistance as well,though the fired bending strength would be weakened slightly.Evenly distributed fibers were capable of enhancing the mechanical properties of the matrix,but agglomerations and bundles of fibers resulting from excessive addition had a negative impact.Meanwhile,it was also manifested that micropores left by ablative polypropylene fibers could improve the permeability and reduce the thermal expansion of the mold,and the fired bending strength would be decreased slightly by the deterioration of continuous structure.Three different ratios of hybrid fiber were employed in plaster molds,which can meet altered requirement of castings.The samples modified with hybrid fiber possessed lower thermal deformation,higher air permeability,and better resistance of thermal shock,while the mechanical strength was equal to the fiber free sample or slightly increased.

Grindability, Grading and Wettability of Recycled Plaste

The changes of grindability, grading and wettability of recycled plaster(R-P)and the mechanisms of these changes were studied by using vickers hardness, particle size distribution(PSD), scanning electron microscope(SEM) and nitrogen adsorption porosimetry to reveal that R-P was obviously different from plaster of Paris(POP). At the same milling time, R-P had the characteristics of high specific surface area, fine particle diameter and uneven size distribution compared with POP, so R-P possessed both good grindability and poor grading. The water absorption, dissolution rate and mass loss in dry-wet cycle of the hardened recycled gypsum(hardened RG) increased, while the water saturated strength and dry-wet cycle strength decreased significantly compared with the hardened virgin gypsum(hardened VG). Therefore, poor wettability could be seen in R-P. The analyses indicated that the changes of grindability and grading could be attributed to the reduction in hardness and the increase in the porosity of hardened RG and that the poor wettability of R-P was caused by the increase of large pores and the changes of microstructure of hardened RG.

INSOMNIA TREATED WITH AURICULAR-PLASTER THERAPY IN 218 CASES

218 cases of insomnia were treated by auricular plaster therapy with seeds of Vaccaria segetalis. The auricular points Heart, Shenmen, Occiput and Brain were selected. The resultsshowed that 136 cases were cured, 76 markedly impr0ved and 6 no effect. The effect of this therapywas significantly better than that of medication (P【0. 01) in comparison with the application of western medicine.

Lower limb intracast pressures generated by different types of immobilisation casts

AIM To determine if complete, split casts and backslabs [plaster of Paris(POP) and fiberglass] generate different intracast pressures and pain. METHODS Increased swelling within casts was modeled by a closed water system attached to an expandable bag placed directly under different types of casts applied to a healthy lower limb. Complete fiberglass and POP casts, split casts and backslabs were applied. Twenty-five milliliter aliquots of saline were injected into the system and the generated intracast pressures were measured using a sphygmomanometer. The subject was blinded to the pressure scores to avoid bias. All casts were applied to the same right limb on the same subject to avoid the effects of variations in anatomy or physiology on intracast pressures. Pain levels were evaluated using the Visual Analogue Score after each sequential saline injection. Each type of cast was reapplied four times and the measurements were repeated on four separate occasions. Sample sizes were determined by a pre-study 90% power calculation to detect a 20% difference in intracast pressures between cast groups. RESULTS A significant difference between the various types of casts was noted when the saline volume was greater than 100 mL(P = 0.009). The greatest intracast pressure was generated by complete fiberglass casts, which were significantly higher than complete POP casts or backslabs(P = 0.018 and P = 0.008 respectively) at intracast saline volumes of 100 mL and higher. Backslabs produced a significantly lower intracast pressure compared to complete POP only once the saline volume within casts exceeded 225 mL(P = 0.009). Intracast pressures were significantly lower in split casts(P = 0.003). Split POP and fiberglass casts produced the lowest intracast pressures, even compared to backslabs(P = 0.009). Complete fiberglass casts generated the highest pain levels at manometer pressures of 75 mm Hg and greater(P = 0.001). Split fiberglass casts had significantly reduced pain levels(P = 0.001). In contrast, a split complete POP cast did not produce significantly reduced pain levels at pressures between 25-150 mmH g. There was no difference in pain generated by complete POP and backslabs at manometer pressures of 200 mm Hg and lower. CONCLUSION Fibreglass casts generate significantly higher intracast pressures and pain than POP casts. Split casts cause lower intracast pressures regardless of material, than complete casts and backslabs.

The Influence of Two Natural Reinforcement Fibers on the Hygrothermal Properties of Earthen Plasters in Mogao Grottoes of China

Murals in Mogao Grottoes consist of three parts:support layer,earthen plasters and paint layer.The earthen plasters play a key role in the preservation of murals.It is a mixture of Dengban soil,sand,and plant fiber.Two different natural fibers,hemp fiber and cotton fiber,were reinforced to earthen plasters in the same percentage to evaluate the influence on hygrothermal performance.The two types of earthen plasters were studied:one containing hemp fiber in the fine plaster(HFP)and the other containing cotton fiber in the fine plaster(CFP).Specific heat capacity,dry thermal conductivity,water vapor permeability,and sorption isotherms were investigated.The results showed that the difference between two natural fibers has much more impact on the hygric properties(water vapor permeability and sorption isotherms)of earthen plasters than on their thermal performance(specific heat capacity and dry thermal conductivity).The CFP with higher density has higher thermal conductivity than the HFP with lower density.But no significant differences of specific heat capacity were observed.Compared with HFP,CFP used in murals can reduce the rate of water transfer and prevent salt from transferring water to the mural surface.The overall findings highlight that all these features of CFP are beneficial to the long-term preservation of murals.The study of the earthen plasters in Mogao Grottoes is of general significance,and the measured properties can be used to obtain coupled heat and moisture analysis of the earthen plasters and to dissect the degradation mechanism of murals.

Clinical study on the treatment of bronchiectasis in remission period by embedding thread combined with Jianpi Qushi Huayu plaster

Objective:To explore the clinical effect of embedding thread combined with Jianpi Qushi Huayu ointment in the treatment of bronchiectasis in remission period,and to observe the effect on the level of inflammatory cytokines.Methods:150 patients with bronchiectasis in remission period were divided into three groups(50 cases in each group),western medicine group(treated with salmeterol fluticasone and low dose erythromycin),combined group(treated with Jianpi Qushi Huayu plaster),observation group(treated with western medicine+Jianpi Qushi Huayu plaster+embedding thread),and the clinical treatment of the three groups were compared.Result:before and after treatment,the improvement of TCM syndrome score,the improvement of pulmonary ventilation index,the improvement of inflammatory cytokines,and the change of adverse reactions.Results:the treatment efficiency of the observation group and the combination group was significantly higher than that of the western medicine group P The peak level of expiratory flow velocity,the maximum expiratory flow,the forced expiratory volume in one second and the ratio of forced expiratory volume in one second to vital capacity in the observation group and the combined group were significantly better than those in the western medicine group and the pre-treatment level(P<0.05),and the improvement in the observation group was better than that in the combined group After treatment,the expression of IL-13,IL-10 and IL-4 in the combined group was significantly better than that in the western medicine group and before treatment(P<0.05),and the improvement in the observation group was better than that in the combined group;there was no significant difference in the incidence of adverse reactions among the three groups(P>0.05).Conclusion:catgut embedding combined with Jianpi Qushi Huayu ointment can significantly alleviate the related clinical symptoms and signs,effectively control the further aggravation of the disease,improve the lung function of patients,regulate the level of inflammatory cytokines to reduce the degree of inflammatory reaction,and do not significantly aggravate the adverse reactions of drugs.

Effect of auricular plaster for primary hypertension in older people:A meta-analysis

BACKGROUND Hypertension is a critical public health problem globally.Antihypertensive drugs can create an extra burden on hypertension patients'self-regulation leading to an imbalance of blood supply and demand.This study aimed to evaluate the effect of auricular plaster therapy combined with western medicine to treat primary hypertension in older people.AIM To carry out a systematic review and meta-analysis for the effect of auricular plaster in elderly hypertension patients.METHODS Multiple databases like PubMed,EMBASE,Cochrane Library,Chinese Biomedical Literature on Disc,China National Knowledge Infrastructure,Wan Fang and Chinese Science and Technology Periodical Database were used to search for the relevant studies and full-text articles involved in the evaluation of auricular plaster combined with western medicine and western medicine alone for primary hypertension in older people.All included articles were quality assessed and the data analysis was conducted with the Review Manager(5.4).Forest plots,sensitivity analysis and funnel plots were also performed on the included articles.RESULTS In this analysis,fourteen(14)relevant studies were included.The Meta-analysis showed a significant difference in the effective ratio(OR=3.62;95%CI,2.46 to 5.33;P<0.00001),diastolic blood pressure change(5.68 mmHg;95%CI,3.49 to 7.87;P<0.00001),systolic blood pressure change(MD=8.78 mmHg;95%CI,5.04 to 12.53;P<0.00001)and symptom score(MD=3.20;95%CI,1.23 to 5.18;P=0.001)between auricular plaster combined with western medicine group and western medicine alone group.One bias was detected as selection bias and another two in reporting bias.Sensitivity analysis fulfilled the stability of the results.CONCLUSION Our study suggested that auricular plaster combined with western medicine improved primary hypertension better than western medicine alone.Limited by the quality of included studies,further studies should be performed to confirm our findings.