Of the four @ cases in the medication , acupuncture , Tongxinluo and acupuncture + Tongxinluo groups , @ , @ , @ and @ patients were basically cured , @ , @ , @ and @ experienced marked improvement in their symptoms , @ , @ , @ and @ were improved , @ , @ , @ and @ were invalid , @ , @ , @ and @ got worsened , with the effective rates ( basically cured + improvement ) being @ % , @ % , @ % and @ % , respectively .