摘要
目的:比较辨证取穴配合刺络拔罐法与单纯刺络拔罐法治疗带状疱疹的疗效差异。方法:将86例患者随机分为观察组(43例)、对照组(43例)。观察组采用辨证取穴配合局部刺络拔罐治疗,分为肝胆湿热型、脾虚湿蕴型、气虚血瘀型,穴取曲池、足三里、三阴交等;对照组采用单纯局部刺络拔罐法。两组每日1次,7天为一疗程,2个疗程后统计疗效,1月后随访。结果:观察组愈显率为93.0%(40/43),优于对照组的67.4%(29/43)(P<0.01)。后遗神经痛:观察组发生率2.3%(1/43),对照组14.0%(6/43),观察组低于对照组(P<0.05)。分型比较:肝胆湿热型愈显率:观察组94.7%(18/19),对照组85.7%(18/21),差异无统计学意义(P>0.05);脾虚湿蕴型愈显率:观察组93.8%(15/16),优于对照组60.0%(9/15)(P<0.05);气虚血瘀型愈显率:观察组87.5%(7/8),明显优于对照组的28.6%(2/7)(P<0.05)。结论:辨证取穴配合刺络拔罐治疗带状疱疹,针对性强、疗效明显,可显著减少后遗神经痛,疗效优于单纯刺络拔罐法。
Objective To compare the differences of curative effects of herpes zoster treated with acupuncture based on syndrome differentiation combined with pricking and cupping and simple pricking and cupping. Methods Eighty-six cases were randomly divided into an observation group （43 cases） and a control group （J. 3 cases）. In observation group, acupoints selection based on syndrome differentiation i.e. Quchi（LI 11）, Zusanli（ST 36）, Sanyinjiao（SP 6）, etc. were selected and pricking and cupping at affected parts were applied, and the cases were classified into damp heat in liver and gallbladder, damp retention and spleen deficiency, and qi deficiency and bIood stasis. In control group, all the cases were simplely treated with pric- king and cuppingat affected parts. The treatment was given once a day, and seven days were made one session. The curative effect was evaluated after 2 courses, and the follow-up was carried on after 1 month. Results The curedand markedly effective rate was 93.0% （40/43） in observation group, superior to that of 67. 4% （29,/43） incontrol group （P〈0.01）. Postherpetie neuralgia： there was 2.3 % （1/43） in observation group, inferior to that of 14.0% （6/43） in control group. Comparison in 3 types： the cured and markedly effective rate of damp heat in liver and gallbladder： 94. 7% （18/19） in observation group, and 85. 7%（18/21） in control group, showing no significant difference between groups （P〉0. 05）. The cured and markedly effec- tive rate of damp retention and spleen deficiency： 93. 8% （15/16） in observation group, superior to that of 60.0% （9/15） in control group （P（0.05）. The cured and markedly effective rate of qi deficiency and blood stasis： 87. 5% （7/8） in observation group, superior to that of 28. 6% （2/7） in control group （P〈0.05）. Conclusion For herpes zoster, acupoints selection based on syndrome differentiation combined with pricking and cupping therapy is high pertinent and effective, the postherpetic neuralgia can be reduced significantly and the curative effect is superior to that of simple pricking and cupping.
出处
《中国针灸》
CAS
CSCD
北大核心
2011年第10期901-904,共4页
Chinese Acupuncture & Moxibustion
关键词
疱疹
带状
辨证选穴
刺络疗法
拔罐疗法
Herpes Zoster
Point Select Syndrome Differ
Vessel Pricking Therapy
Cupping Therapy
