摘要
目的观察督灸联合附子理中汤治疗脾肾阳虚型慢性疲劳综合征(CFS)的临床疗效及对疲劳程度和中医证候的影响。方法将60例脾肾阳虚型CFS患者按照随机数字表法分为2组,对照组30例予附子理中汤治疗,治疗组30例在对照组治疗基础上联合督灸治疗,2组均治疗2个月。比较2组疗效;比较2组阳虚质转化分、疲劳严重程度量表(FSS)评分、主要中医证候评分变化;观察2组不良反应发生情况。结果治疗组总有效率86.67%(26/30),对照组总有效率73.33%(22/30),治疗组疗效优于对照组(P<0.05)。2组治疗后阳虚质转化分、FSS评分、中医证候各项评分及总评分均较本组治疗前降低(P<0.05),治疗组治疗后阳虚质转化分、FSS评分、困倦嗜睡、食少便溏评分及总评分均低于对照组(P<0.05)。2组治疗期间均未见明显不良反应。结论督灸联合附子理中汤治疗脾肾阳虚型CFS,能改善患者阳虚体质,缓解疲劳症状,提高生活质量。
Objective To observe the clinical efficacy of Du Moxibustion combined with Fuzi Lizhong Decoction for chronic fatigue syndrome(CFS)of spleen-kidney yang deficiency and its effect on fatigue degree and traditional Chinese medicine(TCM)symptom.Methods Sixty CFS patients(spleen-kidney yang deficiency)were divided into equal two groups as random number table.On the basis of Fuzi Lizhong Decoction,and treatment group received Du Moxibustion.Treated for 2 months.The clinical effectiveness,Yang deficiency transformation score,fatigue severity scale(FSS),main TCM syndrome score and adverse reactions were compared between groups.Results The total effective rates in treatment group and control group were 86.67%(26/30)and 73.33%(22/30),respectively,the curative effect being better in treatment group than control group(P<0.05).After treatment,Yang deficiency transformation score,FSS,TCM syndrome score in groups were decreased,Yang deficiency transformation score,FSS,TCM syndrome scores(sleepiness,poor appetite and loose stools)in treatment group were decreased as comparison to control group(P<0.05),with no obvious adverse reactions in groups.Conclusion For CFS patients(spleen-kidney yang deficiency),Du moxibustion combined with Fuzi Lizhong Decoction is capable of reducing fatigue symptoms,improving quality-of-life and yang deficiency physique.
作者
孙静
张小铁
葛谈
商越
张凯熠
齐昌菊
SUN Jing;ZHANG Xiaotie;GE Tan;SHANG Yue;ZHANG Kaiyi;QI Changju(Department of Preventive Treatment,Guangming Hospital of Traditional Chinese Medicine,Pudong New Area,Shanghai 201399;不详)
出处
《河北中医》
2021年第10期1698-1701,共4页
Hebei Journal of Traditional Chinese Medicine
基金
上海市浦东新区卫生和计划生育委员会临床中医高原学科建设计划(编号:PDZY-2018-0605)
上海市浦东新区“国家中医药发展综合改革试验区”建设项目(编号:PDZY-2018-0703)。
关键词
疲劳综合征
慢性
辨证
穴位
督脉
附子理中汤
Fatigue syndrome,chronic
Diagnosis
Point,Du Moxibustion
Fuzi Lizhong Decoction
