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穴位埋线治疗不同证型单纯性肥胖的疗效观察

[Observation on therapeutic effect of catgut implantation at acupoint on simple obesity of different syndrome types].

作者信息

Wang Hai-qiao, Ge Bao-he, Dong Gui-rong

机构信息

Department of Acupuncture, Yueyang Hospital of Integrated Chinese Medicine and Western Medicine Affiliated to Shanghai University of TCM, Shanghai 200437, China.

出版信息

Zhongguo Zhen Jiu. 2009 Mar;29(3):192-6.

Abstract

OBJECTIVE

To observe the therapeutic effect of catgut implantation at acupoint on simple obesity of different syndrome types, so as to understand the syndrome type most suitable to this therapy.

METHODS

Using prospective and double blind method one hundred and thirty-seven cases were divided into a group of dampness stagnancy due to spleen deficiency (n=30), a stomach heat-dampness stagnation group (n=30), a group of stagnation of liver qi (n=27), a group of deficiency of both spleen and kidney (n=26) and a group of endogenous heat due to yin deficiency (n=24). They were treated with catgut implantation at main acupoints Liangmen (ST 21), Zhongwan (CV 12), Tianshu (ST 25), Qihai (CV 6), Fenglong (ST 40) and adjuvant points selected according to different syndromes, once each week, 4 weeks constituting one course, for 2 courses. Changes of body weight, body mass index (BMI), circumferences of chest, waist and hip, and symptoms and signs before and after treatment were observed.

RESULTS

After treatment, the body weight, BMI, circumferences of waist and hip in the 5 groups had significant changes; the total effective rates in the group of dampness stagnancy due to spleen deficiency, the stomach heat-dampness stagnation group, the group of stagnation of liver qi, the group of deficiency of both spleen and kidney deficiency, the group of endogenous heat due to yin deficiency were 83.3%, 93.3%, 48.2%, 69.2% and 41.70%, respectively.

CONCLUSION

The therapeutic effect of catgut implantation at acupoints is the best for simple obesity of the stomach heat-dampness stagnation type and the worst for the type of endogenous heat due to yin deficiency.

摘要

目的

观察穴位埋线治疗不同证型单纯性肥胖症的疗效,以了解最适合该疗法的证型。

方法

采用前瞻性双盲法,将137例患者分为脾虚湿阻证组(n = 30)、胃热湿阻证组(n = 30)、肝郁气滞证组(n = 27)、脾肾两虚证组(n = 26)和阴虚内热证组(n = 24)。主穴选用梁门(ST21)、中脘(CV12)、天枢(ST25)、气海(CV6)、丰隆(ST40),并根据不同证型选取配穴,每周埋线1次,4周为1个疗程,共治疗2个疗程。观察治疗前后体重、体重指数(BMI)、胸围、腰围、臀围及症状体征的变化。

结果

治疗后,5组患者的体重、BMI、腰围、臀围均有显著变化;脾虚湿阻证组、胃热湿阻证组、肝郁气滞证组、脾肾两虚证组、阴虚内热证组的总有效率分别为83.3%、93.3%、48.2%、69.2%、41.70%。

结论

穴位埋线治疗胃热湿阻型单纯性肥胖症疗效最佳,对阴虚内热型疗效最差。

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