Li Xuan, Zhang Hong-Xing, Huang Guo-Fu, Feng Yong-Fang, Zou Ron
School of Acu-moxibustion. Hubei College of Chinese Medicine, Wuhan 430061, China.
Zhen Ci Yan Jiu. 2009 Apr;34(2):125-7, 135.
To observe the clinical therapeutic effect of electroacupuncture (EA) of Jiaji (EX-B 2) plus focus-encircled needling for promoting the crust formation of herpes zoster and analgesia.
Eighty cases of herpes zoster patients were equally randomized into EA group [treated with EA of Ashi-point, Jiaji (EX-B 2), Zhigou (SJ 6) and Houxi (SI 3), once daily for 10 times] and medication group (treated with valaciclovir hydrochloride 300 mg/time, b. i. d. and vitamin B1 10 mg/time, t.i.d., 10 days). The pain severity was evaluated by using visual analogous scale (VAS) method. The time when the cutaneous scabbing area was equal or over 50% was recorded.
After the treatment, of the two 40 cases in EA and medication groups, 30 (75.0%) and 15 (37.5%) were cured, 7 (17.5%) and 12 (30.0%) improved, 3 (7.5%) and 13 (32.5%) failed, with the total effective rates being 92.5% and 67.5%, respectively. The therapeutic effect of EA was significantly superior to that of medication (P < 0.01). VAS scores of both groups reduced significantly (P < 0.01). Both the VAS score and the crust formation time of EA group were significantly lower than those of medication group (P < 0.01).
EA of Jiaji (EX-B 2) in combination with focus-encircled needling is effective in facilitating the crust formation and pain relief in the treatment of herpes zoster, and the effect of acupuncture is superior to that of medication.
观察夹脊穴（EX - B 2）电针结合围刺法促进带状疱疹结痂及镇痛的临床疗效。
将80例带状疱疹患者随机分为电针组[采用阿是穴、夹脊穴（EX - B 2）、支沟（SJ 6）、后溪（SI 3）电针治疗，每日1次，共10次]和药物组[采用盐酸伐昔洛韦300 mg/次，每日2次，维生素B1 10 mg/次，每日3次，治疗10天]。采用视觉模拟评分法（VAS）评估疼痛程度。记录皮肤结痂面积等于或超过50%的时间。
治疗后，电针组和药物组各40例中，治愈分别为30例（75.0%）和15例（37.5%），好转分别为7例（17.5%）和12例（30.0%），未愈分别为3例（7.5%）和13例（32.5%），总有效率分别为92.5%和67.5%。电针组疗效明显优于药物组（P < 0.01）。两组VAS评分均显著降低（P < 0.01）。电针组VAS评分及结痂时间均明显低于药物组（P < 0.01）。
夹脊穴（EX - B 2）电针结合围刺法治疗带状疱疹能有效促进结痂和缓解疼痛，针刺效果优于药物治疗。
