Zhang Fu-Hui
Acupuncture-Moxibustion Department of Xi'an Central Hospital, Shaanxi Province, China.
Zhongguo Zhen Jiu. 2010 Nov;30(11):943-5.
To explore the efficacy difference in weight gain between auricular point sticking and the combined therapy of auricular point sticking and body acupuncture, as well as the efficacy difference among various body constitutions.
One hundred cases of weight gain were randomized into two groups, auricular point sticking group (group A) and the combined therapy of auricular point sticking and body acupuncture group (group B), 50 cases in each one. In group A, semen vaccariae was fixed with plaster on the spleen, stomach, endocrine, small intestine, buttocks, tibia, forearm, etc. in the ear. Each point was pressed 3 times daily, for 5 mm each time. The ear-points on two sides were alternated every two days. In group B, the auricular point sticking and body acupuncture were applied. The ear points and manipulation were same as the previous. Body points were Zhongwan (CV 12), (Juanyuan (CV 4), Tiansho (ST 25), Zusanli (ST 36), Sanyinjiao (SP 6), etc. Acupuncture was applied with filiform needle, once every two days. The changes in body weight and body mass index (BMI) were observed after 20 treatments.
(1) The total effective rate was 94.0% (47/50) in group A and was 98.0% (49/50) in group B, without statistical significant difference (P > 0.05). The comparison of mean body weight and mean BMI after intervention did not show statistical significance between two groups (both P > 0.05), indicating that the simple auricular point sticking could achieve the same effect as the combined therapy. (2) There was no statistical significant difference in the total effective rate between the thin persons with spleen and stomach deficiency constitution and those with normal constitution among 100 cases (P > 0.05). But, the remarkable effective rates were different significantly in statistics (P < 0.05). For the thin persons with spleen and stomach deficiency constitution, after treatment, the body weight increased in big amplitude, but those with normal constitution increased in small amplitude or had no change.
The efficacy of the simple auricular point sticking on weight gain is same as the combined therapy of auricular point sticking and body acupuncture, and is much better for the cases with spleen and stomach deficiency constitution.
探讨耳穴贴压与耳穴贴压配合体针治疗在体重增加方面的疗效差异,以及不同体质间的疗效差异。
将100例体重增加患者随机分为两组,耳穴贴压组(A组)和耳穴贴压配合体针治疗组(B组),每组50例。A组用胶布将王不留行籽贴于耳部的脾、胃、内分泌、小肠、臀、胫、前臂等穴位,每天按压各穴3次,每次按压5分钟,双侧耳穴每两天交替。B组采用耳穴贴压配合体针治疗。耳穴及操作同前。体针穴位取中脘(CV 12)、关元(CV 4)、天枢(ST 25)、足三里(ST 36)、三阴交(SP 6)等,用毫针针刺,每两天1次。20次治疗后观察体重及体重指数(BMI)变化。
(1)A组总有效率为94.0%(47/50),B组为98.0%(49/50),差异无统计学意义(P>0.05)。两组干预后平均体重及平均BMI比较,差异均无统计学意义(均P>0.05),表明单纯耳穴贴压与配合体针治疗效果相当。(2)100例中,脾胃虚弱型消瘦者与正常体质者总有效率差异无统计学意义(P>0.05),但显效率差异有统计学意义(P<0.05)。脾胃虚弱型消瘦者治疗后体重增幅较大,正常体质者增幅较小或无变化。
单纯耳穴贴压在体重增加方面的疗效与耳穴贴压配合体针治疗相当,且对脾胃虚弱型患者疗效更佳。