Qin Yu-Ge, Wang Feng, Li Mei, Qin Yu-Heng, Li Li
Department of Acupuncture and Moxibustion, Community Health Service Center of Dongjing, Songjiang District, Shanghai 201619, China.
Zhongguo Zhen Jiu. 2012 May;32(5):399-403.
To compare the efficacy difference on the treatment of supraspinal ligament injury in deficiency syndrome between only-puncturing at Dazhong (KI 4) and routine acupuncture therapy and then explore an optimum process.
One hundred and twenty-six cases were randomly divided into a Dazhong group (63 cases) and a routine acupuncture group (63 cases). Based on the same treatment including TDP irradiation, cupping at Shenshu (BL 23), Dachangshu (BL 25), Mingmen (GV 4), Yaoyangguan (GV 3) and Ashi points, the patients in the Dazhong group received only-puncturing Dazhong (KI 4) with respiratory reinforcing method once daily or every other day, three times of which made a course of the treatment, with on interval of one day or without between different courses. For the routine acupuncture group, the same reinforcing method was applied at shenshu (BL 23) pointect, and the other requirements such as courses were also the same.
The cured and markedly effective rate was 88.9% (56/63) in the Dazhong group, which was significantly superior to that of 54.0% (34/63) in the routine acupuncture group (P < 0.01). Compared before and after the treatment, the score of Numerical Rating Scale (NRS) and the clinical symptom score of the two groups were significantly decreased (all PF < 0.01). Compared between the two groups, there were significant differences in NRS and clinical symptom score the Dazhong group was better than the routine acupuncture group (both P < 0.01).
The only-puncturing Dazhong (KI 4) method combined with cupping and TDP irradiation are simple and effective for supraspinal ligament injury in deficiency syndrome.
比较针刺大钟穴（KI 4）单穴与常规针刺疗法治疗虚证型棘上韧带损伤的疗效差异，探寻最佳治疗方案。
将126例患者随机分为大钟穴组（63例）和常规针刺组（63例）。两组均采用相同治疗，包括TDP照射、肾俞（BL 23）、大肠俞（BL 25）、命门（GV 4）、腰阳关（GV 3）及阿是穴拔罐。大钟穴组仅针刺大钟穴（KI 4），采用呼吸补法，每日或隔日1次，3次为1个疗程，疗程间间隔1天或不间隔。常规针刺组在肾俞穴（BL 23）采用相同补法针刺，其余疗程等要求相同。
大钟穴组痊愈显效率为88.9%（56/63），明显优于常规针刺组的54.0%（34/63）（P<0.01）。两组治疗前后比较，数字分级法（NRS）评分及临床症状评分均明显降低（均P<0.01）。两组间比较，NRS评分及临床症状评分差异有统计学意义，大钟穴组优于常规针刺组（均P<0.01）。
针刺大钟穴（KI 4）单穴配合拔罐及TDP照射治疗虚证型棘上韧带损伤简便有效。
