Lou Bi-Dan, Yang Li-Bai, Zhang Wei, Li Jin-Xiang, Li Xiao-Ping, Li Wu, Yang Shu-Quan, Huang Xiang-Hong, Liu Xing-Ping, Cao Yue, Pan Jiang
Department of Acupuncture and Moxibustion, The First Affiliated Hospital of Hunan University of CM, Changsha 410007, China.
Zhongguo Zhen Jiu. 2012 Nov;32(11):966-70.
To observe the impacts on repeated common cold for the adults with different constitutions treated by acupoint application in the dog days (the three periods of the hottest days) and the three nine-day periods after the winter solstice (the three periods of the coldest days).
One hundred and fifty-two cases of repeated common cold were divided into four zones according to the body constitution. Each zone was sub-divided into a group of the dog days + the three nine-day periods of the coldest days (group A), and a simple group of the dog periods (group B). In both groups, Dazhui (GV 14), Feishu (BL 13), Tiantu (CV 22), Danzhong (CV 17), Zhongfu (LU 1) and Shenshu (BL 23) were selected. In group A, the acupoint application was given on the 1st or 2nd day of the first, second and third periods of the hottest days in 2010, as well as the 1st or 2nd day of the first, second and third periods of the coldest days in 2010 separately. In group B, the acupoint application was only given on the 1st or 2nd day of the first, second and third periods of the hottest days in 2010. The follow-up visit was conducted before the acupoint application in the three periods of the coldest days in 2010 and before the acupoint application in the three periods of the hottest days in 2011. Additionally, the frequency of disease attack and the symptom score in sickness were taken as the observation indices for the efficacy assessment in both groups.
(1) In both groups, the attack frequency was reduced obviously in half a year after the three periods of the hottest days for the patients of qi deficiency constitution, yang deficiency constitution and qi stagnation constitution and the clinical symptom score were reduced apparently (all P<0.01), which were superior to those for the patients of phlegm damp constitution (P<0.01, P<0.05). For the patients of phlegm damp constitution, only the clinical symptom score was reduced (P<0.01). (2) In group A, the improvements were received in the attack frequency and the clinical symptom score in half a year after the three periods of the coldest days for the patients of those four constitutions as compared with those before treatment (all P<0.01). In group B, the attack frequency and the clinical symptom score were all back to the level as those before treatment. (3) In group A, in half a year after the three periods of the coldest days, the efficacy for reducing the attack frequency and the improvements in the clinical symptoms were better than those in group B (all P<0.01).
The acupoint application in the dog days and the three nine-day periods after the winter solstice reduces the attack frequency and relieves the clinical symptoms of common cold for the adults of individual constitutions to different extents. The efficacy can be further improved in the treatment with the acupoint application in the three nine-day periods after the winter solstice half a year after the acupoint application in the dog days.
观察三伏天（一年中最热的三个时段）及冬至后三九（一年中最冷的三个时段）穴位敷贴对不同体质成人反复感冒的影响。
将152例反复感冒患者按体质分为四个区。每个区再分为三伏天+三九寒天组（A组）和单纯三伏天组（B组）。两组均选取大椎（GV 14）、肺俞（BL 13）、天突（CV 22）、膻中（CV 17）、中府（LU 1）、肾俞（BL 23）。A组于2010年最热的第一、第二、第三个时段的第1或2天，以及2010年最冷的第一、第二、第三个时段的第1或2天分别进行穴位敷贴。B组仅于2010年最热的第一、第二、第三个时段的第1或2天进行穴位敷贴。于2010年最冷的三个时段穴位敷贴前及2011年最热的三个时段穴位敷贴前进行随访。此外，将疾病发作频率及患病时的症状评分作为两组疗效评估的观察指标。
（1）两组中，气虚体质、阳虚体质、气滞体质患者在三伏天后半年发作频率明显降低，临床症状评分明显下降（均P<0.01），优于痰湿体质患者（P<0.01，P<0.05）。痰湿体质患者仅临床症状评分下降（P<0.01）。（2）A组中，这四种体质患者在三九寒天后半年发作频率及临床症状评分较治疗前均有改善（均P<0.01）。B组发作频率及临床症状评分均恢复至治疗前水平。（3）A组在三九寒天后半年，降低发作频率的疗效及临床症状改善情况优于B组（均P<0.01）。
三伏天及冬至后三九穴位敷贴能不同程度降低不同体质成人感冒的发作频率，缓解临床症状。在三伏天穴位敷贴半年后联合冬至后三九穴位敷贴治疗，疗效可进一步提高。
