Tian Hai-Yan, Hu Jia, Wang Lin
Department of Acupuncture and Moxibustion, Third Affiliated Hospital of Nanchang University, Nanchang 330008, Jiangxi Province, China.
Zhongguo Zhen Jiu. 2013 Jun;33(6):485-9.
To compare the differences of clinical efficacy for bronchial asthma between acupoint sticking combined with ginger-separated moxibustion and electroacupuncture combined with ginger-separated moxibustion.
With a randomized and controlled method, one hundred cases were divided into an acupoint sticking + ginger-separated moxibustion group (group A) and an electroacupuncture + ginger-separated moxibustion group (group E), 50 cases in each one. The Dazhui (GV 14), Feishu (BL 13), Tiantu (CV 22) and so on were selected in both groups. The treatment was given on the 1st day of each dog-day period and each nine-day period after the winter solstice separately. The ginger-separated moxibustion was applied in the group A, which was followed by plaster sticking that was made with Chinese herbs (including white mustard seed, rhizoma corydalis, euphorbia kansui, asarum), glycerin and warm ginger juice. The regular acupuncture, electroacupuncture and ginger-separated moxibustion were applied in the group E. The scores of recovery cough, control asthma, respiratory frequency, stuffiness chest, wheezing and markedly and cured effective rate were compared in two groups before and after the treatment.
The markedly and cured effective rate was 72.0% (36/50) in the group A, which was superior to 46.0% (23/50) in the group E (P < 0.05). All the symptom scores in two groups were obviously improved after the treatment, in which group A was superior to group E (all P < 0.05).
The acupoint sticking and ginger-separated moxibustion could obviously improve clinical symptoms in patients with bronchial asthma, and reduce skin irritation of medicine to avoid the blister and relive patients' suffer, which has superior effect to electroacupuncture combined with ginger-separated moxibustion.
比较穴位贴敷联合隔姜灸与电针联合隔姜灸治疗支气管哮喘的临床疗效差异。
采用随机对照法,将100例患者分为穴位贴敷+隔姜灸组(A组)和电针+隔姜灸组(E组),每组50例。两组均选取大椎(GV 14)、肺俞(BL 13)、天突(CV 22)等穴位。分别于每年三伏天的第1天及冬至后的每九天各进行1次治疗。A组采用隔姜灸,之后贴敷由中药(包括白芥子、延胡索、甘遂、细辛)、甘油和温姜汁制成的膏药。E组采用常规针刺、电针及隔姜灸。比较两组治疗前后咳嗽缓解、哮喘控制、呼吸频率、胸闷、喘息等症状评分及显愈率。
A组显愈率为72.0%(36/50),优于E组的46.0%(23/50)(P<0.05)。两组治疗后各项症状评分均明显改善,其中A组优于E组(均P<0.05)。
穴位贴敷联合隔姜灸能明显改善支气管哮喘患者的临床症状,减少药物对皮肤的刺激,避免起泡,减轻患者痛苦,其疗效优于电针联合隔姜灸。