Xia Depeng, Chen Peifang, Du Peixue, Ding Lijun, Liu Anli
the Second Department of Acupuncture-Moxibustion and Tuina, Rizhao Hospital of TCM, Rizhao 276800, Shandong Province, China.
Zhongguo Zhen Jiu. 2017 Aug 12;37(8):814-818. doi: 10.13703/j.0255-2930.2017.08.004.
To observe the efficacy differences between acupoint catgut embedding combined with ginger-partitioned moxibustion and regular acupuncture on chronic fatigue syndrome (CFS) of spleen-kidney deficiency syndrome, and to explore its effects on T lymphocyte subsets and activity of NK cell.
A total of 60 patients with CFS of spleen-kidney deficiency syndrome were randomly divided into a catgut embedding combined with ginger-partitioned moxibustion (CECGP) group and a regular acupuncture group, 30 cases in each one. The patients in the CECGP group were treated with acupoint catgut embedding combined with ginger-partitioned moxibustion; the acupoint catgut embedding was applied at Guanyuan (CV 4), Shenshu (BL 23), Pishu (BL 20), Zusanli (ST 36), Qihai (CV 6), once a week, while the ginger-partitioned moxibustion was applied at Guanyuan (CV 4), Qihai (CV 6) and Zusanli (ST 36), once every three days for consecutive one month. The patients in the regular acupuncture group were treated with regular acupuncture at Guanyuan (CV 4), Shenshu (BL 23), Pishu (BL 20), Zusanli (ST 36), Qihai (CV 6), once a day, 6 treatments per week (one day for rest) for consecutive one month. The clinical symptom scores, fatigue scale-14 (FS-14), fatigue assessment instrument (FAI), laboratory test results and total effective rate were compared between the two groups before and after treatment.
(1) After treatment, the clinical symptom scores, FS-14 and FAI were reduced in the two groups (all <0.05); after treatment, the clinical symptom scores, FS-14 and FAI in the CECGP group were significantly lower than those in the regular acupuncture group (all <0.05). (2) After treatment, the CD/CD, natural killer cell% (NK%), CD%, CD% were all increased in the two groups (all +4 <0.05); the CD/CD, CD%, CD% in the CECGP group were significantly higher than those in the regular acupuncture group (all <0.05). (3) After treatment, the total effective rate was 96.7% (29/30) in the CECGP group, which was similar to 93.3% (28/30) in the regular acupuncture group (>0.05).
The acupoint catgut embedding combined with ginger-partitioned moxibustion, which could effectively relieve the symptoms, regulate T lymphocyte subsets and the activity of NK cell, is an effective method for CFS of spleen-kidney deficiency syndrome.
观察穴位埋线联合隔姜灸与常规针刺治疗脾肾两虚型慢性疲劳综合征(CFS)的疗效差异,并探讨其对T淋巴细胞亚群及自然杀伤细胞(NK细胞)活性的影响。
将60例脾肾两虚型CFS患者随机分为穴位埋线联合隔姜灸(CECGP)组和常规针刺组,每组30例。CECGP组采用穴位埋线联合隔姜灸治疗;穴位埋线选取关元(CV4)、肾俞(BL23)、脾俞(BL20)、足三里(ST36)、气海(CV6),每周1次,隔姜灸选取关元(CV4)、气海(CV6)、足三里(ST36),每3日1次,连续治疗1个月。常规针刺组采用常规针刺治疗,选取关元(CV4)、肾俞(BL23)、脾俞(BL20)、足三里(ST36)、气海(CV6),每日1次,每周治疗6次(休息1日),连续治疗1个月。比较两组治疗前后的临床症状评分、疲劳量表-14(FS-14)、疲劳评估量表(FAI)、实验室检查结果及总有效率。
(1)治疗后,两组临床症状评分、FS-14及FAI均降低(均P<0.05);治疗后,CECGP组临床症状评分、FS-14及FAI均显著低于常规针刺组(均P<0.05)。(2)治疗后,两组CD/CD比值、自然杀伤细胞百分比(NK%)、CD%、CD%均升高(均P<0.05);CECGP组CD/CD比值、CD%、CD%均显著高于常规针刺组(均P<0.05)。(3)治疗后,CECGP组总有效率为96.7%(29/30),与常规针刺组的93.3%(28/30)相似(P>0.05)。
穴位埋线联合隔姜灸能有效缓解脾肾两虚型CFS症状,调节T淋巴细胞亚群及NK细胞活性,是治疗脾肾两虚型CFS的有效方法。