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[刮痧疗法对不同证型过敏性鼻炎的临床治疗效果]

[Clinical therapeutic effects of scraping therapy on allergic rhinitis of different syndromes].

作者信息

Chen Hua, Wang Qiuqin, An Hongli

机构信息

Nursing School, Nanjing University of CM, Nanjing 210023, Jiangsu Province, China.

Scraping Therapy Clinic, Jiangsu Provincial Hospital of TCM, Nanjing 210029.

出版信息

Zhongguo Zhen Jiu. 2017 Sep 12;37(9):985-9. doi: 10.13703/j.0255-2930.2017.09.020.

Abstract

OBJECTIVE

To compare the differences in the therapeutic effects on allergic rhinitis between scraping therapy and cetirizine and observe the differences in the clinical therapeutic effects of scraping therapy on the disease of different differentiated patterns/syndromes.

METHODS

The included participants of allergic rhinitis were randomized into a western medication group and three scraping therapy groups, named a lung deficiency and cold group, a spleen deficiency group and a kidney deficiency group, 20 cases in each one. In the western medication group, cetirizine was prescribed for oral administration, 10 mg, once a day, totally for 4 weeks. In the scraping therapy groups, the scraping therapy was applied to the running courses of the large intestine meridian of hand-, the governor vessel and the bladder meridian of foot-, focusing on Yingxiang (LI 20), Yintang (GV29), Hegu (LI 4) and Fengmen (BL 12). In the lung deficiency and cold group, the scraping focused on the lung meridian of hand-, Feishu (BL 13), Taiyuan (LU 9), Fengchi (GB 20) and Lieque (LU 7). In the spleen deficiency group, the scraping focused on the spleen meridian of foot-, Pishu (BL 20) and Zusanli (ST 36). In the kidney deficiency, the scraping focused on the kidney meridian of foot-, Mingmen (GV 4) and Shenshu (BL 23). The scraping therapy was given once a week, 4 treatments as one session and 1 session required (4 weeks). Separately before treatment, after treatment and in 3-month follow-up visit, the total score of the main symptoms of allergic rhinitis (sneezing, runny nose, nasal obstruction and nasal itch) was observed and the clinical therapeutic effects were evaluated.

RESULTS

The total symptom scores in the patients of the 4 groups after treatment were all reduced as compared with those before treatment (all <0.05). After treatment and in the follow-up visit, the total symptom scores of the 3 scraping therapy groups were lower than those in the western medication group (all <0.05), and the score in the lung deficiency and cold group was lower than those in the spleen deficiency group and the kidney deficiency group (all <0.05). After treatment and in the follow-up visit, the therapeutic effects in the 3 scraping therapy groups were better than those in the western medication group (all P<0.05).

CONCLUSION

The scraping therapy on the basis of the meridians and acupoints selection achieves the definite therapeutic effects on allergic rhinitis of different differentiated patterns/syndromes, which is better than cetirizine. This therapy achieves the much significant short-term and long-term therapeutic effects on allergic rhinitis differentiated as lung qi deficiency and cold.

摘要

目的

比较刮痧疗法与西替利嗪治疗变应性鼻炎的疗效差异,观察刮痧疗法对不同辨证分型变应性鼻炎临床疗效的差异。

方法

将纳入的变应性鼻炎患者随机分为西药组和3个刮痧疗法组,即肺气虚寒组、脾气虚组和肾气虚组,每组20例。西药组口服西替利嗪,10mg,每日1次,共治疗4周。刮痧疗法组在大肠经手部循行路线、督脉及足太阳膀胱经上进行刮痧,重点穴位为迎香(LI20)、印堂(GV29)、合谷(LI4)和风门(BL12)。肺气虚寒组重点刮手部肺经、肺俞(BL13)、太渊(LU9)、风池(GB20)和列缺(LU7)。脾气虚组重点刮足部脾经、脾俞(BL20)和足三里(ST36)。肾气虚组重点刮足部肾经、命门(GV4)和肾俞(BL23)。刮痧疗法每周1次,4次为1个疗程,共治疗1个疗程(4周)。分别于治疗前、治疗后及3个月随访时观察变应性鼻炎主要症状(打喷嚏、流涕、鼻塞、鼻痒)总分,并评价临床疗效。

结果

4组患者治疗后总症状评分均较治疗前降低(均P<0.05)。治疗后及随访时,3个刮痧疗法组的总症状评分均低于西药组(均P<0.05),且肺气虚寒组评分低于脾气虚组和肾气虚组(均P<0.05)。治疗后及随访时,3个刮痧疗法组的疗效均优于西药组(均P<0.05)。

结论

基于经络和穴位选择的刮痧疗法对不同辨证分型的变应性鼻炎有确切疗效,优于西替利嗪。该疗法对肺气虚寒型变应性鼻炎有显著的短期和长期治疗效果。

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