Zhang Jun, Shao Suju, Ren Zhong, Wang Peiyu, Hua Jinshuang, Qin Xiaoyong, Wang Qingbo, Shao Suxia
College of Acupuncture-Moxibustion and Tuina, Henan University of CM, Zhengzhou 450008, China.
Kaifeng City TCM Hospital.
Zhongguo Zhen Jiu. 2018 Jan 12;38(1):7-11. doi: 10.13703/j.0255-2930.2018.01.002.
To observe the effect difference between acupuncture of "five needles therapy" and conventional acupuncture for asthma of latent cold phlegm-fluid in the lung.
Two hundred and ten cases were randomly assigned into an observation group and a control group, 105 cases in each one. Finally 7 cases were dropped out in the observation group; 6 cases in the control group. Feishu (BL 13), Dazhui (GV 14), Fengmen (BL 12) were used in the observation group; conventional acupuncture was used in the control group, and the main acupoints were Feishu (BL 13), Zhongfu (LU 1), Tiantu (CV 22), Danzhong (CV 17), Kongzui (LU 6), Dingchuan (EX-B 1), Fenglong (ST 40), Fengmen (BL 12), Taiyuan (LU 9). The needles were retained for 30 min each time, once a day for continuous 12 days. The scores of the individual symptoms and signs were observed before treatment and on the 3rd, 6th, 9th, 12th days, including pant, cough, cough up phlegm, fullness and oppression in the chest and diaphragm, wheezing rale and shortness of breath. The clinical effects were compared between the two groups.
The scores of six individual symptoms and signs on the 3rd, 6th, 9th, and 12th days in the two groups were lower than those before treatment (all <0.05), except the score of wheezing rale in the control group on the 3rd day (>0.05). The scores of pant, wheezing rale, cough on the 3rd, 6th, 9th, and 12th days in the observation group were lower than those in the control group (all <0.05), except the score of wheezing rale score on the 3rd day (>0.05). There were no significant difference between the two groups about the scores of cough up phlegm, fullness and oppression in the chest and diaphragm and shortness of breath on the 3rd, 6th, 9th, and 12th days (all >0.05), except the score of fullness and oppression in the chest and diaphragm in the observation group was lower than that in the control group on the 12th day (<0.05). 46 cases were clinical cured, 39 cases were markedly effective, 10 cases were effective and 3 cases were ineffective in the observation group with the total effective rate of 96.9%. 23 cases were clinical cured, 43 cases were markedly effective, 24 cases were effective and 9 cases were ineffective in the control group with the total effective rate of 90.9%. The difference was statistical (<0.05).
"Five needles therapy" has significant therapeutic effect for asthma of latent cold phlegm-fluid in the lung, which is better than conventional acupuncture.
观察“五针疗法”针刺与传统针刺治疗肺寒伏饮型哮喘的疗效差异。
将210例患者随机分为观察组和对照组，每组105例。最终观察组脱落7例；对照组脱落6例。观察组采用肺俞（BL 13）、大椎（GV 14）、风门（BL 12）；对照组采用传统针刺，主穴为肺俞（BL 13）、中府（LU 1）、天突（CV 22）、膻中（CV 17）、孔最（LU 6）、定喘（EX - B 1）、丰隆（ST 40）、风门（BL 12）、太渊（LU 9）。每次留针30分钟，每日1次，连续治疗12天。观察治疗前及治疗第3、6、9、12天的各项症状体征评分，包括气喘、咳嗽、咳痰、胸闷憋闷、哮鸣音、气短。比较两组临床疗效。
两组治疗第3、6、9、12天各项症状体征评分均低于治疗前（均<0.05），对照组第3天哮鸣音评分除外（>0.05）。观察组治疗第3、6、9、12天的气喘、哮鸣音、咳嗽评分低于对照组（均<0.05），第3天哮鸣音评分除外（>0.05）。两组治疗第3、6、9、12天的咳痰、胸闷憋闷、气短评分比较，差异无统计学意义（均>0.05），观察组第12天胸闷憋闷评分低于对照组（<0.05）除外。观察组临床治愈46例，显效39例，有效10例，无效3例，总有效率96.9%。对照组临床治愈23例，显效43例，有效24例，无效9例，总有效率90.9%。差异有统计学意义（<0.05）。
“五针疗法”治疗肺寒伏饮型哮喘疗效显著，优于传统针刺。
