Lu Lu, Li Wei-Han, Guo Xiao-Chuan, Fu Wen-Bin
Department of Traditional Chinese Medicine, the 5th Hospital Affiliated to Guangzhou Medical University; Guangzhou 510700, China.
The 2nd Clinical Medical College of Guangzhou University of Traditional Chinese Medicine, Guangzhou 510405.
Zhen Ci Yan Jiu. 2018 Feb 25;43(2):110-3. doi: 10.13702/j.1000-0607.107698.
To observe the clinical effect of thunder-fire moxibustion in the treatment of qi deficiency-induced fatigue in breast cancer patients undergoing chemotherapy.
Sixty breast cancer patients undergoing chemotherapy were randomly divided into thunder-fire moxibustion (Moxi) and conventional nursing (nursing) groups (＝30 in each group). Patients in the Moxi group were treated with thunder-fire moxibustion applied to the back part of body from Pishu (BL 20) to Qihaishu (BL 24) on the bilateral sides and to the abdominal part from Zhongwan (CV 12) to Guanyuan (CV 4) for 30 min, once a day for 14 days. Patients in the nursing group were treated with health education and conventional nursing care. The simple fatigue scale, traditional Chinese medicine (TCM) syndrome score, clinical curative effect were observed before and after the treatment, and white blood cell (WBC) count was observed 5 days ofter chemotherapy and after the treatment respectively.
After the treatment, the simple fatigue scales and TCM syndrome scores were significantly decreased and WBC counts were significantly increased in both groups relevant to their individual pre-treatment (<0.01). The therapeutic effect of the Moxi group was appa-rently superior to that of the nursing group in lowering the simple fatigue scale and TCM syndrome score and in up-regulating WBC count (<0.01, <0.05). The total effective rate of the Moxi group was significantly higher than that of the nursing group (83.3%[25/30]vs 36.7% [11/30], <0.01).
Thunder-fire moxibustion can effectively relieve the degree of fatigue and the symptoms of qi deficiency in breast cancer patients undergoing chemotherapy.
观察雷火灸治疗乳腺癌化疗患者气虚型疲劳的临床疗效。
将60例接受化疗的乳腺癌患者随机分为雷火灸组（灸疗组）和常规护理组（护理组），每组30例。灸疗组采用雷火灸双侧背部脾俞（BL20）至气海俞（BL24）及腹部中脘（CV12）至关元（CV4），每次30分钟，每日1次，共14天。护理组采用健康教育及常规护理。观察治疗前后的简易疲劳量表、中医证候评分、临床疗效，并分别于化疗后5天及治疗后观察白细胞（WBC）计数。
治疗后，两组患者的简易疲劳量表和中医证候评分均较各自治疗前显著降低，白细胞计数显著升高（P<0.01）。灸疗组在降低简易疲劳量表和中医证候评分以及上调白细胞计数方面的治疗效果明显优于护理组（P<0.01，P<0.05）。灸疗组的总有效率显著高于护理组（83.3%[25/30]对36.7%[11/30]，P<0.01）。
雷火灸能有效缓解乳腺癌化疗患者的疲劳程度及气虚症状。
