Feng Wei-Xing, Tang Chen, Zhang Jin-Pei, Li Xin-Yan, Zhang Hui
Department of Encephalopathy, Affiliated Hospital of Shaanxi University of CM, Xianyang 712000, China.
College of Acupuncture-Moxibustion, Shaanxi University of CM.
Zhongguo Zhen Jiu. 2023 Aug 12;43(8):921-4. doi: 10.13703/j.0255-2930.20220910-0002.
To compare the clinical effect between heat-sensitive moxibustion and mild moxibustion for migraine without aura.
A total of 54 patients with migraine without aura were randomized into an observation group (27 cases, 2 cases dropped off) and a control group (27 cases, 2 cases dropped off). The basic western medication treatment was adopted in the two groups. In the control group, mild moxibustion was applied at Shuaigu (GB 8), Fengchi (GB 20) and Yanglingquan (GB 34) on the affected side. In the observation group, the frequent acupoint areas of the affected side i.e. Shuaigu (GB 8), Fengchi (GB 20), Taiyang (EX-HN 5), Taichong (LR 3), Yanglingquan (GB 34) were determined, 3 acupoints with strong heat-sensitive sensation were selected each time and mild moxibustion was adopted. The treatment was given once a day, 5 times of treatment was as one course and 2 courses were required in the two groups. Before and after treatment, the scores of migraine symptom, visual analogue scale (VAS), migraine specific quality of life questionnaire (MSQ) were observed, and the clinical efficacy was evaluated after treatment in the two groups.
After treatment, the scores of migraine symptom and VAS were decreased compared with those before treatment (<0.01), while the MSQ scores were increased compared with those before treatment (<0.01) in the two groups. After treatment, the scores of migraine symptom and VAS in the observation group were lower than those in the control group (<0.05), while the MSQ score in the observation group was higher than that in the control group (<0.01). The total effective rate was 92.0% (23/25) in the observation group, which was superior to 72.0% (18/25) in the control group (<0.05).
Both heat-sensitive moxibustion and mild moxibustion can effectively alleviate the clinical symptoms, improve the headache degree and life quality in patients with migraine without aura, the clinical efficacy of heat-sensitive moxibustion is superior to that of mild moxibustion.
比较热敏灸与温和灸治疗无先兆偏头痛的临床疗效。
将54例无先兆偏头痛患者随机分为观察组（27例，脱落2例）和对照组（27例，脱落2例）。两组均采用基础西医药物治疗。对照组在患侧的率谷（GB 8）、风池（GB 20）和阳陵泉（GB 34）施温和灸。观察组测定患侧的热敏穴位高发区，即率谷（GB 8）、风池（GB 20）、太阳（EX-HN 5）、太冲（LR 3）、阳陵泉（GB 34），每次选取3个热敏感强烈的穴位施温和灸。每天治疗1次，5次治疗为1个疗程，两组均需治疗2个疗程。观察两组治疗前后偏头痛症状评分、视觉模拟评分（VAS）、偏头痛特异性生活质量问卷（MSQ）评分，并在治疗后评价临床疗效。
治疗后，两组偏头痛症状评分和VAS评分均较治疗前降低（<0.01），而MSQ评分较治疗前升高（<0.01）。治疗后，观察组偏头痛症状评分和VAS评分低于对照组（<0.05），而观察组MSQ评分高于对照组（<0.01）。观察组总有效率为92.0%（23/25），优于对照组的72.0%（18/25）（<0.05）。
热敏灸和温和灸均能有效缓解无先兆偏头痛患者的临床症状，改善头痛程度和生活质量，热敏灸的临床疗效优于温和灸。
