Tian Zan, Dong Jianlong, Wang Yanjun
Department of Dermatology, The First Affiliated Hospital of Hebei University of Chinese Medicine, Shijiazhuang, China.
Department of Acupuncture, The First Affiliated Hospital of Hebei University of Chinese Medicine, Shijiazhuang, China.
Arch Dermatol Res. 2025 Apr 11;317(1):696. doi: 10.1007/s00403-025-04210-1.
This study aimed to explore the effects of modified Wendan Decoction combined with acupuncture on serum inflammatory markers and immune function in patients suffering from urticaria. A total of 150 urticaria patients admitted to our hospital were randomly assigned to two groups: the observation group (n = 75) and the control group (n = 75). The control group received levocetirizine tablets, while the observation group was treated with modified Wendan Decoction along with acupuncture. Following treatment, the observation group demonstrated a higher clinical efficacy compared to the control group, with a statistically significant difference (P < 0.05). Both groups experienced reductions in symptom scores, including erythema, burning sensation, pruritus, wheals, fever accompanied by epigastric pain, nausea and vomiting, fatigue, and poor appetite. However, the observation group showed significantly lower symptom scores than the control group (P < 0.05). Additionally, levels of IL-4, IL-10, IL-25, IL-33, and IFN-γ decreased in both groups after treatment, but the observation group exhibited lower levels than the control group, again with a statistically significant difference (P < 0.05). The recurrence rate was notably lower in the observation group compared to the control group (P < 0.05). The combination of modified Wendan Decoction and acupuncture effectively reduces serum inflammatory markers and enhances immune function in patients with urticaria. This treatment demonstrates significant clinical effectiveness and holds potential for broader application in clinical settings.
本研究旨在探讨加味温胆汤联合针刺对荨麻疹患者血清炎症标志物及免疫功能的影响。我院收治的150例荨麻疹患者随机分为两组:观察组(n = 75)和对照组(n = 75)。对照组服用左西替利嗪片,观察组采用加味温胆汤联合针刺治疗。治疗后,观察组临床疗效高于对照组,差异有统计学意义(P < 0.05)。两组患者的症状评分均有所降低,包括红斑、烧灼感、瘙痒、风团、发热伴上腹部疼痛、恶心呕吐、乏力和食欲不振。然而,观察组症状评分显著低于对照组(P < 0.05)。此外,两组治疗后IL-4、IL-10、IL-25、IL-33和IFN-γ水平均下降,但观察组低于对照组,差异有统计学意义(P < 0.05)。观察组复发率明显低于对照组(P < 0.05)。加味温胆汤联合针刺可有效降低荨麻疹患者血清炎症标志物水平,增强免疫功能。该治疗方法具有显著的临床疗效,在临床应用中具有广泛的潜力。