[1]加 莉,王小萌,李 婷,等.三伏天应用火龙灸治疗脾胃虚寒型胃脘痛临床研究[J].陕西中医,2021,(10):1466-1469.[doi:DOI:10.3969/j.issn.1000-7369.2020.10.038]
 JIA Li,WANG Xiaomeng,LI Ting,et al.Clinical observation on the application of fire dragon moxibustion in dog days to treat patients with gastric pain due to deficiency of spleen and stomach[J].,2021,(10):1466-1469.[doi:DOI:10.3969/j.issn.1000-7369.2020.10.038]
点击复制

三伏天应用火龙灸治疗脾胃虚寒型胃脘痛临床研究
分享到:

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2021年10期
页码:
1466-1469
栏目:
针灸经络
出版日期:
2021-10-05

文章信息/Info

Title:
Clinical observation on the application of fire dragon moxibustion in dog days to treat patients with gastric pain due to deficiency of spleen and stomach
作者:
加 莉王小萌李 婷鱼 涛
(陕西省中医医院,陕西 西安 710003)
Author(s):
JIA LiWANG XiaomengLI TingYU Tao
(Shaanxi Provincial Hospital of Traditional Chinese Medicine,Xi'an 710003,China)
关键词:
胃脘痛 脾胃虚寒 三伏天 火龙灸 疼痛评分 复发
Keywords:
Epigastric pain Deficiency and cold of the spleen and stomach Dog days Fire dragon moxibustion Pain score Recurrence rate
分类号:
R 573
DOI:
DOI:10.3969/j.issn.1000-7369.2020.10.038
文献标志码:
A
摘要:
目的:探讨三伏天应用火龙灸对脾胃虚寒型胃脘痛患者的临床疗效。方法:在三伏天时期选取脾胃虚寒型胃脘痛患者60例,分为对照组和试验组各30例。对照组给予奥美拉唑常规治疗,同时予黄芪建中汤加减,连续治疗3周为1个疗程。试验组在对照组基础上,进行三伏天火龙灸治疗,在施术部位(督脉及膀胱经第一、第二侧线)上铺两层衬布,将1500 g姜末置于衬布上,垒砌成厚约 2~3 cm姜坯,将艾绒在姜坯上铺成厚约0.2 cm艾坯,用止血钳持点燃酒精棉球由上至下将艾坯点燃。按照此法,灸3~4壮,治疗时间2 h,每伏1次,连续治疗 3次。两组患者均依据胃脘痛中医干预方案指导患者作息规律、少食多餐; 注意保暖,防御寒邪。比较两组治疗干预前后临床疗效、治疗结束3 d后胃脘疼痛评分以及治疗干预6个月后随访的复发情况。结果:试验组总有效率(93.33%)显著优于对照组(73.33%),差异具有统计学意义(P<0.05); 试验组胃脘痛疼痛评分、复发率均明显低于对照组(P<0.05)。结论:三伏天应用火龙灸治疗脾胃虚寒型胃脘痛患者临床疗效明显,能够缓解胃脘痛程度,并减少复发率。
Abstract:
Objective:To observe the clinical efficacy of using fire dragon moxibustion in the dog days to treat patients with epigastric pain of spleen and stomach deficiency and cold.Methods:Sixty cases of epigastric pain with spleen and stomach deficiency and cold type were selected from the second department of spleen and stomach during dog days,and divided into control group and experimental group with 30 cases in each group by random number table method.The control group was treated with conventional western medicine and orally administered with Huangqi Jianzhong decoction.On this basis,the experimental group received fire dragon moxibustion treatment in the dog days.According to the traditional Chinese medicine nursing plan of epigastric pain,patients in both groups were instructed to work and rest regularly,eat less and eat more meals; Pay attention to keep warm and prevent cold evil.The clinical efficacy,epigastric pain score 3 days after treatment and recurrence in follow-up 6 months after treatment and intervention were compared between the two groups.Results:The total effective rate of the experimental group(93.33%)was significantly higher than that of the control group(73.33%),and the difference was statistically significant(P<0.05).The pain score and recurrence rate of gastric in the experimental group were statistically significant(P<0.05).Conclusion:The application of fire dragon moxibustion on the dog days to treat patients with epigastric pain due to spleen and stomach deficiency and cold has a significant clinical effect.It can significantly reduce the degree of epigastric pain and reduce the recurrence rate.

参考文献/References:

[1] 佚 名.胃脘痛的诊断依据、证候分类、疗效评定—中华人民共和国中医药行业标准《中医内科病证诊断疗效标准》(ZY/T001.1-94)[J].实用中医内科杂志,2021,35(2):128.
[2] 王 辉.中医辨证论治胃脘痛临床疗效分析[J].光明中医,2012,27(10):2006-2007.
[3] 林柳兵,阙任烨,沈艳婷,等.慢性浅表性胃炎的中西医研究进展[J].陕西中医,2016,37(8):1099-1101.
[4] 盖海云,陈 红,黎婉荣.中药穴位贴敷联合隔姜灸对脾胃虚寒型胃脘痛患者护理干预的疗效观察[J].四川中医,2016,34(5):212-213.
[5] 文春波.“火龙灸”结合热奄包治疗肺胀患者疗效观察及护理[J].当代护士:上旬刊,2018,25(5):155-156.
[6] 王继红,代芳芳,丁哲宇.药竹罐疗法结合中医特色护理对脾胃虚寒型胃脘痛的效果分析[J].中国药业,2017,26(12):51-53.
[7] 胡舒宁.针刺与艾灸治疗慢性胃炎的对比观察[D].长沙:湖南中医药大学,2020.
[8] 李凤鸣.中药穴位贴敷配合艾炙治疗脾胃虚寒型胃痛42例[J].陕西中医,2013,34(4):449-450.
[9] 盛 刚,杨改琴.针刺配合推拿治疗肝胃气滞型胃脘痛43例[J].陕西中医,2012,33(11):1532-1533.
[10] 曹荣禄,毕宇峰,刘国强.中脘及邻近配穴沿皮刺治疗胃脘痛即时止痛31例[J].陕西中医,2007,28(10):1395-1396.
[11] 李耀新.火龙灸的临床研究进展[J].中医临床研究,2017,32(9):134-136.
[12] 林玉芳,沈卫东.三伏贴理论源流及现代运用探析[J].江苏中医药,2015,47(9):10-12.
[13] 李国徽,胡雨华,陈 凌,等.三伏天灸治疗变应性鼻炎600例[J].陕西中医,2009,30(7):885-886.
[14] 房静远,杜奕奇,刘文忠,等.中国慢性胃炎共识意见(2017年,上海)[J].胃肠病学,2017,22(11):670-687.
[15] 韦绪性,杨德全.中医内科学[M].北京:中国中医药出版社,2015:194.
[16] 张声生,唐旭东,黄穗平,等.慢性胃炎中医诊疗专家共识意见(2017)[J].中华中医药杂志,2017,32(7):3060-3064.
[17] 国家食品药品监督管理局.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:127-129.
[18] 刘鸿燕.热敏灸联合三伏贴治疗脾胃虚寒型胃脘痛的临床观察[J].光明中医,2017,32(2):261-262.
[19] 刘 静,廖金玲,覃 婧,等.背俞温针灸法治疗脾胃虚寒型胃脘痛的临床疗效观察[J].时珍国医国药,2018,29(7):1667-1668.
[20] 李 梦,罗 玲.独特的大面积灸法—火龙灸[J].上海针灸杂志,2015,34(5):472-474.(收稿:2021-05-24)

相似文献/References:

[1]黎 妍,罗伟生 △,禤传凤.罗伟生教授治疗胃脘痛临床经验*[J].陕西中医,2019,(5):658.
 LI Yan,LUO Weisheng,XUAN Chuanfeng..Professor Luo Weisheng’s clinical experience in the treatment of epigastric pain[J].,2019,(10):658.
[2]喻 敏,王慧敏.舒肝和胃汤治疗肝胃不和型胃脘痛疗效研究[J].陕西中医,2021,(10):1389.[doi:DOI:10.3969/j.issn.1000-7369.2020.10.016]
[3]瞿晓密,朱云燕.子午流注择时艾灸治疗虚寒型胃脘痛临床研究[J].陕西中医,2021,(11):1616.[doi:DOI:10.3969/j.issn.1000-7369.2020.11.028]
[4]周永学.肝胃不和胃脘痛辨治经验[J].陕西中医,2024,(9):1241.[doi:DOI:10.3969/j.issn.1000-7369.2024.09.021]
 ZHOU Yongxue.Experience in differentiating and treating gastric duct pain with liver and stomach disharmony[J].,2024,(10):1241.[doi:DOI:10.3969/j.issn.1000-7369.2024.09.021]

备注/Memo

备注/Memo:
基金项目:国家重点研发计划项目(2017YFC1700601)
更新日期/Last Update: 2021-10-09