| 摘要: |
| 目的：基于肺与大肠相表里理论针刺治疗内痔湿热下注证的疗效观察。方法：将符合纳入标准的 264 例患者随机设计分为两组，治疗组和对照组各 132 例，治疗组为基本穴加肺与大肠相关取穴及辨证取穴联合口服地奥司明药物治疗，对照组则去除肺经相关取穴，两组均以 14 d 为一疗程。观察记录针刺治疗后病人的便血、痔核充血等情况。结果：治疗组总有效率为 91.5%，明显高于对照组 82.3%（P<0.05）。与治疗前相比，两组便血、痔核脱出、肛门不适、肛门疼痛等临床体征及症状均有明显改善（P<0.05）；治疗后，治疗组对临床体征及症状的改善明显优于对照组，差异有统计学意义（P<0.05）。治疗结束 2 周、1 月后，治疗组的复发率明显低于对照组（P<0.05）。结论：基于肺与大肠相表里理论针刺治疗内痔湿热下注证的疗效满意，值得临床推广应用。 |
| 关键词: 肺与大肠相表里 针刺 内痔 湿热下注 |
| DOI：10.3969/j.issn.1007-6948.2019.06.020 |
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| 基金项目:上海市长宁区卫计委项目（20164Z001） |
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| Clinical Observation on Acupuncture Treatment for Internal Hemorrhoids with Damp-heat Diffusing Downward Based on Exterior Interior Theory of Lung and Large Intestine Phase |
| LI Wei,LI Li,LV Ying |
| Department of Traditional Chinese Medicine, Shanghai Tongren Hospital, Shanghai (200336), China |
| Abstract: |
| Objective To observe the curative effect of acupuncture treatment for internal hemorrhoids (syndrome of dampness-heat diffusing downward) on the theory of lung and large intestine phase. Methods A total of 264 patients who met the inclusion criteria were randomly divided into treatment group and control group (each group with 132 cases). The patients in treatment group were treated with the basic acupoints plus lung and large intestine related acupoints and the syndrome differentiation acupoints combined with oral diosmin. In the control group, the treatment was without lung relevant points. The patients in two groups were treated for 14 d. The patients’ hematochezia and the nucleus congestion after acupuncture treatment were observed. Results The total effective rate of the treatment group was 91.5%, which was significantly higher than that of the control group (82.3%) (P<0.05). Compared with before treatment, the clinical signs and hematochezia, ankle dissection, anal discomfort, anal pain, etc. were significantly improved (P<0.05). After treatment, the improvement of clinical signs and symptoms in the treatment group was significantly better than that of the control group. The difference was statistically significant (P<0.05). After 2 weeks and 1 month of treatment, the recurrence rate of the treatment group was significantly lower than that of the control group (P<0.05). Conclusion Based on the theory of lung and large intestine, the therapeutic effect of acupuncture on internal hemorrhoids (syndrome of dampness-heat diffusing downward) is satisfactory, which is worthy of clinical application. |
| Key words: Lung and large intestine phase acupuncture internal hemorrhoids syndrome of dampness-heat diffusing downward |
