“子午流注纳甲法”针刺治疗脑卒中疗效观察  

Observation on therapeutic effect of acupuncture on stroke by "Najia method of Ziwu Liuzhu"

作　　者：刘德荣 郝淑芳 刘哲源[2] 

机构地区：[1]山西省原平市西镇医院神经内科,原平034100 [2]大同大学医学院临床医学系

出　　处：《中国针灸》2009年第5期353-356,共4页Chinese Acupuncture & Moxibustion

摘　　要：目的:观察按照"子午流注纳甲法"取穴针刺治疗脑卒中的临床疗效并探讨其作用机制。方法:将190例患者随机分为子午流注组和常规针刺组,每组95例。子午流注组按照"子午流注纳甲法"择时选经取穴表取穴,根据日、时的天干选择不同经脉的五输穴,于辰巳时针刺治疗;常规针刺组穴取风池、水沟、外关等,随到随时针刺治疗。比较两组治疗后神经功能缺损程度评分、总生活能力状态评分、血液流变学指标及临床综合疗效。结果:子午流注组总有效率为95.8%,明显优于常规针刺组的80.0%;子午流注组患者治疗后神经功能缺损程度评分、血液流变学主要指标和总生活能力状态评分均明显低于常规针刺组(均P<0.05)。结论:按照"子午流注纳甲法"取穴,选辰巳时针刺治疗脑卒中患者有显著临床疗效,其作用机制与血液流变学指标改善有关。Objective To observe the therapeutic effect of acupuncture treatment on stroke according to the acupoint selection of ＂Najia method of Ziwu Liuzhu＂ and to investigate the mechanism. Methods One hundred and ninety cases were randomly divided into a Ziwu Liuzhu group （n= 95） and a routine acupuncture group （n= 95）. Five shu points on different meridians were selected according to the Tiangan （Heavenly Stems）-tables of ＂Najia method of Ziwu Liuzhu＂ in the Ziwu Liuzhu group, and the treatment was carried out within the period from Chen （7：00 - 9： 00AM） to Si （9：00 - 11： 00AM）. In the routine acupuncture group, Fengchi （GB 20）, Shuigou （GV Z6）, Waiguan （TE 5）, etc. were selected to treat the patients immediately on first visit. The therapeutic effects of two groups were assessed by the scores of neural functional deficiency, status of total living ability, blood rheological indexes and clinical comprehensive effectiveness. Results The total effective rate of 95.8% in the Ziwu Liuzhu group was significantly better than 80.0 % in the routine acupuncture group. The scores of neural functional deficiency, main items of blood rheology and total living ability in the Ziwu Liuzhu group were significantly lower than those in the routine acupuncture group （all P〈0.05）. Conclusion Acupuncture treatment in the period from Chen to Si according to the acupoint selection of ＂Najia method of Ziwu Liuzhu＂ has a significant clinical effectiveness which is related with improvement of the indexes of blood rheology.

关 键 词：针刺疗法 子午流注 中风 时间因素 

分 类 号：R246.6[医药卫生—针灸推拿学]