芍药甘草汤加味治疗难治性三叉神经痛42例疗效观察  

Clinical Observation on Treating 42 Intractable Trigeminal Neuralgia with Heavy Prescription Peony, liquorice Decoction

作　　者：王向东 韩宝华 

机构地区：[1]大同医专神经精神病教研室 [2]解放军52875部队医院内科

出　　处：《大同医专学报》1999年第2期14-17,共4页

摘　　要：目的:验证重剂芍药甘草汤加味的临床疗效。方法:全部观察对象均选择接受过西医系统、正规治疗或配合中药、针灸治疗达6个月以上而无显著疗效者,均给予单纯口服重剂芍药甘草汤加味煎液,用药时间最长以6周为限,进行治疗前后自身疗效量化对比。如果:治疗前痊愈、显效率为零,有效率为52.4％(22例),平均得分为4.05±1.01;治疗后痊愈率为66.7％(28例),显效率为21.4％(9例),有效率为11.9％(5例),平均得分为8.98±1.69。用本法治疗后患者的愈显率及平均得分显著高于治疗前(P<0.0005)。结论:重剂芍药甘草汤加味治疗难治性三叉神经痛疗效显著,作用持久,不易复发,且无明显不良反应。究其疗效显著的关键就在于芍药甘草汤的“重剂”。objective:To examine the effect of heavy prescription Peony,liquorice decoc-tion. Method;Compared self-effect between before and after treatment. The effect of all thepatients(42 cases) who were treated by western medicine,together with Chinese medicine systematically and regulqrly was not obvious. Medicine:heavy prescription peony,liquorice decoction by oral adminstration. Time;≤six weeks. Results;before treatment,the cure rate, effectual rate were zero. The effective rate is 52. 4% (22 cases). The average score was 4. 05 ±1. 01 ;After treatment,the cure rate was 66. 7%(28 cases) the effectual rate was 21. 4%(9 cases) ;The effctive rate 11. 9% (5 cases), the average score was 8. 98 ±1. 69. The results showed that there were significant differences among the cure rate,effectual rate and average score before and after treatment (P<0. 0005). Conclusion: The effect of the heavy prescription peony, liquorice decotion was very significant in treating intractable trigeminal neuralgia and it had lower recurerence rate and no obvious adverse reaction.

关 键 词：芍药甘草汤 三叉神经痛 中医药疗法 

分 类 号：R277.751.1[医药卫生—中医学]