针刺曲池、合谷治疗外感发热(风热证)的临床疗效研究  

Clinical Study on Curative Effect of Acupuncture at Quchi(LI11) and Hegu(LI4) on the Exogenous Fever(Wind-heat)

作　　者：张林[1] 李世兵[1] 周晓英[1] 钟艳[1] 李红碑[1] 林星辉[1] 

机构地区：[1]湖南中医药大学,湖南长沙410208

出　　处：《针灸临床杂志》2015年第1期4-7,共4页Journal of Clinical Acupuncture and Moxibustion

基　　金：湖南省教育厅课题资助;编号:13C677

摘　　要：目的:探讨针刺曲池、合谷对于外感发热(风热证)的临床疗效。方法:将45例患者随机分为针刺组(15例)、药物组(15例)和针刺合药物组(15例)。针刺组针刺曲池、合谷,药物组服用银翘解毒颗粒,针刺合药物组采取针刺的同时并服用银翘解毒颗粒,观察72 h的即时退热效果以及临床症状改善情况。结果:退热效应上,治疗72 h后各组体温比较有统计学意义(P<0.05)。起效时间长短上(P<0.05),针药组<针刺组<药物组;痊愈时间上(P<0.05),针药组<针刺组<药物组。总体症候疗效上差异存在统计学意义,总有效率针药组(92.86%)高于药物组(73.33%)和针刺组(69.23%);痊愈率上针药组痊愈率(50.00%)高于针刺组(23.08%)和药物组(26.67%)。结论:针刺曲池、合谷退热效果较好,配合药物共用临床症候疗效较好。Objective ：To explore the curative effect of acupuncture ogenous fever （ wind - heat）. Methods ：45 patients were randomly at Quchi （ LI11 ） and Hegu （ LI4 ） on the ex- divided into an acupuncture group（ 15 ca- ses） ,a drug group （15 cases） and an acupuncture and medication group （15 cases）. The acupuncture group was treated by acupuncture at Quchi （LI11 ）and Hegu （LI4） ; the drug group was with Yinqiao Jiedu granules, and the acupuncture and medication group was with acupuncture and taking Yinqiao Jiedu granules at the sametime. The transient effect of abating fever within 72h was observed. The changes of body temperature and clini- cal symptoms were observed within 72 hours. Results：Compared with antifebrile effect after 72 h, there was a statistical significance （ P 〈 0.05 ）. As to the comparison of the onset time （P 〈 0.05 ）, acupuncture and medi- cation group 〈 acupuncture group 〈 drug group ; fever - relieving time （ P 〈 0.05 ）, the acupuncture and medica- tion group 〈 acupuncture group 〈 drug group. The comparison of the overall symptom was statistically significant （P〈0.05）. As to the total effectiveness,acupuncture and medication group （92.86%）was higher than the drug group （73.33%） and acupuncture group （69.23%） ;comparison of recovery rate was statistically signifi- cant,and the curative rate in the acupuncture and medication group（50.00% ） was higher than that in the acu- puncture group （23.08%） and the drug group （26.67%）. Conclusion： The effect of acupuncture at Quchi （LIll）and Hegu（LI4）on the exogenous fever （wind- heat） works well,and we could apply the therapy with drug for it more effectively.

关 键 词：曲池穴 合谷穴 外感发热 风热证 针刺 

分 类 号：R246.1[医药卫生—针灸推拿学]