刮痧配合放痧治疗轻度高血压临床观察  

Guashacombined with bleeding therapy for mild hypertension

作　　者：季蓉[1] 孙田雨 孙洁[1] 杨金生[2] 施茵[3] 

机构地区：[1]上海中医药大学岳阳临床医学院,上海200437 [2]中国中医科学院针灸研究所,北京100700 [3]上海市针灸经络研究所,上海200030

出　　处：《中国针灸》2015年第3期275-278,共4页Chinese Acupuncture & Moxibustion

基　　金：国家中医药管理局中医医疗技术项目;国家自然科学基金面上项目:81173346;上海市中医药领军人才建设项目:ZYSNXD-RC-LJRC

摘　　要：目的:观察刮痧配合放痧对轻度(Ⅰ级)高血压病的即刻降压作用。方法:本组轻度(Ⅰ级)高血压患者30例与正常血压者30例进行对照,两组均选取督脉、足太阳经、手阳明经、足阳明经的相关区域和穴位进行3遍刮痧之后再放痧,记录每次刮痧及放痧后的血压值以及每次刮痧后大椎穴区的皮肤温度变化。每周治疗1次,共治疗4次。结果:第1遍、第2遍刮痧和第3遍刮痧以及放痧后均有明显的降压作用(均P<0.01);且刮痧配合放痧的降压作用最为显著(P<0.01);3遍刮痧后的大椎穴区皮肤温度均有显著性升高(均P<0.01)。结论:单纯刮痧或配合放痧对轻度(Ⅰ级)高血压具有较好的降压作用,刮痧的这种降压效应可能与其对体表经络、穴位的温热刺激有关。Objective To observe the immediate antihypertensive effect of guasha combined with bleeding the- rapy for mild （grade I ） hypertension. Methods Thirty patients with mild （grade I ） hypertension and 30 cases with normal blood pressure were compared. Areas and acupoints in governor vessel, meridian of foot-taiyang, me ridian of hand-yangming and meridian of foot-yangming were scraped for 3 times, which was followed by bleeding therapy. The blood pressures after each guasha and bleeding therapy were recorded as well as the skin temperature in Dazhui （GV 24） after each guasha. The treatment was given once a week and totally 4 treatments were given. Results There were significant antihypertensive effects after the first guasha, the second guasha and the third guasha and bleeding therapy （all P〈0.01）, in which guasha combined with bleeding therapy had the most signifi- cant antihypertensive effect （P〈0.01）. The skin temperature in Dazhui （GV 14） was obviously increased after three times of guasha （all P〈0.01）. Conclusion Guasha or combined with bleeding therapy has better antihyperten- sire effect for mild hypertension, which is likely to be related with warming stimulation on meridians and acupoints.

关 键 词：高血压 原发性 刮痧 放痧 皮肤温度 

分 类 号：R246.1[医药卫生—针灸推拿学]