王居易经络诊察法诊疗模式对中风患者经络状态的影响研究  

Study on the Effect of Wang Juyi Meridian Diagnostics-based Diagnosis and Treatment Mode on the Meridian State in Stroke Patients

作　　者：周炜[1] 骆路[2] 曹丽娟[1] 赵济平 刘倩[1] 谭双[1] 刘海璇[1] 张蓓[1] 李源[1] 李萌[1] 李然[1] 孟笑男[1] 何玉伟[1] 谷深[1] 张树源[1] 刘珊珊[1] ZHOU Wei;LUO Lu;CAO Li-juan;ZHAO Ji-ping;LIU Qianj;TAN Shuang;LIU Hai-xuan;ZHANG Bei;L;L;L;MENG Xiao-nanl;HE Yu-wei;GU Shen）;ZHANG Shu-yuan）;LIU Shah-shan(Beijing University of TCM Huguosi Hospital, Beo＇ing 100035, China;Chengdu University of TCM Chengdu 610075, China;Beijing University of TCM,, Beijing 100029, China)

机构地区：[1]北京中医药大学附属护国寺中医医院,北京100035 [2]成都中医药大学,成都610075 [3]北京中医药大学,北京100029

出　　处：《上海针灸杂志》2017年第12期1480-1484,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：北京市中医药科技发展基金项目(JJ2012-37)

摘　　要：目的观察应用王居易经络诊察法确定异常经络对中风患者进行治疗,并与教科书辨证取穴法进行比较,观察两者疗效的差异,并分析王居易经络诊察法在中风病的相关辨证和治疗中有无优势。方法用随机法将138例中风后患者按入院先后随机分为治疗组和对照组,治疗20次后观察疗效,并比较3个月后疗效。指标采用中风后特定生活质量量表评分(SS-QOL)、经络分布状态及证型与经络分布相关性分析。结果治疗组治疗前后SS-QOL评分比较差异有统计学意义(P<0.05),3个月后SS-QOL评分与治疗前比较差异有统计学意义(P<0.05),说明治疗组能改善中风后患者生活质量;两组治疗后SS-QOL评分比较差异无统计学意义(P>0.05),两组治疗3个月后SS-QOL评分比较差异具有统计学意义(P<0.05),结果表明在改善中风后生活质量方面治疗组较对照组有优势。中风患者的经络以手足太阴、手足阳明、足厥阴、手足少阳的经脉异常为主;手足太阳、足少阴、任督脉经络病变较少。各个证型与一定的经络具有相关性。结论中风患者经络分布具有特异性,不同证型与相应经络具有相关性。王居易经络诊察法在中风病的相关辨证和治疗中可以提高中风患者的生活质量。Objective To compare the efficacy of Wang Juyi meridian regulating method for determining abnormal meridians versus syndrome differentiation-based acupoint selection in the textbook in treating stroke patients and analyze whether this method has an advantage in discriminating and treating stroke disorders. Method One hundred and thirty-eight stroke patients were allocated, in order of visits, to treatment and control groups. The therapeutic effects were evaluated after 20 treatments and compared at three months after treatment. The Stroke Specific Quality of Life （SS-QOL） scale score, meridian distribution state and correlation between syndrome type and meridian distribution were used as indicators. Result In the treatment group, the SS-QOL score had a statistically significant difference after treatment and at three months after that compared with before （both P^0.05）, indicating that the quality of life improved in the treatment group of stroke patients. There was no statistically significant difference in the SS-QOL score after treatment （P〉0.05） but there was at three months after treatment （P〈0.05） between the two groups, indicating that after stroke the quality of life improved more in the treatment group than in the control group. In the stroke patients,meridian abnormality mainly occurred in hand and foot Taiyin, hand and foot Yangming, foot Jueyin and hand and foot Shaoyang meridians and seldom in hand and foot Taiyang, foot Shaoyin, Ren and Du meridians. There was a correlation between every syndrome type and a certain meridian. Conclusion Meridians have a specific distribution in stroke patients. There is a correlation between different syndrome type and the corresponding meridian. In stroke patients, Wang Juyi meridian regulating method can improve the quality of life in discriminating and treating stroke disorders.

关 键 词：中风 王居易 经络辨证 经络治法 针刺 SS-QOL 

分 类 号：R246.6[医药卫生—针灸推拿学]