扶阳火艾灸治疗慢性疲劳综合征阳虚证方案优化及对免疫功能的影响  

The Optimization of Reinforcing Yang Fire Moxibustion for Yang-Deficiency Syndrome of Chronic Fatigue Syndrome and Its Influence on Immunologic Function

作　　者：聂斌[1] 金秀 邓洁[1] 邓丽梅[1] 廖咏枝 严冬冬[2] 王颖珊[2] NIE Bin;JIN Xiu;DENG Jie;DENG Li-mei;LIAO Yong-zhi;YAN Dong-dong;WANG Ying-shan(Guangdong Second Traditional Chinese Medicine Hospital, Guangzhou, Guangdong 510095;Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510403)

机构地区：[1]广东省第二中医院,广东广州510095 [2]广州中医药大学,广东广州510403

出　　处：《按摩与康复医学》2018年第12期14-17,共4页Chinese Manipulation and Rehabilitation Medicine

基　　金：广东省中医药局建设中医药强省科研立项项目;编号:20161021

摘　　要：目的:通过对扶阳火艾灸疗法治疗慢性疲劳综合征阳虚证的临床观察,探讨扶阳灸应用于该病症的操作规范,评价关键因素(火疗、艾绒、中药膜)对临床疗效的影响,证明扶阳火艾灸疗法治疗阳虚证的有效性及优选方案。方法:将180例慢性疲劳综合征阳虚证患者随机分为9组各20例,分为三因素(火疗A、艾绒B、中药膜C)三水平进行治疗,观察各组阳虚质量表、外周血免疫球蛋白(IgG、IgM、IgA)及补体C3、C4的变化情况,评定临床疗效。结果:治疗后,各组阳虚证评分及IgG、IgM、IgA、C3、C4水平均较前显著改善(P<0.05);其中火疗6次+厚艾绒+药膜稍湿疗效最佳。结论:扶阳火艾灸治疗能提高慢性疲劳综合征阳虚证人群的机体免疫功能,并可改善症状、阳虚体质,是治疗慢性疲劳综合征阳虚证的有效措施之一;火疗6次+厚艾绒+药膜稍湿为优选方案。Objective： Through the clinical observation on treating yang-deficiency syndrome of chronic fatigue syndrome with reinforcing yang fire moxibustion, to investigate the operation specification of reinforcing yang moxibustion for the disease and evaluate the influence of key factors（fire,moxa, membrane） on clinical efficacy, so as to prove the effectiveness of reinforcing yang fire moxibusion for yang-deficiency syndrome and its optimal scheme. Methods： 180 cases of patients with yang-deficiency syndrome of chronic fatigue syndrome were randomly divided into 9 groups with20 cases, and divided into three factors（fire A, moxa B, membrane C） and three levels for treatment, observed the changes of yang-deficiency constitution scale, peripheral blood immunoglobulin（IgG, IgM, IgA） and complements（C3, C4） to evaluate the efficacy. Results： After treatment, the yang-deficiency score and levels of Ig G, Ig M, Ig A, C3, C4 in each group were significantly improved（P〈0.05）, among which the efficacy of 6 times of fire＋thick moxa＋slightly wet membrane was the best. Conclusion： Reinforcing yang fire moxibustion can enhance the immunologic function of patients with yang-deficiency syndrome of chronic fatigue syndrome and improve their symptoms and yang-deficiency constitution, which is one of the effective measures for yang-deficiency syndrome of chronic fatigue syndrome; 6 times of fire ＋ thick moxa ＋ slightly wet membrane is the optimal scheme.

关 键 词：慢性疲劳综合征 阳虚证 扶阳火艾灸 艾绒 中药膜 免疫球蛋白、IgG、IgM、IgA 补体、C3、C4 免疫功能 疗效 优选方案 

分 类 号：R246[医药卫生—针灸推拿学]