《神应经》治水四穴隔药灸治疗乙肝肝硬化腹水临床观察  

Clinical Observation of Herb-partitioned Moxibustion at the Four Water-treatment Points from Shen Ying Jing for Ascites Due to Hepatitis B Cirrhosis

作　　者：王秀玲 沈峰 齐艳 WANG Xiu-ling;SHEN Feng;QI Yan(Tangshan Infectious Disease Hospital,Tangshan 063000,China;Tangshan No.9 Hospital,Tangshan 063000,China)

机构地区：[1]唐山市传染病医院,唐山063000 [2]唐山市第九医院,唐山063000

出　　处：《上海针灸杂志》2020年第8期964-968,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：河北省中医药管理局中医药类科研计划课题(2018242)。

摘　　要：目的观察《神应经》治水四穴隔药灸治疗乙肝肝硬化腹水的临床疗效。方法选取脾肾阳虚型乙肝肝硬化腹水患者70例,随机分为对照组和治疗组,每组35例,对照组给予西医常规治疗,治疗组在对照组的基础上接受《神应经》治水四穴(复溜、神阙、阴陵泉、肾俞)隔药灸治疗。观察治疗前后中医症状评分、肝功能、凝血系列、腹部B超指标,每日监测体质量、腹围、24 h尿量。并统计临床疗效。结果治疗组、对照组临床疗效总有效率分别为94.3%、74.3%,治疗组优于对照组(P<0.05)。治疗后治疗组中医症状评分、谷丙转氨酶(ALT)、总胆红素(TBil)、体质量、腹围、脾厚、门静脉内径明显低于对照组(P<0.05);白蛋白(ALB)、凝血酶原活动度、平均24 h尿量明显高于对照组(P<0.05)。结论《神应经》治水四穴隔药灸可以明显改善乙肝肝硬化腹水患者的临床症状,改善肝功能及凝血功能,降低门静脉压力,提高血浆胶体渗透压,临床疗效显著。Objective To observe the clinical efficacy of herb-partitioned moxibustion at the four water-treatment points from Shen Ying Jing in treating ascites due to hepatitis B cirrhosis.Method Seventy patients with ascites due to hepatitis B cirrhosis were recruited and randomized into a control group and a treatment group,with 35 cases in each group.The control group was given conventional Western medicine treatment,while the treatment group received additional herb-partitioned moxibustion at the four water-treatment points[Fuliu(KI7),Shenque(CV8),Yinlingquan(SP9)and Shenshu(BL23)]from Shen Ying Jing.Before and after treatment,the symptoms scores of traditional Chinese medicine(TCM),liver function,blood coagulation parameters and abdominal B-scan ultrasound indexes were observed,and the body weight,abdominal circumference and 24 h urine volume were monitored on a daily basis.The clinical efficacy was calculated.Result The clinical total effective rate was 94.3%in the treatment group and 74.3%in the control group,and the treatment group was superior to the control group(P<0.05).After treatment,the TCM symptoms scores,alanine transaminase(ALT),total bilirubin(TBil),body weight,abdominal circumference,spleen thickness and portal vein diameter in the treatment group were significantly lower than those in the control group(P<0.05).The albumin(ALB),prothrombin activity and mean 24 h urine volume in the treatment group were significantly higher than those in the control group(P<0.05).Conclusion Herb-partitioned moxibustion at the four water-treatment points from Shen Ying Jing can notably improve the clinical symptoms in patients with ascites due to hepatitis B cirrhosis.It can improve liver function and blood coagulation function,reduce portal vein pressure and increase plasma colloid osmotic pressure,producing significant clinical efficacy.

关 键 词：灸法 隔药灸 神应经 治水四穴 肝硬化腹水 

分 类 号：R246.1[医药卫生—针灸推拿学]