贺氏三通法辨证治疗神经根型颈椎病疗效观察  

Effect Observationof HE’s Three-Dredging Method for Syndrome Differentiation and Treatment of Cervical Spondylotic Radiculopathy

作　　者：彭礼 王雄力 PENG Li;WANG Xiongli(Department of Acupuncture and Moxibustion,Liangxiang Hospital Fangshan,Beijing 102401,China;Jinjiang Second Hospital,Jingjiang 362261,Fujian,China)

机构地区：[1]北京市房山区良乡医院针灸科,北京102401 [2]晋江市第二医院,福建晋江362261

出　　处：《实用中医内科杂志》2020年第8期101-105,共5页Journal of Practical Traditional Chinese Internal Medicine

摘　　要：目的观察以贺氏三通法辨证治疗神经根型颈椎病的疗效。方法根据《中医病证诊断疗效标准》搜集符合该标准的风寒痹阻86例、气滞血瘀86例,两组合计172例。风寒痹阻随机分为治疗组43例,对照组43例。气滞血瘀随机分为治疗组43例,对照组43例。两组性别、年龄、病程等基本资料经统计学处理,无显著性差异(P>0.05)。治疗组风寒痹阻采用微通法合温通法拔罐治疗,气滞血瘀采用微通法合刺血拔罐法治疗,对照组均采用单纯毫针治疗。风寒痹阻采用主穴:大椎、颈夹脊、大杼、肩髃、曲池、合谷、后溪、养老、中渚。配穴:外关、昆仑、风池。气滞血瘀采用主穴:大椎、颈夹脊、大杼、肩髃、曲池、合谷、后溪、养老、中渚。配穴:支沟、膈俞、三阴交、阿是穴。两组进针后行捻转或平补平泻手法,以患者得气为度,针感为酸、麻、重、胀等感觉。针颈夹脊部穴位,要求局部有针感或向同侧肩背部下传,甚则可传导至同侧手指;针肩部穴位要求局部有针感或针感下传至同侧上肢或手指,留针20 min,1次/d,10次为1疗程。风寒痹阻两组均以10 d为1个疗程,2个疗程后评价疗效。气滞血瘀证两组均以10 d为1个疗程,2个疗程后评价疗效。结果风寒痹阻治疗组总有效率88.4%(38/43),对照组总有效率67.4%(29/43),经统计学处理,两组的治疗效果有显著性差异(P <0.05)气滞血瘀治疗组总有效率81.4%(35/43),对照组总有效率62.8%(27/43),经统计学处理,两组的治疗效果有显著性差异(P <0.05)。结论贺氏三通法治疗风寒痹阻、气滞血瘀证神经根型颈椎病疗效确切,值得推广。Objective To observe the curative effect of HE’s three-dredging method for syndrome differentiation and treatment ofcervical spondylotic radiculopathy. Methods According to standard of diagnosis and curative effect of TCM syndromes,86 patients with wind-cold obstruction syndrome and 86 patients with Qi stagnation and blood stasis syndrome were collected,172 cases were counted in the two combinations. The patients of wind-cold obstruction syndrome were randomly divided into the treatment group( 43 cases) and the control group( 43 cases). The patients of Qi stagnation and blood stasis syndrome were randomly divided into treatment group( 43 cases) and control group( 43 cases). The basic data of gender,age and disease courseof the two groups were statistically examined,and there were no obvious differences( P > 0. 05). The syndrome of wind-cold obstruction was treated by HE’s micro dredging method,warm dredging method and cupping therapy in the treatment group. Qi stagnation and blood stasis syndrome was treated by HE’s micro dredging method and pricking and cupping therapy in the treatment group. The single needle therapy was used in control groups. The main acupoints were used in wind-cold obstruction syndrome such us Dazhui( DU14),Jiaji in neck( EX-B2),Dazhu( BL11),Jianyu( LI15),Quchi( LI11),Hegu( LI4),Houxi( SI3),Yanglao( SI6) and Zhongzhu( SJ3). Corresponding acupoints included Waiguan( SJ5),Kunlun( BL60)and Fengchi( GB20). The main acupoint were used in Qi stagnation and blood stasis syndrome such us Dazhui( DU14),Jiaji in neck( EX-B2),Dazhu( BL11),Jianyu( LI15),Quchi( LI11),Hegu( LI4),Houxi( SI3),Yanglao( SI6) and Zhongzhu( SJ3).Corresponding acupoints included Zhigou( SJ6),Geshu( BL17),Sanying jiao( SP6),A shi,etc. Both groups were administered by twirling of the needle or reinforcing-reducing method after insertion of needle. Whether the acupuncturist continue to manipulate the needles was determined by the standard of Deqi in patients,their needlingsensation was acid,numbness,heaviness and distension.

关 键 词：神经根型颈椎病 贺氏三通法 辨证分型 风寒痹阻 气滞血瘀 微通法 温通法 强通法 辨证治疗 

分 类 号：R274[医药卫生—中医骨伤科学]