风痛膏穴位敷贴对强直性脊柱炎肾虚督寒证患者经络状态的影响  

Effects of acupoint application of Fengtong Plaster on meridian state in patients with ankylosing spondylitis with kidney deficiency and governor vessel cold

作　　者：金舒纯 茅建春[1] 孙鼎[1] 周珺[1] 王骁[1] 朱竹菁[1] 邓予新[1] 杨晔颖[1] Jin Shuchun;Mao Jianchun;Sun Ding;Zhou Jun;Wang Xiao;Zhu Zhujing;Deng Yuxin;Yang Yeying(Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China)

机构地区：[1]上海中医药大学附属龙华医院,上海200032

出　　处：《北京中医药大学学报》2021年第6期550-555,共6页Journal of Beijing University of Traditional Chinese Medicine

基　　金：上海市科学技术委员会科研计划项目(No.17401971500)。

摘　　要：目的运用远程健康检测仪(简称经络仪)评价风痛膏穴位敷贴治疗强直性脊柱炎肾虚督寒证患者的经络状态,探寻强直性脊柱炎可能的中医客观化评价依据。方法采用随机对照的方法将强直性脊柱炎肾虚督寒证患者随机分为治疗组和对照组,对照组口服美洛昔康片,治疗组口服美洛昔康片联合风痛膏穴位敷贴。疗程共4周。观察各组患者治疗前与治疗后的中医证候评分及肾经能量和膀胱经能量占比。结果治疗4周后治疗组中医有效率为94.59%,对照组为32.43%(P<0.05),且在具体症状腰背僵硬、腰背发冷、腰膝酸软、畏寒喜暖方面治疗组较对照组改善更显著(P<0.05)。肾经能量占比在各组治疗前后的组内比较、治疗后的组间比较中差异无统计学意义(P>0.05)。治疗后与治疗前比较,治疗组膀胱经能量占比升高(P<0.01),对照组治疗前后差异无统计学意义(P>0.05),治疗后治疗组膀胱经能量占比较对照组升高(P<0.05)。结论风痛膏穴位敷贴能改善强直性脊柱炎肾虚督寒证患者中医证候,增加其膀胱经能量占比。运用经络仪可能成为强直性脊柱炎的中医客观化评价依据。Objective To assess with telediagnosis system(TDS)the meridian states of patients with ankylosing spondylitis(AS)with kidney deficiency and governor vessel cold treated with Fengtong(Wind-pain-relieving)Plaster at acupoints to explore the possible objective TCM evaluation criteria for AS.Methods Randomized controlled trial was used to divide cases of AS with patterns of kidney deficiency and governor vessel cold into the treatment group and the control group.Both groups were treated with the conventional Western medicine Meloxicam and the treatment group was given acupoint application of Fengtong Plaster additionally for 4 weeks.TCM pattern scores and the proportion of the energy in the kidney meridian and bladder meridian in the energy in all the meridians before and after 4 weeks of treatment were observed and compared.Results After 4 weeks of treatment,the total effective rate of the treatment group reached 94.59%while that of the control group was 32.43%with statistically significant difference(P<0.05).In terms of specific symptoms such as stiffness of the back and waist,coldness of the back and waist,soreness and weakness of the lower back and knees,aversion to cold and desire for warmth,the treatment group improved more than the control group(P<0.05).There was no significant difference in the proportion of the energy in the kidney meridian within each group before treatment and after treatment and between groups after treatment(P>0.05).The proportion of the energy in the bladder meridian in the treatment group increased significantly after treatment compared with before treatment(P<0.01)while there was no significant increase in the control group before and after treatment(P>0.05).Compared with the control group,the proportion of the energy in the bladder meridian increased more significantly in the treatment group after treatment(P<0.05).Conclusion Fengtong Plaster acupoint application can improve the TCM efficacy in patients with AS with kidney deficiency and governor vessel cold and improve the proportio

关 键 词：风痛膏 穴位敷贴 肾虚督寒 经络 强直性脊柱炎 

分 类 号：R245.9[医药卫生—针灸推拿学]