吴茱萸汤结合艾灸百会、三阴交穴治疗胃虚肝寒型眩晕临床观察  

Clinical Observation of Wuzhuyu Decoction(吴茱萸汤)Combined with Moxibustion at Baihui(DU20)and Sanyinjiao(SP6)inTreatment of Vertigo with Stomach Deficiency and LiverCold Type

作　　者：李峥亮[1] 刘丽军[1] 魏莹洁 LI Zhengliang;LIU Lijun;WEI Yingjie(Huaihe Hospital,Henan University,Kaifeng 475000,Henan,China)

机构地区：[1]河南大学淮河医院,河南开封475000

出　　处：《中华中医药学刊》2023年第12期190-193,共4页Chinese Archives of Traditional Chinese Medicine

基　　金：河南省科技发展计划项目(202102110136)。

摘　　要：目的观察吴茱萸汤结合艾灸百会、三阴交穴治疗胃虚肝寒型眩晕临床效果,探究眩晕患者有效的治疗方法。方法研究纳入155例胃虚肝寒型眩晕患者(2020年6月—2022年2月),根据随机数字表法分为参照组(77例)与中医组(78例),参照组患者研究过程中脱落2例,中医组患者研究过程中脱落3例,最终纳入参照组(75例)与中医组(75例),参照组患者采取西医(盐酸氟桂利嗪胶囊)治疗,中医组患者西医治疗基础上结合吴茱萸汤及艾灸百会、三阴交治疗,比较各组疗效、中医证候积分(头晕头昏、头痛耳鸣、恶心呕吐、形寒肢冷等)变化、治疗前后患者眩晕评定量表评分系统(dizziness assessment rating scale,DARS)变化及眩晕障碍量表(dizziness handicap inventory,DHI-S)评分变化、脑部血流动力学指标变化与不良反应情况。结果中医组患者治疗总有效率(96.00%,72/75)比参照组患者(86.67%,65/75)高,P<0.05;治疗前,两组患者中医证候积分(头晕头昏、头痛耳鸣、恶心呕吐、形寒肢冷等)、DARS评分及DHI-S评分、基底动脉(basilar artery,BA)及双侧椎动脉(vertebral artery,VA)等脑部血流动力学指标相比,P>0.05,治疗后中医证候积分(头晕头昏、头痛耳鸣、恶心呕吐、形寒肢冷等)、DARS评分及DHI-S评分、BA与VA等脑部血流动力学指标均改善,治疗后中医组患者中医证候积分(头晕头昏、头痛耳鸣、恶心呕吐、形寒肢冷等)、DARS评分及DHI-S评分、基底动脉(BA)及双侧椎动脉(VA)平均血流速度等脑部血流动力学指标优于参照组患者,P<0.05;中医组患者出现1例轻度皮炎(1.33%),参照组1例腹泻(1.33%),两组不良反应率相当,P>0.05。结论吴茱萸汤结合艾灸百会、三阴交穴治疗胃虚肝寒型眩晕临床效果显著,可较好改善患者眩晕症状,且治疗不良反应少,治疗可行、安全。Objective To observe the clinical effect of Wuzhuyu Decoction(吴茱萸汤)combined with moxibustion at Baihui(DU20),Sanyinjiao(SP6)and other acupoints in the treatment of vertigo with stomach deficiency and liver cold type and explore the effective treatment methods for patients.Methods A total of 155 patients with vertigo caused by stomach deficiency and liver cold(from June 2020 to February 2022)were included in this study.According to different treatment methods,they were divided into the reference group(77 cases)and the traditional Chinese medicine group(78 cases)by random number table method.There were 2 patients in the reference group drop-off and 3 patients in the traditional Chinese medicine group drop-off.The reference group was treated with Western medicine(flunarizine hydrochloride capsule),and the traditional Chinese medicine group group was treated with Wuzhuyu Decoction(吴茱萸汤)and moxibustion at Baihui(DU20)and Sanyinjiao(SP6)on the basis of Western medicine.The data of each group was compared,including effects,changes of TCM syndrome scores(dizziness,dizziness,headache,tinnitus,nausea and vomiting,cold appearance and limbs,etc.),changes of dizziness assessment rating scale(DARS)and dizziness handicap before and after treatment inventory(DHI-S)score changes,changes of cerebral hemodynamic indexes and adverse reactions of patients.Results The total effective rate of traditional Chinese medicine group(96.00%,72/75)was higher than that of the reference group(86.67%,65/75)(P<0.05).Before treatment,traditional Chinese medicine syn⁃drome scores(dizziness,headache,tinnitus,nausea and vomiting,cold-like cold,etc.),DARS scores,DHI-S scores,basilar artery(BA)and bilateral vertebral artery(VA)and other hemodynamic indices in the brain had no significance between the two groups(P>0.05).TCM syndrome scores(dizziness,headache,tinnitus,nausea and vomiting,cold limbs,etc.),DARS score,DHI-S score,BA,VA and other cerebral hemodynamic indexes were improved in both groups after treatment.After treatment,TCM sy

关 键 词：胃虚肝寒型眩晕 吴茱萸汤 艾灸 效果 不良反应 中医证候积分 

分 类 号：R254.81[医药卫生—中医内科学]