基于“阳常不足”理论探讨督脉灸干预痰浊阻肺型肺胀的中医临床研究  

Clinical Study of Traditional Chinese Medicine on Intervention of Du Meridian Moxibustion in Phlegm-Turbidity Obstructing Lung Type of Lung Distension Based on Theory of“ang Often Being Insufficient”

作　　者：熊妍[1] 杜蕾[1] XIONG Yan;DU Lei(Wuhan Hospital of Traditional Chinese Medicine,Wuhan 430000,Hubei,China)

机构地区：[1]武汉市中医医院,湖北武汉430000

出　　处：《辽宁中医杂志》2024年第4期162-165,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：湖北省卫生健康委青年人才项目(鄂卫通[2021]3号MY2021Q013);武汉市级课题项目(WZ22C64)。

摘　　要：目的探讨基于“阳常不足”理论探讨督脉灸干预对痰浊阻肺型肺胀患者影响。方法研究纳入痰浊阻肺型肺胀患者共计80例(2020年1月—2022年8月收治),将纳入患者以随机数字表法分为对照组与督脉灸组,各组40例,对照组患者采取西医常规疗法及定喘汤加减治疗,督脉灸患者在对照组患者治疗基础上结合督脉灸治疗,各组数据观察:疗效、中医证候积分(咳嗽、痰多、胸闷、气喘等)变化、血清白介素-4(IL-4)以及C反应蛋白(CRP)水平变化、肺功能指标变化、6 min步行实验(6MWT)指标变化、圣乔治呼吸问卷(SGRQ)评分变化、不良反应。结果督脉灸组患者治疗总有效率(95.00%)高于对照组患者(80.00%),P<0.05;治疗前各组患者中医证候积分(咳嗽、痰多、胸闷、气喘等)、IL-4及CRP水平、用力肺活量(FVC)、第1秒用力呼气容积占预计值百分比(FEV1)、FEV1/FVC、6MWT指标与SGRQ评分等比较,P>0.05。治疗后各组患者中医证候积分(咳嗽、痰多、胸闷、气喘等)、IL-4及CRP水平、FVC、FEV1、FEV1/FVC、6MWT指标与SGRQ评分等均改善,督脉灸组患者中医证候积分(咳嗽、痰多、胸闷、气喘等)、IL-4及CRP水平、FVC、FEV1、FEV1/FVC、6MWT指标与SGRQ评分等均优于对照组,P<0.05;两组均未见严重不良反应出现。结论基于“阳常不足”以督脉灸治疗痰浊阻肺型肺胀效果显著,患者症状、肺功能均恢复较好,且未见不良反应,安全可靠,值得应用。Objective To explore the effect of Du meridian moxibustion intervention on patients with lung distension caused by phlegm-turbidity obstructing lung.Based on the theory of“Yang often being insufficient”.Methods A total of 80 patients with phlegm-turbidity obstructing lung type of lung distension were included in the study(admitted from January 2020 to August 2022).The included patients were randomly divided into a control group and a Du meridian moxibustion group using a random number table method,with 40 cases in each group.The patients of the control group were treated with conventional Western medicine and Modified Dingchuan Decoction(定喘汤加减).Those of the Du meridian moxibustion group were treated in combination with Du meridian moxibustion on the basis of the control group.The therapeutic effect,the changes in traditional Chinese medicine symptom scores(cough,excessive phlegm,chest tightness,asthma,etc.),the changes in serum levels of interleukin-4(IL-4)and C-reactive protein(CRP),the changes in lung function indicators,the changes in 6-minute walking test(6MWT)indicators,the changes in St.George's Respiratory Questionnaire(SGRQ)scores and adverse reactions were observed and compared.Results The total effective rate of the Du meridian moxibustion group(95.00%)was higher than that of the control group(80.00%)(P<0.05).Before treatment,the TCM symptom scores(cough,excessive phlegm,chest tightness,asthma,etc.),the levels of IL-4 and CRP,the values of forced vital capacity(FVC),forced expiratory volume in one second as a percentage of predicted value(FEV1),FEV1/FVC and 6MWT index and SGRQ score were not significant in each group(P>0.05).After treatment,TCM symptom scores(cough,excessive phlegm,chest tightness,asthma,etc.),the levels of IL-4 and CRP,the values of FVC,FEV1,FEV1/FVC and 6MWT index and SGRQ score were improved in both groups.The scores of TCM symptoms(cough,excessive phlegm,chest tightness,asthma,etc.),the levels of IL-4 and CRP,the values of FVC,FEV1,FEV1/FVC and 6MWT index and SGRQ scor

关 键 词：肺胀 痰浊阻肺型 阳常不足 督脉灸 定喘汤加减 中医证候 

分 类 号：R256.14[医药卫生—中医内科学]