风池穴“气至病所”针刺法对针刺治疗偏头痛疗效的影响  

Curative Effect of"Arrival of Qi at the Location of Disease"Acupuncture Method at Fengchi Point on Migraine

作　　者：陈萌 许华强 李璐[3] 詹明洁[3] 李星凌[3] 王超[3] 陈晓军[1,3] CHEN Meng;XU Huaqiang;LI Lu;ZHAN Mingjie;LI Xingling;WANG Chao;CHEN Xiaojun(The Third School of Clinical Medical,Zhejiang Chinese Medical University,Hangzhou Zhejiang 310053,China;Shaoxing Hospital of Chinese Medicine,Shaoxing Zhejiang 312009,China;The Third Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou Zhejiang 310005,China)

机构地区：[1]浙江中医药大学第三临床医学院,浙江杭州310053 [2]绍兴市中医院,浙江绍兴312009 [3]浙江中医药大学附属第三医院,浙江杭州310005

出　　处：《新中医》2024年第19期152-156,共5页New Chinese Medicine

基　　金：浙江省中医药科技计划项目(2021ZB152);浙江省基础公益研究计划项目(LQ20H270011)。

摘　　要：目的:观察风池穴“气至病所”针刺法对针刺治疗偏头痛临床疗效的影响。方法:将60例偏头痛患者按随机数字表法分为治疗组和对照组各30例。对照组取双侧太阳、丝竹空、率谷、风池、外关、侠溪穴,予以常规针刺治疗。治疗组取穴同对照组,风池穴在揣穴的基础上快速进针,缓慢调整针尖方向及针刺深度进行搜气,直至患者自觉头颞部有酸胀感,余穴操作同对照组。2组均连续治疗4周。比较2组首次治疗前后视觉模拟评分法(VAS)评分,以及治疗前、治疗4周后偏头痛特异性生活质量问卷(MSQ)和头痛症状积分,评价2组临床疗效。结果:首次治疗后,2组VAS评分均较治疗前降低(P<0.05),治疗组VAS评分低于对照组(P<0.05)。治疗4周后,2组MSQ评分均较治疗前降低(P<0.05),组间比较,差异无统计学意义(P>0.05)。治疗4周后,2组头痛发作次数、头痛程度、头痛时长、伴随症状积分及总分均较治疗前降低(P<0.05),上述评分组间比较,差异均无统计学意义(P>0.05)。治疗组总有效率90.00%,对照组总有效率86.67%,2组比较,差异无统计学意义(P>0.05)。结论:2种方法均能减轻偏头痛患者疼痛,改善其生活质量,但风池穴“气至病所”针刺法可提高即时镇痛效果。Objective:To observe the clinical effect of“arrival of qi at the location of disease”acupuncture method at Fengchi(GB 20)point on migraine.Methods:A total of 60 migraine patients were divided into the treatment group and the control group,with 30 cases in each group according to the random number table method.The control group received routine acupuncture treatment at Taiyang(EX-HN5)point,Sizhukong(SJ 23)point,Shuaigu(GB 8)point,Fengchi(GB 20)point,Waiguan(SJ 5)point,and Xiaxi(GB 43)piont on both sides.The treatment group selected the same points as the control group,and quickly inserted needles into the Fengchi(GB 20)point based on touching,then slowly adjust the direction and depth of the needle tip to search for qi until the patient feels a sense of soreness and swelling in the head and temporal area,and the remaining points were operated the same as the ones in the control group.Both groups received continuous treatment for four weeks.The Visual Analogue Scale(VAS)scores before and after the first treatment,and the scores of Migraine-Specific Quality of Life Scale(MSQ)and headache symptom before and after four weeks of treatment were compared between the two groups.Evaluated the clinical efficacy of the two groups.Results:After the first treatment,the VAS scores in both groups were decreased when compared with those before treatment(P<0.05),and the VAS score in the treatment group was lower than that in the control group(P<0.05).After four weeks of treatment,the MSQ scores in both groups were decreased when compared with those before treatment(P<0.05),there was no significant difference between the two groups(P>0.05).After four weeks of treatment,the scores of frequency,severity,duration and accompanying symptom and total scores of headache attacks in both groups were decreased when compared with those before treatment(P<0.05).There was no significant difference in the above scores between the two groups(P>0.05).The total effective rate was 90.00%in the treatment group,and 86.67%in the control group,there

关 键 词：偏头痛 针刺 风池 气至病所 即时镇痛 

分 类 号：R246.6[医药卫生—针灸推拿学]