升清化浊方联合热敏灸治疗脾虚湿阻型单纯性肥胖的临床研究  

Clinical Study on the Treatment of Simple Obesity with Spleen Deficiency and Dampness Stagnation Type by Shengqing Huazhuo Formula Combined with Heat-sensitive Moxibustion

作　　者：涂昕 陈浩[2] 胡菡 张良坤 李佳[1] 孙彪 刘翔[2] TU Xin;CHEN Hao;HU Han;ZHANG Liangkun;LI Jia;SUN Biao;LIU Xiang(Jiangxi University of Chinese Medicine,Nanchang 330004,China;The Affiliated Hospital of Jiangxi University of Chinese Medicine,Nanchang 330006,China)

机构地区：[1]江西中医药大学,南昌330004 [2]江西中医药大学附属医院,南昌330006

出　　处：《江西中医药大学学报》2025年第1期69-72,共4页Journal of Jiangxi University of Chinese Medicine

基　　金：江西省中医药管理局科技计划项目(2023B1250);江西中医药大学大学生创新创业训练计划青年红色筑梦之旅项目(202310412024,X202310412274,X202310412269)。

摘　　要：目的:观察升清化浊方联合热敏灸定量治疗脾虚湿阻型单纯性肥胖患者的疗效。方法:选取脾虚湿阻型单纯性肥胖患者90例,随机分成联合组、中药组、西药组,各30例。联合组接受升清化浊方联合热敏灸定量治疗,中药组接受升清化浊方口服治疗,西药组接受二甲双胍口服治疗,均治疗8周。观察3组治疗后的临床疗效,治疗前后的体重、身体质量指数(BMI)、腰围(WC)、症状和体征积分的变化。结果:治疗后,联合组总有效率达到96.55%,高于中药组(72.41%)及西药组(68.97%)(P<0.05)。3组治疗后体重、BMI、WC均较治疗前改善,联合组与中药组和西药组比较,在降低体重、减小WC方面差异均有统计学意义(P<0.05),在降低BMI方面差异无统计学意义(P>0.05);中药组和西药组比较,上述各指标差异均无统计学意义(P>0.05)。3组治疗后各单项症状积分及总积分均较治疗前降低,联合组与中药组和西药组比较,在形体肥胖、头身困重、脘腹胀闷、食少纳呆、怕热汗多、便溏不爽的单项症状积分及总积分方面,差异均有统计学意义(P<0.05),在倦怠乏力、口渴少饮的单项症状积分方面,差异均无统计学意义(P>0.05);中药组和西药组比较,上述各指标差异均无统计学意义(P>0.05)。结论:升清化浊方联合热敏灸在改善脾虚湿阻型单纯性肥胖患者的症状、降低体重和BMI方面具有显著效果,值得在临床实践中应用和推广。Objective:To observe the curative effect of the Shengqing Huazhuo Formula combined with quantitative heat-sensitive moxibustion in the treatment of patients with simple obesity of spleen deficiency and dampness stagnation type.Methods:90 patients with simple obesity of spleen deficiency and dampness stagnation type were selected and randomly divided into combined group,Chinese medicine group and western medicine group,with 30 cases in each group.The combined group received quantitative treatment with the Shengqing Huazhuo Formula combined with heat-sensitive moxibustion.The Chinese medicine group received oral treatment with the Shengqing Huazhuo Formula.The western medicine group received oral treatment with metformin.All were treated for 8 weeks.Observe the clinical efficacy of the three groups after treatment,and the changes in body weight,body mass index(BMI),waist circumference(WC),and symptom and sign integral before and after treatment.Results:After treatment,the total effective rate of the combined group reached 96.55%,which was higher than that of the Chinese medicine group(72.41%)and the western medicine group(68.97%)(P<0.05).After treatment,the body weight,BMI and WC of the three groups were all improved compared with those before treatment.When the combined group was compared with the Chinese medicine group and the western medicine group,the differences in weight reduction and waist circumference reduction were statistically significant(P<0.05),but the difference in BMI reduction was not statistically significant(P>0.05).When the Chinese medicine group was compared with the western medicine group,there was no statistically significant difference in the above indicators(P>0.05).After treatment,the single symptom scores and the total score of the three groups were all lower than those before treatment.When the combined group was compared with the Chinese medicine group and the western medicine group,there were statistically significant differences in the single symptom scores and the total score of symp

关 键 词：单纯性肥胖 脾虚湿阻型 升清化浊方 热敏灸 临床疗效 

分 类 号：R259[医药卫生—中西医结合]