桂枝麻黄各半汤加减联合梅花针刺络放血疗法治疗慢性湿疹风寒证的临床分析  

Clinical Analysis of Modified Mahuang Tang Combined with Plum Blossom Acupuncture and Bloodletting Therapy in the Treatment of Chronic Eczema with Wind Cold Syndrome

作　　者：王晖 WANG Hui(Yanji Community Health Service Center,Yangpu District,Shanghai 200093,China)

机构地区：[1]上海市杨浦区延吉社区卫生服务中心,上海200093

出　　处：《罕少疾病杂志》2025年第4期164-167,共4页Journal of Rare and Uncommon Diseases

摘　　要：目的探究桂枝麻黄各半汤加减联合梅花针刺络放血疗法治疗慢性湿疹风寒证的临床效果。方法选取我院2022年7月至2023年7月我院收治的60例确诊慢性湿疹患者,按照随机数字表法分为对照组和观察组,两组均给予梅花针穴位放血,对照组患者采取常规西医治疗,观察组患者在对照组基础上给予桂枝麻黄各半汤加减治疗。观察并比较两组患者的临床疗效、湿疹面积及严重程度指数、不良情绪、生活质量及不良反应。结果观察组的总有效率为96.67%,明显高于对照组的76.67%(P<0.05)。两组患者的湿疹面积及严重程度指数均有所降低,且观察组的湿疹面积及严重程度指数低于对照组(P<0.05)。治疗后,观察组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于对照组(P<0.05)。两组患者的生活质量评分均有所提高,且观察组的生活质量评分高于对照组(P<0.05)。两组的不良反应发生率比较,差异无统计学意义(P>0.05)。结论桂枝麻黄各半汤加减联合梅花针刺络放血疗法可有效改善慢性湿疹风寒证患者的症状和不良情绪,提高生活质量,且不良反应较少,值得临床推广应用。Objective To explore the clinical effect of chronic eczema.Methods a total of 60 patients diagnosed with chronic eczema who were admitted to our hospital between July 2022 and July 2023 were chosen for the study.They were randomly assigned to either the control group or the observation group using a random number table.Both groups underwent acupuncture therapy,while the control group was also administered traditional Western medical treatments,and the patients in the observation group were given mahuang decoction plus and minus treatment on the basis of the control group.The clinical efficacy,eczema area and severity index,adverse mood,quality of life and adverse reactions were observed and compared between the two groups.Results The total response rate in the observed group was 96.67%,which was significantly higher than the 76.67%in the control group(P<0.05).The area and severity index of eczema decreased in both groups,and the area and severity index were lower than that in the control group(P<0.05).After treatment,the anxiety self-rating scale(SAS)and depression self-rating scale(SDS)scores were lower than the control group(P<0.05).QoL scores were improved in both groups and in the observation group were higher than in the control group(P<0.05).The incidence of adverse effects between the two groups was not significant(P>0.05).Conclusion The combination of ephedra soup and subtraction and plum blossom acupuncture and release therapy can effectively improve the symptoms and bad mood of patients with chronic eczema and cold syndrome,improve the quality of life,and have fewer adverse reactions,which is worthy of clinical promotion and application.

关 键 词：桂枝麻黄各半汤加减 梅花针刺络放血疗法 慢性湿疹风寒证 临床效果 

分 类 号：R758.23[医药卫生—皮肤病学与性病学]