辨证取穴药线埋植治疗癫痫的临床研究

CLINICAL STUDY OF EPILEPSY TREATED BY MEDICAL THREAD EMBEDDING THERAPY WITH THE APPLICATION OF DIFFERENTIATION OF SYMPTOMS AND SIGNS AND PRINCIPLE OF POINT SELECTION IN ACUMOXIBUSTION

目的:观察辨证取穴埋植药线治疗癫痫的疗效;疗效与病程的关系;疗效与证型的关系。方法:将270例癫痫患者随机分为治疗组180例与对照组90例。治疗组采用经安定注射液浸泡的羊肠线进行穴位埋植,每隔2周施治1次。对照组取穴同治疗组,采用毫针针刺,予平补平泻法,隔日1次,均6个月后观察疗效。结果:治疗组近期临床痊愈49例,总有效率占87%;对照组近期临床痊愈21例,总有效率占75.6%。治疗组病程愈短,疗效愈好。埋线对各种不同中医证型癫痫均有效,其中风痫型疗效最佳,先天型最差。结论:埋线较传统针刺更为省时、有效。

Objective:To observe curative effect of epilepsy,treated by medical thread embedding therapy with the application of differentiation of symptoms and signs and principle of point selection in acumoxibustion,to observe relations between the curative effect and the course of the disease;relations between the curative effect and types of the disease.Methods:270 cases of epilepsy patients are divided into the treatment group of 180 cases and the control group of 90 cases by random.In the group of treatment,it is treated by point embedding therapy of surgical catgut soaked by tranquilizer injection,one time every two weeks.In the control group,it is treated by the acupuncture therapy of filiform needle with uniform reinforcing---reducing method in the same points,one time every two days.The curative effect of both groups are observed after six months.Result:49 cases of the treatment group are cured and total effect ratio is 87%;21 cases of the control group are cured and total effect ratio is 75.6%.In the group of treatment,the course of disease is shorter;the curative effect is better;Medical thread embedeling therapy is effectine for various patients of all types,but the effect is best for wind epilepsy and the effect is worst for innate type.Conclusion:Medical thread embedding therapy is more effective than traditional acupuncture,and save more time.