骨痹帖治疗足跟痛140例疗效观察

Plaster for bone-joint rheumatism in the treatment of painful heels:A therapeutic-effect observation of 140 cases

采用骨痹帖穴位外贴治疗足跟痛１４０例，总有效率为９７．２９％。临床观察发现，该症按中医辨证分型以肾气亏虚者为最多，且疗过差、疗程长。但经检验分析，三型之间无显著性差异。另外还发现足跟痛与骨质增生并存者较多，但治疗后尽管疼痛缓解，Ｘ线片示骨质增生则没有明显变化。据此认为骨质增生不是导致足跟痛的真正原因，而炎症才是主要因素。应用该法治疗，以药物与穴位配合，剂型较符合病情的需要；辨证与辨病相结合，有利于临床研究。

One hundred and forty cases of painful heels were treated by strapped-on-acupoint plaster r bone-joint rheumatism with a total effective rate of 97.29%. From clinical observations,it was found that according to TCM typing, this disease was mostly differentiated as insufficient kiduey-Qi ,and treated with poor results and long courses. However,the authors' examinations and analyses showed that three types had no significant differencs from each other. It was also found that painful heels often co-exits with hyperosteogeny, and after treatment,the pains tend to be remitted but the x-ray films show no remarked change of the hyperosteogeny. Therefore,the hyperosteogeny should not be regarded as the real reason for painful heels ,while the inflammation is the major one. Using this method in the treatment ,the authors combined syndrome and disease-differentiations ,brought both drug and acupoint therapies into play, and the preparation form could meet the need of the disease situation.That benefits the clinical study.