灸刺足三里治疗难治性面瘫临床观察

Clinical observation on moxibustion and acupuncture at Zusanli (ST 36) for treatment of refractory facial paralysis

目的:观察采用灸刺足三里激发“循经感传”治疗难治性面瘫的临床疗效。方法:60例患者随机分为灸刺足三里组(试验组)、常规治疗组(对照组)各30例,对照组取合谷、太冲、头维等穴,试验组在对照组取穴基础上加灸刺足三里,以患者自觉有温热感沿针体传入穴位深层为度。结果:试验组总有效率为93·3%,明显优于对照组的76·7%(P<0·05);试验组中,有循经感传者的总有效率为100·0%,明显优于无循经感传者的80·0%(P<0·05)。结论:灸刺足三里激发“循经感传”治疗难治性面瘫具有较好疗效,值得推广应用。

Objective To observe clinical therapeutic effect of moxibustion and acupuncture at Zusanli （ST 36） on refractory facial paralysis. Methods Sixty cases were randomly divided into a test group and a control group, 30 cases in each group. The control group were treated with acupuncture at Hegu （LI 4）, Taichong （LR 3）, Touwei （ST 8）, etc. , and the test group with acupuncture at the same points as those in the control group plus moxibustion and acupuncture at Zusanli （ST 36） with a warm-heat sense transmitting into the depth of the point along the needle body for the patient. Results The total effective rate of 93.3% in the test group was significantly better than 76. 7% in the control group （P〈0. 05）;in the test group, the total effective rate for the patients with needling sensation propagating along the channel was 100%, which was significantly superior to 80. 0% in the patients with no needling sensation propagating along the channel （P〈0. 05）. Conclusion Moxibustion and acupuncture at Zusanli （ST 36） activating sensation propagating along channel as main way has a better therapeutic effect on refractory facial paralysis.