解郁调神法针刺治疗郁证临床观察

Clinical Observation on Treatment of Melancholia by Acupuncture Following Principle of Relieving Depression and Regulating Mentality

目的观察解郁调神法针刺治疗郁证的疗效并与西药对比。方法观察组以针刺结合电针治疗,对照组以氟西汀或帕罗西汀口服,观察两组疗效、HAMD评分、起效时间、显效时间,并进行比较。结果观察组总有效率87.5%,对照组总有效率79.2%,两组的疗效经统计学处理差异无显著性(P>0.05);两组起效时间、显效时间比较差异有显著性(P<0.01)。结论针刺治疗郁证疗效确切,并与西药疗效相当,但起效时间、显效时间优于西药组。

Objective To observe the curative effect of acupuncture following principle of relieving depression and regulating mentality （RDRM） in treating patients with melancholia, and compare it with that of Western medicinal treatment. Methods Patients in the observed group were treated with needling and electroacupuncture （EA）, and those in the control group orally taken Fluoxetine or Paroxetine. The curative effect, Hamilton Depression Scale scores （HAMD）, effect initiating time and sustaining time were observed and compared, Results The total effective rate was 87.5 % and 79.1% in the observed group and the control group respectively, showing insignificant difference between them （P 〉0.05）, but comparison of the initiating time and sustaining time between the two groups did show significant different （P 〈 0.01）, Conclusion Acupuncture with following RDRM principle has definite effect in treating melancholia, which is comparable to Western medicinal treatment, and shows a superiority to the latter in effect initiating and sustaining time.