纳支法治疗脾虚湿盛型单纯性肥胖症临床观察

Clinical observation on simple obesity of spleen deficiency and dampness excess treated by hour-prescription of points

目的:比较子午流注纳支法与常规针刺治疗脾虚湿盛型单纯性肥胖症的疗效差异。方法:将60例患者随机分为观察组和对照组,两组取穴均为脾经穴太白、公孙、三阴交、阴陵泉、腹结、大横。观察组采用纳支法按时循经取穴治疗(即在每日脾经最旺的巳时进行治疗),对照组在除巳时之外的时间采用常规毫针针刺治疗,每日1次,10次为一疗程,共3个疗程。结果:观察组总有效率为86.2%(25/29),对照组为75.9%(22/29),观察组总体疗效优于对照组(P<0.05),观察组在降低患者体质量、体质量指数及肥胖度,减小患者腰围及腰/臀比方面均优于对照组,差异有统计学意义(P<0.01,P<0.05)。结论:纳支法治疗脾虚湿盛型单纯性肥胖症疗效优于常规针刺法。

Objective To compare the curative effects of simple obesity of spleen deficiency and dampness excess treated hy hour-prescription of points and routine acupuncture therapy. Methods Sixty cases were randomly divided into an observation group and a control group; Taibai （SP 3）, Gongsun （SP 4）, Sanyinjiao （SP 6）,Yinlingquan （SP 9）, Fujie （SP 14） and Daheng （SP 15） were applied in both groups. Hour-prescription of points （the acupoints of Spleen Meridian were selected at the period of the day from 10：04 a.m. to 12：04 a. m. when the Spleen Meridian is most energetic at Chengdu） was applied in observation group, and routine acupuncture was applied in control group （acupoints weren＇t selected at 10：04 a.m. to 12：04 a. m. ）. Once a day, and 10 days of treatment made one session, totally 3 sessions were required. Results The total effective rate was 86.2%（25/29） in observation group, and 75.9%（22/29） in control group. The total effect in observation group was superior to that in control group （P〈0.05）. The observation group was better than the control group in reduction of weight, body mass index, obesity degree, awaist circumference and the ratio between waist and hip with significant differences between two groups （P〈0.01,P〈0.05）. Conclusion The therapeutic effect of obesity of spleen deficiency and dampness ex cess treated by hour-prescription of points therapy is superior to that by routine acupuncture therapy.