半夏泻心汤配针灸治疗眩晕临床观察

Clinical observations on the treatment of vertigo by pinellia decoction for purging stomach fire plus acupuncture

目的 观察半夏泻心汤配针灸治疗眩晕的临床疗效。方法 用半夏泻心汤配以针灸足三里、丰隆、内关、太冲为主穴作为观察组,将西药常规治疗作为对照组进行对比观察。结果 经过对317例患者的随机分配后观察结果显示,观察组治愈率(41.8%)和总有效率(96.9%)明显高于对照组的治愈率(25.8%)和总有效率(84.9%),经统计学处理两组有显著性差异(P<0.01)。观察组痰浊中阻型疗效明显优于对照组及观察组其他各型(P<0.001,P<0.005)。结论 半夏泻心汤配针灸治疗眩晕疗效确切,尤其对痰浊中阻型效果更好。

Objective To observe the clinical effect on vertigo of pinellie decoction for purging stomach fire plus acu moxibustion. Method Experiment group was treated by pinellia decoction for purging stomach fire plus acu moxibustion on Zusanli (S 36), Fenglong (S 40), Neiguan (P 7), Taichong (Liv 3) were selected as key points. Control group was treated by routine western medicine. Result All 317 cases were randomly grouped. The results of the observation showed that the cure rate (41.8%) and the total effective rate (96.9%) in the experiment group were significantly superior to the cure rate (25.8%) and the total effective rate (84.9%) in the control group. Statistical processing showed that there were significant differences between the two groups ( P <0.01). The clinical effect on the type of accumulation of phlegm in the middle warmer in treatment group was not only significantly superior to that on the same type in the control group ( P <0.001), but significantly different from that on the other types in the former group ( P <0.005). Conclusion It is proved that the effect on vertigo of pinellie decoction for purging stomach fire plus acu moxibustion is superior to that of routine western medicine. Especially the effect on the type of accumulation of phlegm in the middle warmer is better.