输荥配穴治疗牙痛对照观察

Controlled observation on combination of Shu-stream and Ying-spring acupoints for toothache

目的:比较输荥配穴与常规辨证取穴治疗牙痛的疗效差异。方法:将85例牙痛患者随机分为输荥配穴组(43例)、常规针刺组(42例)。输荥配穴组按脏腑经络在各类牙中的分布,取该经双侧的输穴和荥穴。常规针刺组主穴取颊车、下关、合谷、二间、内庭,风火外袭型加翳风、风池;胃火炽盛型加厉兑、曲池;虚火上炎型加太溪、照海。两组均采用电针疗法,每天1次,以10次为一疗程,1个疗程结束及半年后随访观察其疗效及复发率差异。结果:输荥配穴组与常规针刺组的治愈率分别为88.4%(38/43)和69.0%(29/42),差异有统计学意义(P<0.05)。半年后随访的复发率分别为23.7%(9/38)和55.2%(16/29),差异有统计学意义(P<0.05)。结论:输荥配穴治疗牙痛近、远期疗效均显著优于常规取穴。

Objective To compare the therapeutic effect between combination of Shu-stream and Ying-spring acupoints and routine acupoints selected by syndrome differentiation for toothache. Methods Eighty five cases were randomly divided into a combination of Shu stream and Ying-spring acupoints group （group A. d3 cases） and a routine acupionts group （group B, 42 cases）. In group A, according to the corresponding relationship between viscera-meridians and different kinds of teeth, the Shu-stream and Ying-spring acupoints at both sides of the corre- sponding meridians were sleeted. The group I3 was treated with acupuncture at J iache（ST 6）, Xiaguan（ST 7）. Hegu（LI 4）, erjian（LI 2）, Neiting（ST 44）. Yifeng（TE 17） and Fengchi（GB 20） were added for wind and fire attacking; Lidui（ST 45） and Quchi（LI 11 ） were added for intense stomach fire; Taixi（KI 3） and Zhaohai（KI 6） were added for deficiency fire flaming up. Electroacupuncture was applied in two groups, once every day. ten treatments constituted one course, the differences of effect and rectirrence rate were observed after one course and half a year later. Results The cured rate were respectively 88.4 % （38/43）and 69.0 G （29/42） in group A and group B, with a significant difference （ P 〈 0. 05 ）. The recurrence rates were respectively 23.7%（9,/38） and 55.2% （16/29） in group A and group B, with a significant difference（P〈0. 05）. Conclusion Both short-term and long term therapeutic effects of combination of Shu-stream andYing spring aeupoints are significantly better than those of routine acupoims in treating toothache.