悬灸治疗阴虚内热型痤疮的疗效观察

Clinical Treatment of 29Cases of Acne of “Yin-Deficiency-Inner Heat Type” by Suspended Moxibustion

目的:观察悬灸治疗阴虚内热型痤疮的临床疗效。方法:筛选阴虚内热型痤疮患者56例,随机分为治疗组29例,对照组27例。治疗组取风门、肺俞、膏肓俞、膈俞等穴悬灸加痤疮局部处理治疗,对照组针刺加痤疮局部处理治疗,每周治疗3次,治疗12周后,对痤疮皮损和阴虚体质积分改善情况进行评价。结果:治疗组总有效率高于对照组(P<0.05);治疗组患者皮损积分的下降情况优于对照组(P<0.05);两组治疗后的体质积分均有明显下降,且治疗组积分下降得更明显(P<0.05)。结论:悬灸不仅可以较明显改善阴虚内热型痤疮的皮损情况,也可以对患者阴虚体质状态进行较好的调整,且简便易行。

Objective To observe the clinical effect of moxibustion therapy for 29 cases of yin-deficiency type acne. Methods In this clinical trial, 56 cases of acne patients with yin-deficiency-inner heat type were enrolled. These patients were randomly divided into moxibustion group （treated by suspended moxibustion, n = 29） and control group （treated by acupuncture, n = 27）. In addition, patients of the two groups were also treated by local purulent discharge and skin disinfection, once a week, 4 times a month, 8 times altogether. Both suspended moxibustion and acupuncture interventions were performed once every other day, 3 times a week and 3 months altogether. The therapeutic effect was evaluated by skin lesion score and patients＇ constitution score. Results Of the patients in the moxibustion and control groups, 2 and 1 was cured （the acne subsided above 90% and symptoms disappeared）, 14 and 6 experienced marked improvement （the acne subsided by 60 % -90 % and symptoms were ob- viously relieved）, 10 and 15 were effective （the acne subsided by 30% - 59% and symptoms were relieved）, 3 and 5 invalid （the acne subsided by below 30% and symptoms were worsen）, respectively. The effective rate of the moxibustion group was significantly higher than that of the control group （ P〈0.05）. Following the treatment, the skin lesion score and yin-deficiency constitution score were significantly decreased in comparison with pre-treatment in the same one group （P〈0.05）, and those of the moxibustion group were remarkably lower than those of the control group （P〈0.05）. Conclusion Suspended moxibustion is effective in improving both skin lesion and yin-deficiency constitution in acne patients with yin-deficiency-inner heat type.