针刺联合桂枝龙骨牡蛎汤治疗特发性震颤16例临床观察

Tremor Observed 16 cases of Clinical Acupuncture Treatment combined Guizhi Longgu Muli Soup

[目的]观察针刺联合桂枝龙骨牡蛎汤治疗特发性震颤疗效。[方法]使用前瞻性设计方法,对16例门诊患者使用针灸直刺,取百会、四神聪穴,采用35号1寸毫针沿头皮斜刺,施以重复捻转刺激法,捻转速度为160次/min,持续捻转2min,行针20min,风池、太冲、太溪、三阴交穴位常规消毒,采用35号1.5寸毫针直刺,用平补平泻手法,留针20min,1次/d。桂枝龙骨牡蛎汤(桂枝15g,龙骨、牡蛎各50g,磁石20g,赭石、白芍、钩藤、当归各15g,川芎、甘草各10g),1剂/d,水煎150mL,早、午饭前、晚饭后温服。连续治疗3周为1疗程。观测临床症状、不良反应。治疗1疗程后休息2d进行下一疗程,治疗2疗程(6周),判定疗效。[结果]痊愈9例,有效4例,无效3例,总有效率为81.25%。[结论]针刺联合桂枝龙骨牡蛎汤治疗特发性震颤安全有效,值得推广。

[ Objective ] Guizhi Longgu Muli Soup acupuncture combined treatment of idiopathic tremor effect.[ Method] Method using a prospective design, 16 outpatients using acupuncture piercing, take Baihui, Sisheneong, using a 35 -inch needle obliquely along the scalp, to impose repeated stimulation twirling, twirling that rate of 160 beats / min, sustained twisting 2min, line needle 20min, Fengchi, Taiehong, Taixi, Sanyinjiao point routine disinfection, the use of 35 1.5 -inch needle piercing, with reinforcing-reducing techniques, needle 20min, 1 times / d. Guizhi Longgu Muli Soup, Guzi 15g, Longgu, Muli each 50g, Chishi 20g, Zheshi, Baishao, Gouteng, Danggui each 15g, Chuanxiong, Gancao each lOg, ldose/d, decoction 150mL, early, before lunch, after dinner, warm clothes. Continuous treatment three weeks for a course. Observing clinical symptoms of adverse reactions. After a course of treatment to the next rest 2d course of treatment, two courses （ 6 weeks ） to determine efficacy. [ Results ] Cured in 9 cases, 4 cases effective, 3 cases invalid, the total effective rate 81.25%. [ Conclusion ] Guizhi Longgu Mull Soup acupuncture combined treatment of idiopathic tremor safe and effective, it is worth promoting.