天灸治疗肺气虚寒型变应性鼻炎临床观察

Clinical Observation of Vesiculation Moxibustion for Allergic Rhinitis Due to Deficient Cold of Lung-qi

目的比较不同炮制方法制备的天灸药膏及不同穴位组合治疗肺气虚寒型变应性鼻炎的临床疗效差异。方法将符合纳入标准的患者随机分为4组,观察末每组20例。天灸1组、天灸2组选用生白芥子制备的天灸药膏;天灸3组、天灸4组选用炒白芥子制备的天灸药膏。天灸1组、天灸3组穴位选取双侧肺俞、风门、膏肓;天灸2组、天灸4组穴位选取双侧大杼、膈俞、肾俞。比较4组患者治疗前后症状、体征积分。结果 4组变应性鼻炎患者症状、体征积分比较差异有统计学意义(P<0.05),且经过两两比较发现天灸1组、天灸3组疗效优于天灸2组、天灸4组,治疗效果存在统计学差异(P<0.05),而天灸1组与天灸3组、天灸2组与天灸4组比较,治疗效果无统计学差异(P>0.05)。结论风门、肺俞、膏肓穴位组合对肺气虚寒型变应性鼻炎患者的临床症状及体征改善明显;生白芥子与炒白芥子制备的天灸药膏对变应性鼻炎患者疗效无显著性差异。

Objective To compare the clinical efficacies of vasiculation moxibustion with pastes prepared in different ways and at different acupoint groups in treating allergic rhinitis due to deficient cold of lung qi. Method Eighty subjects were randomized into 4 groups, 20 in each group. Raw Bai Jie Zi （Semen Brassicae） was used in the vesiculation paste for group 1 and 2;stir-baked Bai Jie Zi （Semen Brassicae） was used for group 3 and 4. In group 1 and group 3, bilateral Feishu （BL 13）, Fengmen （BL12）, and Gaohuang （BL 43） were selected; in group 2 and group 4, bilateral Dazhu （BL11）, Geshu （BL17）, and Shenshu （BL23） were selected. The symptom and sign scores were compared before and after intervention. Result There were significant differences in comparing the symptoms and signs among the four groups （P〈0.05）, and paired comparisons showed that the therapeutic efficacies of group 1 and group 3 were significantly higher than that of group 2 and group 4 （P〈0.05）, while the differences in the therapeutic efficacy between group 1 and group 3, group 2 and group 4 were statistically insignificant （P〉0.05）. Conclusion Vesiculation moxibustion at the point group of Fengmen （BL12）, Feishu （BL13）, and Gaohuang （BL43） can markedly improve the symptoms and signs of allergic rhinitis due to deficient cold of lung qi;raw and stir-baked Bai Jie Zi （Semen Brassicae） can work equally in vesiculation paste for allergic rhinitis.