针刺联合推拿治疗颈源性高血压64例临床观察

Acupuncture Combined Massage Treatment of Cervical Source Sex Hypertension 64 Cases Clinical Observation

[目的]观察针刺联合推拿治疗颈源性高血压疗效。[方法]使用前瞻性设计方法,对64例门诊患者1针刺（选取夹脊穴、双侧风池、风府、大椎、太阳、百会、曲池、外关、合谷、三阴交、太溪、太冲为主穴）,配穴临证加减;三阴交与太溪施补法,风池、风府、大椎、曲池、外关、合谷、太冲为泻法,余穴用平补平泻法施针,得气后留针30min,1次/d。2推拿,在颈部棘突自上而下轻触以寻找阳性反应点,用揉捏法对其颈部放松,拨法对阳性反应点进行松解理筋,使畅通气血,活血通络,放松后采用颈椎斜板法治疗,患者颈部放松,前倾15°左右,医者站于后侧方,一手托其下颏部,另一手扶头顶部,使头向一侧缓慢转动,当转动到有阻力感时,稍作停顿,随即快速而有力扳动,可听到咯哒响声,随即放手即可,扳动幅度控制在5-10°,根据患者病情选择单侧扳法或双侧扳法,1次/d。连续治疗10d为1疗程。观测临床症状、不良反应。连续治疗2疗程,判定疗效。[结果]痊愈44例,有效15例,无效5例,总有效率92.30%。[结论]针刺联合推拿治疗颈源性高血压,疗效满意,无副作用,值得推广。

[Objective] To observe the acupuncture combined massage curative effect in treatment of cervical source high blood pressure.[Methods] Using the prospective design method,using（1） in patients with 64 cases of outpatient acupuncture（selected clip ridge point,double side fengchi（GB20）,fengfu（DU14）,dazhui（DU16）,taiyang,baihui（DU20）,quchi（LI11）,waiguan（SJ5）,hegu（LT4）,sanyinjiao（SP6）,taixi（KI3）,taichong（LR3））,according to the statemengt to change the point. Sanyinjiao（SP6） and taixi（KI3）for reinforcing method,fengchi（GB20）,fengfu（DU14）,dazhui（DU16）,quchi（LI11）,waiguan（SJ5）,hegu（LT4）,taichong（LR3） for reducing method,others points use the reinforcing and reducing way,retaining needle 30 min after arrival qi,1 / d.（2） the massage in the cervical spine top-down light touch,looking for a positive reaction,using the method of kneading neck relaxed,dial the method of positive reaction point of cleavage reinforcement,unclog blood,invigorate the circulation of t2 dm,and relax after cervical spine inclined plate method is used to treatment,patients with neck relaxed,forward about 15 °,the healer standing in the back side,with its Xia Ke department,another walking on,turns head to the side slowly,when the rotation to have a sense of resistance,pause,fast andstrong throw then,noise can be heard luo da,then let it go,pull（amplitude control in 5 - 10 °,choose according to patients condition unilateral pull or bilateral,1 / d. Continuous treatment of 10 d to 1 course of treatment. Observation of clinical symptoms and adverse reactions. Continuous treatment 2 period of treatment,judge curative effect. [Results] 44 cases cured,15 cases were valid,invalid in 5 cases,total effective rate was 92.30%. [Conclusion] Acupuncture combined massage treatment of cervical source sex hypertension,satisfied curative effect,no side effect,is worth promoting.