苍龟探穴法针刺风池穴为主治疗枕神经痛临床疗效观察

Therapeutic Effect of Turtle-probing Needling at Fengchi for the Treatment of Occipital Neuralgia

目的：比较苍龟探穴法与常规针法针刺风池穴治疗枕神经痛的疗效差异。方法：将40例枕神经痛病人，随机分为苍龟探穴组（治疗组）与常规针刺组（对照组），每组20例。取穴风池、率谷、颈2—3夹脊穴、外关、后溪。苍龟探穴组采用苍龟探穴法针刺风池穴，其余腧穴平补平泻法；常规针刺组各腧穴均采用平补平泻手法。两组均每日治疗1次，10次为一疗程。采用视觉模拟评分法（VAS）评定两组病人的疗效。结果：苍龟探穴组愈显率为85％（17／20），优于常规针刺组的55％（11／20）（P〈0．05）；两组患者治疗后VAS评分较治疗前均明显降低（均P〈0．05）；苍龟探穴组VAS评分下降的幅度显著大于常规针刺组（P〈0．05）。结论：苍龟探穴法针刺风池穴治疗枕神经痛的疗效明显优于常规针刺法。

Objective： To compare the differences of therapeutic efficacy between Turtle - probing needling and the normal acupuncture at Fengchi for the treatment of occipital neuralgia. Methods：40 cases of occipital neu- ralgia patients were randomly divided into a Turtle -probing needling group （a treatment group） and a normal acupuncture group （ a control group）, with 20 cases in each group. The points were ： Fengchi, cervical 2 ~ 3 Jia-ji points, Waiguan and Houxi. Turtle -probing needling group was treated by Turtle -probing needling at Fengchi and mild - reinforcing - and - attenuating at other points; the normal acupuncture group was treated with mild -reinforcing -and -attenuating at all the points. Once daily, the treatment session was 10 days, as- sess the efficacy by using Visual Analogue Scale （VAS）. Results：As to the cured and markedly effective rate it was 85% （17/20） in the Turtle -probing needling group, which was superior to 55 % （11/20） in the normal ac- upuncture group （ P 〈 0.05 ） ; After treatment, VAS scale was decreased significantly in two groups （ both P 〈 0. 05 ）. The decreasing degree of the VAS scale in the Turtle - probing needling group was more obvious than that in the normal acupuncture group （ P 〈 0.05 ）. Conclusion： The efficacy of the Turtle - probing needling at Fengchi on occipital neuralgia is superior to that of normal acupuncture.