升阳通督针法对中风病中医症候的影响研究

Effect of Activating Yang and Getting through Du-Meridian Manipulation on TCM Symptom of Stroke

目的:观察国家级名中医张沛霖学术经验比较升阳通督针法与普通针刺法对中风病中医症候的影响。方法:选取172例患者随机分为升阳通督针法组及普通针刺组,各86例。升阳通督针法组以针刺太阳经穴第一侧线及点刺督脉为主,普通针刺组以常规阳明经穴位为主,两组均在治疗18天后观察治疗前后中医症候群的变化。结果:两组组内治疗前后比较,在治疗18天后,患者的半身不遂、偏身麻木、吞咽困难、舌强语蹇主要中医症候均较治疗前明显改善(P<0.01),升阳通督针法组组内比较治疗后改善程度较普通针刺组组内比较明显。两组间比较,升阳通督针法组改善中风的主要症候情况更明显。结论:两种方法均可以改善中风病主要症候,提高中风患者的生活能力,升阳通督针法在中风病的中医症候群的改善程度上更具优越性。

Objective： To compare the effects on TCM symptom of stroke between ordinary acupuncture manipu- lation and Activating Yang and Getting through Du - Meridian manipulation from national Chinese medicine practitioners ZHANG Pei - lin＇ s academic experience. Methods： 172 patients were randomly divided into a treatment group with Activating Yang and Getting through Du - Meridian manipulation and an ordinary acupunc- ture manipulation group with 86 cases in each group. The treatment group needled at the first side line of the Tai- yang meridian and prick -needling Du -meridian while the ordinary acupuncture manipulation group re- ceived standard Yang - ming meridian acupoints. The changes of traditional Chinese medicine syndrome had been observed before and after treatment in both groups for 18 days＇treatment. Results：Mter 18 days, patientsj major TCM symptoms as hemiplegia, partial body numbness, difficulty swallowing and dysphasia had been im- proved significantly compared with those before treatment in two groups（P 〈 0.01 ）, and those symptoms were improved more obviously in the treatment group than those in the ordinary acupuncture group, but headache, fa- tigue and other symptoms were not obvious. And the main symptoms were both improved after treatment in two groups, while the improving degree in the treatment group was more obvious than that in the ordinary acupuncture group. Conclusion：Both methods can improve the main symptoms of stroke and improve the life skills of stroke patients. Activating Yang and Getting through Du - Meridian manipulation has more advantages in impro- ving TCM syndromes of stroke.