观察温阳通脉雷火灸对阳虚质胃脘痛失眠患者的影响

Effects of Wenyang Tongmai Thunder-fire Moxibustion on Insomnia Patients with Epigastric Pain Caused by Deficiency of Yang

目的:探讨顺应阴阳二气的时空变化灸疗来获取放大效应,提高艾灸疗效的可行性。方法:将100例阳虚质胃脘痛失眠患者随机分为治疗组和对照组各50例,治疗组采用温阳通脉雷火灸;对照组常规穴艾灸,1个疗程后对比观察两组患者匹兹堡睡眠质量指数、疼痛评分及阳虚质转化分的变化。结果:干预后治疗组PSQI各因子分数及总分、疼痛评分均显著低于对照组及干预前(P<0.05);阳虚质转化分虽然与对照组无差异,但低于干预前(P<0.05);治疗组干预前后胃痛分及阳虚质转化分下降差值均优于对照组。对照组各项指标与干预前相比,除睡眠质量及胃脘痛评分改善有统计学意义(P<0.05)外,其他均无显著变化(P>0.05)。结论:温阳通脉雷火灸对改善阳虚质胃脘痛失眠患者的症状及体质积分比常规艾灸效果更好。

Objective： To explore the amplification effect of moxibustion along the yin and yang of temporal and spatial variation. Methods： The 100 insomnia patients with gastric abscess caused by deficiency of yang were randomly divided into treatment group and control group, 50 cases in each group. The treatment group was treated with Wenyang Tongmai Thunder-fire Moxibustion, and the control group was given conventional moxibustion. Pittsburgh Sleep Quality index, pain score and deficiency of yang changes score are compared after a course of treatment. Results： Each factor and total score of PSQI and pain scores of treatment group were significantly lower than before and control group（P〈0.05） after treatment. Although deficiency of yang changes scores of the treatment group has no significant difference compared with the control group, but were lower than before（P 0.05）. Decline of gastric abscess score and deficiency of yang changes score in treatment group was better than control group. Compared with that before treatment, the Quality of sleep and scores of gastric abscess of the control group were statistically significant（P〈0.05）, the others has no statistical difference（P〈0.05）. Conclusion： Wenyang Tongmai Thunder-fire Moxibustion is better than conventional moxibustion in improving symptoms of insomnia patients with epigastric pain caused by deficiency of yang.