“进火补”针法治疗气阴两虚型干眼症

Xerophthalmia of qi and yin deficiency treated with jinhuobu needling technique

目的:探讨"进火补"针刺法与捻转补法治疗气阴两虚型干眼症的临床疗效差异。方法:将54例干眼症患者随机分为观察组(28例)和对照组(26例)。两组主穴选取攒竹、丝竹空、太阳、风池,配穴为膻中、三阴交、太溪、太冲。观察组采用"进火补"针法,对照组采用捻转补法治疗。治疗每日1次,10次为一疗程,共治疗2个疗程。观察两组治疗前后眼部症状积分、泪液分泌量、泪膜破裂时间,并比较治疗后及治疗结束后4周随访时两组的临床疗效。结果:治疗后观察组总有效率为92.9%(26/28),对照组为80.8%(21/26),差异无统计学意义(P>0.05);治疗结束后4周随访,观察组总有效率为85.7%(24/28),对照组为61.5%(16/26),差异有统计学意义(P<0.05)。两组治疗后眼部症状积分、泪液分泌量及泪膜破裂时间与治疗前比较,差异均有统计学意义(均P<0.01);观察组治疗后眼部症状积分、泪膜破裂时间及泪液分泌量的改善明显优于对照组,差异均有统计学意义(均P<0.05)。结论:"进火补"法治疗气阴两虚型干眼症疗效显著,复发率低。

Objective To explore the differences in the clinical therapeutic effects on xerophthalmia of qi and yin deficiency between the jinhuobu needling technique（the combined reinforcing technique to induce warm sensation） and the reinforcing needing technique achieved by rotating needle. Methods A total of 54 patients of xerophthalmia were randomized into an observation group（28 cases） and a control group（26 cases）. In both of the groups, the main acupoints included Cuanzu（BL 2）, Sizhukong（TE 23）, Taiyang（EX-HN 5） and Fengchi（GB 20）; the combined acupoints were Danzhong（CV 17）, Sanyinjiao（SP 6）, Taixi（KI 3） and Taichong（LR 3）. In the observation group, the jinhuobu needling technique was used and in the control group, the reinforcing needing technique achieved by rotating needle was adopted. The treatment was given once every day. 10 treatments made one course and 2 courses were required. Before and after treatment, the score of eye symptoms, tear secretion and the breakup time of tear film were observed in the two groups. The clinical therapeutic effects were compared between the two groups after treatment and in 4-week follow-up after treatment separately. Results After treatment, the total effective rate was 92.9%（26/28） in the observation group and was 80.8%（21/26） in the control group, without significant difference in comparison（P〉0.05）. In 4-week follow-up after treatment, the total effective rate was 85.7%（24/28） in the observation group and was 61.5%（16/26） in the control group, indicating the significant difference in comparison（P〈0.05）. After treatment, the differences were significant in the score of eye symptoms, tear secretion and the breakup time of tear film as compared with those before treatment in the two groups（all P〈0.01）. After treatment, the improvements of the score of eye symptoms, tear secretion and the breakup time of tear film in the observation group were better remarkably than those in the control group, indicating the significant differences（all P〈0.05）. Conclusion The jinhuobu needling technique achieves the significant therapeutic effects on xerophthalmia of qi and yin deficiency and the recurrence rate of the disease is low.