“老十针”治疗肝郁脾虚型功能性消化不良疗效观察

Clinical observation of "experienced ten acupoints" for functional dyspepsia of liver stagnation and spleen deficiency

目的:验证针刺"老十针"治疗肝郁脾虚型功能性消化不良(FD)的临床疗效。方法:将96例肝郁脾虚型FD患者随机分为观察组和对照组,各48例。观察组采用针刺"老十针"穴位处方治疗,穴取上脘、中脘、下脘、气海、天枢、足三里、内关;对照组采用针刺无关穴位处方治疗,穴取飞扬、鹤顶、阴谷、天府、侠白。两组均留针30 min,每周针刺5次,连续治疗2周。比较两组治疗前后症状评分的变化,并评定临床疗效。结果:观察组治疗后症状评分较治疗前降低(P<0.05),且低于对照组(P<0.05)。观察组总有效率为95.8%(46/48),高于对照组的33.3%(16/48,P<0.05)。结论:针刺"老十针"穴位处方可以改善肝郁脾虚型FD患者的症状评分,具有较好的临床疗效。

Objective To verify the clinical effect of acupuncture at "experienced ten acupoints" for functional dyspepsia(FD) of liver stagnation and spleen deficiency. Methods A total of 96 patients with FD of liver stagnation and spleen deficiency were randomly divided into an observation group and a control group, 48 cases in each group. In the observation group, "experienced ten acupoint" prescription was applied,acupoints included Shangwan(CV 13), Zhongwan(CV 12),Xiawan(CV 10), Qihai(CV 6), Tianshu(ST 25), Zusanli(ST 36) and Neiguan(PC 6). In the control group, irrelevant acupoint prescription was applied, acupoints included Feiyang(BL 58), Heding(EX-LE 2), Yingu(KI 10), Tianfu(LU 3), Xiabai(LU 4).The needles were retained for 30 min in both groups, 5 times a week for 2 weeks. Before and after treatment, the symptom score was compared in the two groups, and the clinical effect was evaluated. Results Compared before treatment, the symptom score after treatment was decreased in the observation group(P<0.05), and was lower than the control group(P<0.05). The total effective rate was 95.8%(46/48) in the observation group, which was higher than 33.3%(16/48) in the control group(P<0.05). Conclusion Acupuncture at "experienced ten acupoints" can improve symptoms in patients with FD of liver stagnation and spleen deficiency, has the better clinical effect.