刘德玉“三辨论治”思想治疗腓总神经损伤

腓总神经损伤证属本虚标实,本虚以脾胃、气血虚弱为主,且与肝肾关系密切,标实则多属湿热血瘀。根据疾病临床特点,可辨证分为气滞血瘀证、湿热痹阻证、肝肾亏虚证3种证型,治疗原则为益肾填精,强筋健骨,祛瘀通络,活血通脉。辨病则是在辨证基础上把握疾病的性质、病理、发病特点并充分结合现代医学技术施以治疗。辨位需从局部到整体,详查病位,为后期精准施治提供依据。通过辨证论治、辨病施治、辨位施法三辨结合分析疾病的发生发展,从而掌握本病的发病特点,施以对证中药,佐以针刀疗法及痛点封闭疗法,恢复患者肢体功能。

Observation of Therapeutic Effects of Needle Warming Moxibustion for Chronic Diarrhea

Objective： To observe the therapeutic effects of needle warming moxibustion for chronic diarrhea. Methods： Two-hundred cases with chronic diarrhea were divided randomly into a treatment group and a control group. 100 cases in the treatment group were treated with needle warming moxibustion on specific acupoints. 100 cases in the control group were treated by oral administration of Smecta. Results： The therapeutic results showed cure in 52 cases, remarkable effect in 34 cases, improvement in 14 cases and the total effective rate in 100.0% in the treatment group, and cure in 5 cases, remarkable effect in 23 cases, improvement in 33 cases, failure in 39 cases and the total effective rate in 61.0% in the control group. The comparison of the total effective rate between the two groups was statistically significant （P〈0.05）. Conclusion： The needle warming moxibustion on specific acupoints is better than oral administration of Smecta in the therapeutic effects.