丹栀逍遥散加减联合伐昔洛韦治疗带状疱疹遗后神经痛30例

目的:观察丹栀逍遥散联合伐昔洛韦治疗带状疱疹遗后神经痛的疗效。方法:将60例门诊带状疱疹遗后神经痛患者随机分为观察组和对照组,两组各30例。两组分别采用丹栀逍遥散加减(丹皮、山栀子、当归、白芍、柴胡、云苓、白术、甘草、薄荷)联合伐昔洛韦治疗和单纯伐昔洛韦治疗,观察两组疗效。结果:观察组治愈率93%。对照组治愈率53%,两组有效率比较,P<0.05。结论:采用丹栀逍遥散联合伐昔洛韦治疗带状疱疹遗后神经痛疗效满意。

Observation on the effect of fire needle combined with Linggui Bafa for post-herpetic neuralgia

Objective To observe the clinical effect of fire needle combined with Linggui Bafa for post-herpetic neuralgia （PHN）. Methods One hundred and twenty patients were randomly divided into an observation group and a control group with 60 cases each. For observation group, fire needle was applied to prick Zusanli （足三里 ST 36）, Yanglingquan （阳陵泉 GB 34）, Taichong （太冲 LR 3）, Sanyinjiao （三阴交 SP 6） and partial Ashi points around the lesion, and Linggui Bafa was combined to perform acupuncture therapy, once every other day, 10 times as a course of treatment; for the control group, only fire needle was applied. After 2 courses of treatment, the comparison of the value of visual analogue scale （VAS） and the total effective rate for the two groups were carried out. Results The VAS value of the observation group after treatment was obviously lower than that before treatment （2.28±2.08 vs 6.12±1.96） and that of the control group （2.28±2.08 vs 3.62±2.90）, there were significant differences （all P〈0.01）. The total effective rate of the observation group was obviously higher than that of the control group [93.3% （56/60） vs 76.7% （46/60）], the difference between the two groups was statistically significant （P〈0.05）. Conclusion The effect of fire needle combined with Linggui Ba.fa for PHN is obviously superior to that of single fire needle therapy.

Clinical research on postherpetic neuralgia treated by floating-acupuncture combined with collateral-bloodletting puncture and cupping

Objective To observe the clinical efficacy of treating postherpetic neuralgia （PHN） by combining floating-acupuncture laser with cupping following collateral bloodletting, and to analyze its mechanism. Method One hundred and thirty cases of PHN were randomly divided into a floating-acupuncture laser with cupping following collateral bloodletting group （group A） and an electroacupuncture group （group B） based on the treatment sequence and according to the random number table, with 65 cases in each group. In the group B, G-6805 electroacupuncture apparatus was adopted after the arrival of qi through even reinforcing and reducing （even method） in such acupoints as Hegu （合俗 LI 4）, Taihong （太冲 LR 3）, Zhigou （支沟 TE 6）, Quchi （ 曲池 LI 11） and Zusanli （足三里 ST 36）; in the group A, the treatment combining floatingacupuncture laser with cupping following collateral bloodletting was adopted, and the score of VAS and clinical efficacy before and after treatment in the two groups were compared. Result The differences of VAS scores of the two groups between the time points of after one course of treatment, after the entire treatment, follow up visit three months after the treatment and before treatment were statistically significant （all P〈0.05）. The rate of significant efficiency and total effective rate in the group A were respectively 37.8% and 98.5% （64/65）, and 11.2% and 78.5% （52/65） in the group B. The difference between the two groups was statistically significant after Ridit analysis （P〈0.05）. Conclusion The efficacy of treating PHN by combining floating-acupuncture laser with cupping following collateral bloodletting was significant.

Thin cotton moxibustion combined with plum-blossom needle in treatment of herpes zoster:a controlled trial

Objective To compare the difference of clinical efficacy of thin cotton moxibustion combined with plum-blossom needle and western medication in treatment of herpes zoster.Method Eighty patients with herpes zoster were divided into thin cotton moxibustion group（group A,n=40） and western medication group（group B,n=40） according to the sequence of admission.Patients in group A received thin cotton moxibustion that the colton was used as thin as a cicada＇s wings,combined with plum-blossom needle,and patients in group B received intravenous infusion with 0.25 g of acyclovir once a day,and acyclovir ointment application on affected part for 3-5 times per day.Five days were considered as a course of treatment.Analgesic effect and the incidence of postherpetic neuralgia were observed after two consecutive courses.Result The total effective rate was 97.5%（39/40） in group A,and80.0%（32/40） in group B（P〈0.05）;it was shown from the comparison of course between two groups that the cure rate after one in group A was markedly higher than that in group B（P〈0.01,P〈0.05）;the differences in effectual time and analgesic time between group A and group B were statistically significant（P〈0.05）;after treatment,the incidence of postherpetic neuralgia in group A was markedly lower than that in group B（P〈0.05）.Conclusion Thin cotton moxibustion combined with plum-blossom needle in treatment of herpes zoster can obviously shorten the time of therapy,effectively control pain,and reduce the incidence of postherpetic neuralgia.

Observation on therapeutic effect of combined therapy mainly based on acupuncture for postherpetic neuralgia

Objective To compare the difference in therapeutic effect between the combined therapy mainly based on acupuncture and western medicine in treating postherpetic neuralgia. Methods Eighty patients were randomly divided into a treatment group and a control group by ballot, and 40 patients were included in each group. The patients in the treatment group were treated by using the combined therapy mainly based on acupuncture, in other words, electroacupuncture at Jiáj （夹脊 EX-B2） and acupoint injection, and He-Ne laser therapy was also carried out. The patients in the control group were orally administered with 10 mg oxycodone controlled release tablets, twice a day; 0.5 mg mecobalamin tablets, three times a day. Scores for pain, sleep disorders and anxiety degree of the patients were recorded respectively, and the therapeutic effect in the two groups was counted. Results The total effective rate in the treatment group was 100.0% （40/40）, which was higher than 87.5% （35/40） in the control group; the markedly effective rate in the treatment group was 85.0% （34/40）, which was better than 65.0% （26/40） in the control group （both P0.05）. The therapeutic effects in reliefing pain, sleep disorders and anxiety of the patients in the treatment group were better than that in the control group （all P0.01）. Conclusion The combined therapy mainly based on acupuncture can effectively treat postherpetic neuralgia and the therapeutic effect is better than that in the western medicine group