Therapeutic Effect of Shaoyao Jiawei Gancao Decoction(芍药加味甘草汤)with Acupoint Application on Chronic Lumbar Muscle Strain and the Recovery of Lumbar Strength

Objective:To study the therapeutic effect of Shaoyao Jiawei Gancao Decoction(芍药加味甘草汤)with acupoint application on chronic lumbar muscle strain and the recovery of lumbar strength.Methods:From August 2018 to August 2019,100 patients with chronic lumbar muscle strain admitted to our hospital were selected and randomly divided into an acupoint application group and a combined group of 50 cases each.The acupoint application group was treated by acupoint application,and the combined group was treated with Shaoyao Jiawei Gancao Decoction(芍药加味甘草汤)based on acupoint application.The indexes scores,VAS scores,ADL scores,ODI scores,lumbar endurance,TCM syndrome scores and the treatment effects of the two groups before and after treatment were statistically analyzed,and TNF-αand TXB2 levels were detected.Results:After treatment,the scores of indexes,VAS,ODI,TCM syndrome,TNF-αand TXB2 in the combined group were lower than those in the acupoint application group,and the ADL score,lumbar endurance and treatment efficiency were higher than those in the acupoint application group,with a statistical difference(P<0.05).Conclusion:Shaoyao Jiawei Gancao Decoction(芍药加味甘草汤)with acupoint application can effectively reduce pain,improve lumbar function,restore lumbar strength,effectively relieve inflammation,with significant effects.

从中医情志理论角度分析加味通便汤对慢性便秘的心理障碍疗效

目的运用中医情志理论分析加味通便汤对慢性便秘的心理障碍疗效。方法收集2018年5月—2018年11月间江苏省中医院肛肠科符合慢性传输型便秘诊断标准的门诊患者共65例(其中男17例,女48例)。检测该65例患者在治疗前的汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评估患者心理状态,并结合慢性便秘症状包括病程时间(年)、粪便性状积分、每次排便时间积分、排便时间间隔积分、排便困难积分,评估患者慢性便秘状态。65例病人随机分为治疗组与对照组。治疗组在通便汤治疗的基础上加用柴胡、陈皮两味中药,对照组仅用通便汤进行治疗。1个疗程(8周)后,再次评估两组病例心理状态及便秘情况。结果两组的便秘情况均较治疗前得到明显改善,两组心理状态在HAMD评分、HAMA评分明显改善(P<0.05),存在统计学意义,且治疗组的降分率高于对照组(P<0.05)。结论加味通便汤导能改善慢性便秘患者的便秘症状与抑郁、焦虑等心理障碍,更有利于便秘病情的改善。