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.

龙牡加味汤治疗中重度特应性皮炎风湿蕴热证31例临床观察

目的观察龙牡加味汤治疗中重度特应性皮炎(AD)风湿蕴热证的临床疗效及安全性。方法64敷,对照组给予氯雷他定口服加糖皮质激素外用。两组疗程均为8周。观察两组患者治疗前后的AD指数(SCORAD)评分(包括皮疹面积、皮疹严重程度、瘙痒指数与睡眠干扰度),判定临床疗效;对临床痊愈及显效患者随访2个月观察其复发情况;并记录两组患者不良反应。结果治疗组脱落1例,对照组脱落2例。治疗组31例中临床痊愈1例,显效12例,有效15例,无效3例,总有效率90.32%;对照组30例中临床痊愈0.05)。两组患者治疗后皮疹面积、皮疹严重程度、瘙痒指数与睡眠干扰度评分及SCORDA总积分均较本组治疗前显著降低(P<0.05),且治疗后治疗组患者SCORAD总积分、皮疹面积和皮疹严重度评分均显著低于对照组(P<0.05)。治疗组临床痊愈及显效患者共13例,其中复发2例(15.38%),对照组9例患者中复论龙牡加味汤在治疗中重度特应性皮炎风湿蕴热证有较好的临床疗效,可明显降低复发率,且安全性好。