谢慧教授使用温针灸疗法治疗变应性鼻炎病例探析
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摘要
目的探究中医温针灸疗法对于变应性鼻炎的治疗原则。方法针刺百会、下关、合谷,并对足三里施以温针灸疗法治疗变应性鼻炎36例,1次/周,3周为1个疗程,评价治疗效果。结果中医传统外治温针灸疗法治疗变应性鼻炎效果良好,5例显效,27例明显好转,4例无明显改变,有效率达89%。结论使用温针灸以"健脾益气,升阳固卫"为原则,可有效改善变应性鼻炎鼻塞、流清涕、打喷嚏症状,为治疗变应性鼻炎提供一种有效的治疗方案。
Objective To analyze the principle of the Warm Needling therapy for allergic rhinitis( AR). Methods From March 2013 to September 2015,a total of 36 patients with AR were treated by using needling on points of Xiaguan( ST7),Hegu( LI4),Baihui( DU20) and warm needling on Zusanli( ST36),once a week,three times as a course of treatment. Results There were 5 patients got significant results,27 got marked effects,and 4 failed,the efficient was up to 89%. Conclusion By Inquiry the results and analysis the treatment,we conclude the principle of AR to be "tonify spleen Qi,ascending Yang and defending weiqi. "
Objective To analyze the principle of the Warm Needling therapy for allergic rhinitis( AR). Methods From March 2013 to September 2015,a total of 36 patients with AR were treated by using needling on points of Xiaguan( ST7),Hegu( LI4),Baihui( DU20) and warm needling on Zusanli( ST36),once a week,three times as a course of treatment. Results There were 5 patients got significant results,27 got marked effects,and 4 failed,the efficient was up to 89%. Conclusion By Inquiry the results and analysis the treatment,we conclude the principle of AR to be "tonify spleen Qi,ascending Yang and defending weiqi. "
引文
[1]熊大经,刘蓬.中医耳鼻咽喉科学[M].北京:中国中医药出版社,2012:173-177.
[2]张殿伟.伯克纳治疗过敏性鼻炎的疗效观察[J].中国实用医药,2009(11):129-129.
[3]陈伯亚,龙自铭,黄燕君,等.舌下含服粉尘螨滴剂治疗单一和多重过敏变应性鼻炎患者的临床疗效评估[J].中华耳鼻咽喉头颈外科杂志,2013,48(7):549-554.CHEN Boya,LONG Ziming,HUANG Yanjun,et al.Efficacy of sublingual immunotherapy w ith Dermatophagoides farinae drops in monosensitized and polysensitized patients w ith allergic rhinitis[J].Chin J Otorhinolaryngol Head Neck Surgery,2013,48(7):549-554.
[4]温宿,何刚,部胜琴,等.鼻内镜下聚焦超声治疗变应性鼻炎与药物治疗的随机对照观察[J].四川医学,2013,34(11):1629-1631.WEN Su,HE Bu,BU Shengqin,et al.Comparison of focused ultrasound under nasal endoscope and conventional drug therapy for allergic rhinitis[J].sichuan Med J,2013,34(11):1629-1631.
[5]朱亮,陆纪红,谢青,等.皮下免疫和舌下免疫治疗尘螨变应性鼻炎的安全性及依从性分析[J].中华耳鼻咽喉头颈外科杂志,2010,45(6):444-449.ZHU Liang,LU Jihong,XIE Qing,et al.Compliance and safety evaluation of subcutaneous versus sublingual immunotherapy in mite sensitized patients w ith allergic rhinitis[J].Chin J Otorhinolaryngol Head Neck Surgery,2010,45(6):444-449.
[6]Clinical practice guideline:allergic rhinitis[J].Otolaryngol Head Neck Surg,2015,152(Suppl 1):S1-43.
[7]中华医学会耳鼻咽喉科分会.变应性鼻炎诊断标准及疗效评定标准[J].中华耳鼻咽喉科杂志,1998,33(3):134-135.
[8]梁繁荣,赵吉平.针灸学[M].北京:人民卫生出版社,2002:25-28.
[9]郑春泉.电刺激蝶腭神经节对鼻黏膜血流的调控作用[J].中华耳鼻咽喉科杂志,1997,32(3):163-166.
[10]符绩雄.变应性鼻炎中医症候流行病学研究[D].广州中医药大学,2006.
[11]钱凤娥.鼻鼽症候学规律流行病学研究[D].云南中医学院,2007.
[12]范愈燕,余文煌,王向东,等.脾胃与鼻鼽发病机制的临床研究[J].北京中医药,2013,32(6):428-430.
[13]范愈燕,和锡琳,王向东,等.“鼻鼽”中医体质特点探究[J].世界中西医结合杂志,2013,8(4):388-392.
[14]黄桂锋,熊大经,谢慧.试论脾虚与鼻鼽的关系[J〗.中医临床研究,2014,6(23):34-35.
[15]谢慧.五龙颗粒对脾气虚变应性鼻炎大鼠鼻黏膜肥大细胞信号转导的影响[D].成都中医药大学,2006.
[16]王林林,喻凤,谢慧.从“心肺有病,鼻亦不利”论鼻鼽[J].光明中医,2014,29(8):1596-1598.
[2]张殿伟.伯克纳治疗过敏性鼻炎的疗效观察[J].中国实用医药,2009(11):129-129.
[3]陈伯亚,龙自铭,黄燕君,等.舌下含服粉尘螨滴剂治疗单一和多重过敏变应性鼻炎患者的临床疗效评估[J].中华耳鼻咽喉头颈外科杂志,2013,48(7):549-554.CHEN Boya,LONG Ziming,HUANG Yanjun,et al.Efficacy of sublingual immunotherapy w ith Dermatophagoides farinae drops in monosensitized and polysensitized patients w ith allergic rhinitis[J].Chin J Otorhinolaryngol Head Neck Surgery,2013,48(7):549-554.
[4]温宿,何刚,部胜琴,等.鼻内镜下聚焦超声治疗变应性鼻炎与药物治疗的随机对照观察[J].四川医学,2013,34(11):1629-1631.WEN Su,HE Bu,BU Shengqin,et al.Comparison of focused ultrasound under nasal endoscope and conventional drug therapy for allergic rhinitis[J].sichuan Med J,2013,34(11):1629-1631.
[5]朱亮,陆纪红,谢青,等.皮下免疫和舌下免疫治疗尘螨变应性鼻炎的安全性及依从性分析[J].中华耳鼻咽喉头颈外科杂志,2010,45(6):444-449.ZHU Liang,LU Jihong,XIE Qing,et al.Compliance and safety evaluation of subcutaneous versus sublingual immunotherapy in mite sensitized patients w ith allergic rhinitis[J].Chin J Otorhinolaryngol Head Neck Surgery,2010,45(6):444-449.
[6]Clinical practice guideline:allergic rhinitis[J].Otolaryngol Head Neck Surg,2015,152(Suppl 1):S1-43.
[7]中华医学会耳鼻咽喉科分会.变应性鼻炎诊断标准及疗效评定标准[J].中华耳鼻咽喉科杂志,1998,33(3):134-135.
[8]梁繁荣,赵吉平.针灸学[M].北京:人民卫生出版社,2002:25-28.
[9]郑春泉.电刺激蝶腭神经节对鼻黏膜血流的调控作用[J].中华耳鼻咽喉科杂志,1997,32(3):163-166.
[10]符绩雄.变应性鼻炎中医症候流行病学研究[D].广州中医药大学,2006.
[11]钱凤娥.鼻鼽症候学规律流行病学研究[D].云南中医学院,2007.
[12]范愈燕,余文煌,王向东,等.脾胃与鼻鼽发病机制的临床研究[J].北京中医药,2013,32(6):428-430.
[13]范愈燕,和锡琳,王向东,等.“鼻鼽”中医体质特点探究[J].世界中西医结合杂志,2013,8(4):388-392.
[14]黄桂锋,熊大经,谢慧.试论脾虚与鼻鼽的关系[J〗.中医临床研究,2014,6(23):34-35.
[15]谢慧.五龙颗粒对脾气虚变应性鼻炎大鼠鼻黏膜肥大细胞信号转导的影响[D].成都中医药大学,2006.
[16]王林林,喻凤,谢慧.从“心肺有病,鼻亦不利”论鼻鼽[J].光明中医,2014,29(8):1596-1598.