灵龟八法配合艾灸治疗气血亏虚型后循环缺血眩晕的临床研究

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• Title:灵龟八法配合艾灸治疗气血亏虚型后循环缺血眩晕的临床研究

• 卷期:2025年23卷17期

• 作者:单晶晶1 李泉红2

• 1.山东中医药大学中医学院，山东济南，250014； 2.济南市中医医院高血压病科，山东济南，250002

• Author(s):SHAN Jingjing1  LI Quanhong2

• 1.School of Traditional Chinese Medicine,Shandong University of Traditional Chinese Medicine  2Department of Hypertension,Jinan Hospital of Traditional Chinese Medicine

• 关键词：灵龟八法；艾灸；眩晕；气血亏虚；后循环缺血

• Keywords: eight methods of Linggui；moxibustion；vertigo；qi and blood deficiency; Posterior circulation ischaemia.

• 摘要:目的：研究灵龟八法依时选穴配合艾灸治疗气血亏虚型后循环缺血眩晕的疗效。方法：将根据标准纳入的60例患者随机分为治疗组与参照组，每组各30例。参照组根据患者基础情况，进行抗血小板凝集、降脂、改善脑循环的治疗，同时进行常规取穴艾灸治疗。治疗组在参照组基础上加入灵龟八法依时选穴艾灸治疗。在治疗前后评估两组患者的中医眩晕程度分级量化评分及治疗疗效。结果：治疗组总有效率为100%,高于参照组的93.3%，但差异无统计学意义；治疗组与参照组痊愈显效率分别为43.33%和16.67%,差异有统计学意义(P<0.05)。治疗后,与治疗前相比两组中医眩晕程度分级量化评分均较本组有所下降，且治疗组评分为（2.67±1.490）分低于参照组的（3.90±1.491） 分,差异具有统计学意义（P<0.05）。结论：灵龟八法依时选穴治疗气血亏虚型眩晕疗效确切，且较常规艾灸能更好地改善临床症状。                                                                                                                                                                                

• AbstractObjective: To study the therapeutic effect of the eight methods of Linggui combined with moxibustion on vertigo of posterior circulation ischemic with qi and blood deficiency.Method: 60 patients with vertigo included by criteria were randomly divided into the treatment group and the control group, with 30 cases in each group.The treatment group was treated with moxibustion by selecting acupoints according to time with the eight methods of Linggui and routine dialectical selection of acupoints, while the control group was treated with moxibustion with routine dialectical acupoints.To evaluate the grading and quantitative score of TCM vertigo in the two groups before and after moxibustion treatment.Results:The total effective rate of the treatment group was 100% ,which higher than that of the control group 93.3%. The cure and marked efficacy rate of the treatment group was 43.33%，which is higher than the control group 16.67%,and the difference was statistically significant. After treatment, the quantitative scoring of the degree of vertigo in TCM both groups decreased compared with that before treatment,The quantitative scoring of the degree of vertigo in TCM of the treatment group (2.67 ±1.49 0) was lower than the control group(3.90±1.491), the difference was statistically significant (P<0.05).Conclusion：The eight methods of Linggui combined with moxibustion is effective in the treatment of posterior circulation ischemic vertigo of qi and blood deficiency, and it can improve the clinical symptoms improve clinical symptoms better than conventional moxibustion.

  后循环缺血（Posterior circulation ischemia PCI）指由多种诱因所引起的椎基底动脉供血不足或狭窄，致使脑血流量低于正常需求，从而导致供血区域缺血而引起眩晕、头昏、头痛、视力障碍、肢体面部麻木、甚至短暂意识缺失等一系列症状的综合征[1]。眩晕指患者自身的一种平衡感觉障碍，是以头晕、视物模糊或旋转为主要临床表现的一种运动幻觉，同时会伴随恶心、耳鸣、乏力、倦怠等其他症状，属中医学眩晕的范畴[2]。后循环缺血型眩晕多见于中老年人，具有易复发、易致缺血性卒中的特点。因此积极寻找有效的治疗方案，及时使用有效的治疗手段进行治疗，改善临床症状、减少复发率具有极其重要的意义。