火针点刺龈交穴与参茋槐榆汤治疗气滞血瘀型痔疮的临床研究

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• Title:火针点刺龈交穴与参茋槐榆汤治疗气滞血瘀型痔疮的临床研究

• 卷期:2024年22卷4期

• 作者:张丽敏 龙鲜梅

• 南昌市洪都中医院外科，江西南昌 330000

• Author(s):Zhang Limin   Long Xianmei

• Department of Surgery, Nanchang Hongdu Hospital of Traditional Chinese Medicine, nanchang 330000

• 关键词痔疮；气滞血瘀型；火针点刺；龈交穴；参茋槐榆汤

• Keywords: Hemorrhoids; Qi stagnation and blood stasis; Fire needle prickle; Gv 28 hole; Stilbene locust elm soup

• 摘要:目的 探讨气滞血瘀型痔疮采用火针点刺龈交穴和参茋槐榆汤治疗的临床效果。方法 使用随机数表法将我院2020年1月2021年12月期间收治的68例患者分为对照组和观察组，每组患者的例数均为34例，对照组患者采用火针点刺龈交穴治疗，观察组患者则在对照组的基础上增加参茋槐榆汤治疗，比较两组患者的临床治疗总有效率、治疗前后的致痛因子水平。结果 与对照组患者相比，观察组患者的临床治疗总有效率明显较高（P＜0.05）；治疗后，与对照组患者相比，观察组患者的5-羟色胺（5-HT）和β-内源性阿片肽（β-EP）水平明显较低（P＜0.05）。结论 在气滞血瘀型痔疮患者的治疗过程中，火针点刺龈交穴联合参茋槐榆汤能明显提高整体的治疗效果，减轻患者的疼痛程度，值得临床进一步推广。                                                                                                                                                                                

• Abstract:  To investigate the clinical effect of acupoint acupuncture and Shenhuaiyu Decoction for treating hemorrhoids with qi stagnation and blood stasis. Methods A total of 68 patients admitted to our hospital from January 2020 to December 2021 were divided into control group and observation group (34 cases in each group) by random number table method. Control group was treated with acupoint puncture of guingiangjiao while observation group was treated with Shenhuaiyu Decoction on the basis of control group. The total effective rate of clinical treatment and the levels of pain-causing factors before and after treatment were compared between the two groups. Results Compared with the control group, the total effective rate of observation group was significantly higher (P < 0.05); After treatment, the levels of 5-hydroxytryptamine (5-HT) and β -endogenous opioid peptide (β-EP) in observation group were significantly lower than those in control group (P < 0.05). Conclusion In the treatment of patients with hemorrhoids with qi stagnation and blood stasis, fire-needle acupoint puncture combined with Shenhuaiyu Decoction can significantly improve the overall therapeutic effect and relieve the degree of pain of patients, which is worthy of further clinical application.

  痔疮是目前医学上较为常见的一种肛门疾病，主要的临床表现有疼痛、便血、瘙痒等。近年来，随着人们饮食习惯的改变以及长期静坐的生活方式，气滞血瘀型痔疮的发病率正呈逐渐上升的趋势，对人们的日常生活和工作带来了较大的不良影响。目前西医上并未明确痔疮的发病机制，中医认为，痔疮的发生与人体的阴阳失衡、气血亏损相关，因此，调节脏腑、补气生血是治疗痔疮的重点。随着我国中医的不断发展，中药内服、熏洗、针灸、外敷等治疗方法逐渐被应用到痔疮的临床治疗中，且大多取得了较为理想的效果[1-2]。相关研究指出[3]，针刺能明显减轻痔疮患者的临床症状，推动患者肛门功能的恢复，提高患者的生活质量。参茋槐榆汤是中医常用于痔疮下血治疗的汤剂，具有益气清肠、凉血止血、清热解毒的功效，将其与针刺联合治疗，或能加强痔疮患者的治疗效果，改善预后。