本文關(guān)鍵詞：肝腎脾胃養(yǎng)護法為主干預(yù)濕熱體質(zhì)的臨床研究　出處：《廣州中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 肝腎脾胃養(yǎng)護法 濕熱體質(zhì) 經(jīng)絡(luò)檢測技術(shù)

【摘要】：目的:本課題以廣東地區(qū)濕熱體質(zhì)人群為基礎(chǔ),利用中醫(yī)經(jīng)絡(luò)檢測技術(shù),探討以肝腎脾胃養(yǎng)護法為主干預(yù)濕熱體質(zhì)的臨床療效及治療前后經(jīng)絡(luò)能量值的差異,以期為臨床干預(yù)濕熱體質(zhì)提供一種新的治療途徑及客觀評價指標。方法:本課題采用隨機對照、單盲的實驗設(shè)計方法,納入120例濕熱體質(zhì)患者,按隨機數(shù)字表分為2組,每組各60例,觀察時間為2個月,每個療程6天。采用濕熱體質(zhì)癥狀評分量表為主要觀察指標,治療前后利用中醫(yī)經(jīng)絡(luò)檢測技術(shù)觀察患者十二經(jīng)絡(luò)能量值變化情況。具體分組情況如下:實驗組:肝腎脾胃養(yǎng)護法+清熱祛濕方;對照組:普通針刺+拔罐療法+清熱祛濕方;研究過程中全部納入對象所接受的經(jīng)絡(luò)檢測均由專人負責(zé),并將所得實驗數(shù)據(jù)收集整理,建立數(shù)據(jù)庫,采用科學(xué)合理規(guī)范的統(tǒng)計方法進行歸納總結(jié),得出實驗結(jié)果。結(jié)果:(1)總體療效120例研究對象中,除去脫落病例,兩組各有56例完成治療療程,兩組療效分別為88.33%、70.17%,經(jīng)檢驗,差異有統(tǒng)計學(xué)意義(p0.05),提示兩種不同療法都可以不同程度的改善濕熱體質(zhì),且實驗組與對照組相比較,實驗組療效明顯優(yōu)于對照組。(2)濕熱體質(zhì)癥狀評分a.組內(nèi)治療前后比較,濕熱體質(zhì)癥狀評分經(jīng)檢驗(p0.05),均有顯著差異,說明兩種療法對改善患者濕熱癥狀均有效。b.組間比較,治療后兩組患者濕熱癥狀評分比較,經(jīng)檢驗(p0.05),有顯著差異,提示實驗組在改善濕熱癥狀上的療效優(yōu)于對照組。(3)治療前后十二經(jīng)絡(luò)能量a.組內(nèi)比較,治療后兩組患者十二經(jīng)絡(luò)水平經(jīng)檢驗均有顯著差異(p0.05),說明兩種療法對改善患者經(jīng)絡(luò)能量均有效。b.組間比較,實驗組與對照組在改善患者經(jīng)絡(luò)能量上,經(jīng)檢驗(P0.05),有顯著性差異,說明實驗組能更好調(diào)節(jié)濕熱體質(zhì)患者的經(jīng)絡(luò)能量。結(jié)論:1.肝腎脾胃養(yǎng)護法配合內(nèi)服自擬清熱祛濕方對調(diào)理濕熱體質(zhì)有顯著療效,為臨床調(diào)理濕熱體質(zhì)提供一條新的治療途徑;2.本療法能明顯改善濕熱體質(zhì)患者的經(jīng)絡(luò)能量情況,使其達到或趨向經(jīng)絡(luò)能量平衡狀態(tài),尤其在調(diào)節(jié)經(jīng)絡(luò)高能量狀態(tài)上療效最佳,中醫(yī)經(jīng)絡(luò)檢測技術(shù)可作為輔助評估濕熱體質(zhì)臨床療效的一項客觀指標,為臨床療效評價提供客觀依據(jù)。
[Abstract]:Objective: based on the people with dampness and heat constitution in Guangdong area, the clinical curative effect and the difference of meridian energy value before and after treatment were discussed by using traditional Chinese medicine meridian examination technique to treat damp-heat constitution with liver, kidney, spleen and stomach maintenance method. In order to provide a new therapeutic approach and objective evaluation index for clinical intervention of dampness and heat constitution. Methods: 120 patients with damp-heat constitution were enrolled in this study by using a randomized controlled, single-blind experimental design method. According to the random digital table, 60 cases were divided into two groups, each group had 60 cases, the observation time was 2 months, each course of treatment was 6 days. Before and after treatment, the changes of energy value of 12 meridians were observed by means of traditional Chinese medicine meridian detection technique. The specific grouping situation was as follows: experimental group: liver, kidney, spleen and stomach curing method to clear heat and remove dampness; Control group: general acupuncture and cupping therapy to clear heat and remove dampness; In the course of the research, all the meridians and meridians accepted by the subjects were responsible by special personnel, and the collected experimental data were collected and arranged, the database was established, and the scientific, reasonable and standardized statistical methods were used to sum up and summarize the meridians and collaterals. Results in 120 cases of total curative effect, 56 cases in the two groups completed the course of treatment, the curative effect was 88.33% and 70.17% respectively. Through the test, the difference is statistically significant, suggesting that the two different treatments can improve the dampness and heat constitution in varying degrees, and the experimental group compared with the control group. The therapeutic effect of the experimental group was significantly better than that of the control group. (2) the scores of dampness and heat constitution symptoms in the experimental group were significantly different before and after treatment. The results showed that the two treatments were effective in improving the symptoms of dampness and heat. There was a significant difference between the two groups after treatment. After the treatment, there was a significant difference between the two groups in the score of dampness and heat symptoms, after the test, there was a significant difference between the two groups. The results suggest that the therapeutic effect of experimental group on improving damp-heat symptom is better than that of control group. After treatment, there were significant differences in the level of 12 meridians between the two groups after treatment, indicating that the two treatments were effective in improving the meridian energy of the patients. There was a significant difference between the experimental group and the control group in improving the meridian energy. The experimental group can better regulate the meridian energy of the patients with dampness and heat constitution. Conclusion: 1. Liver, kidney, spleen and stomach maintenance method combined with the self-made prescription of clearing heat and dispelling dampness has a remarkable effect on regulating damp-heat constitution. To provide a new therapeutic approach for clinical conditioning of dampness and heat constitution; 2. This therapy can obviously improve the meridian energy of the patients with dampness and heat constitution and make it reach or tend to the state of meridian energy balance, especially in regulating the high energy state of meridian. The meridian examination technique of TCM can be used as an objective index to evaluate the clinical curative effect of damp-heat constitution and provide an objective basis for the evaluation of clinical curative effect.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R259

【參考文獻】

相關(guān)期刊論文 前10條

1 藺彩娟;;110例患者體質(zhì)評估與經(jīng)絡(luò)檢測特點及其與健康狀態(tài)的關(guān)系[J];山西中醫(yī);2015年01期

2 張靈芝;何�？�;李燕明;江靜華;黃艷;湯雙齊;邱奕文;;中山市16292例體檢者中醫(yī)體質(zhì)調(diào)查分析[J];中醫(yī)研究;2014年11期

3 王俊;王雪君;;寧波社區(qū)3101例中老年居民中醫(yī)體質(zhì)調(diào)查分析[J];浙江中醫(yī)雜志;2014年01期

4 董虹;孟慎之;詹強;;食療配合摩腹改善濕熱體質(zhì)人群便秘癥狀療效觀察[J];浙江中醫(yī)藥大學(xué)學(xué)報;2013年06期

5 嵇波;李志剛;張露芬;李曉泓;胡瑯琳;;21世紀基于經(jīng)穴-臟腑相關(guān)的動物實驗研究情況分析[J];中醫(yī)藥信息;2012年05期

6 莫潤田;曾勇;吳定蘇;蘇濟深;王樹標;;嶺南地區(qū)居住人群中醫(yī)體質(zhì)調(diào)查[J];江西中醫(yī)學(xué)院學(xué)報;2010年02期

7 楊惠琴;;中醫(yī)體質(zhì)與類風(fēng)濕性關(guān)節(jié)炎關(guān)系的研究進展[J];中國慢性病預(yù)防與控制;2008年01期

8 李紹旦;楊明會;王振福;竇永起;周登峰;;亞健康失眠人群腦內(nèi)神經(jīng)遞質(zhì)水平分析[J];中國全科醫(yī)學(xué);2008年01期

9 吳新貴;何源浩;;背俞穴的主治作用及其機制[J];中國臨床康復(fù);2006年43期

10 王琦;;論中醫(yī)體質(zhì)研究的3個關(guān)鍵問題(下)[J];中醫(yī)雜志;2006年05期

相關(guān)博士學(xué)位論文 前1條

1 程靜茹;二妙丸干預(yù)濕熱體質(zhì)的臨床試驗及其血漿代謝組學(xué)機制研究[D];南方醫(yī)科大學(xué);2015年

相關(guān)碩士學(xué)位論文 前1條

1 孫惠霞;推拿配合淺刺疾出針刺法治療小兒腹瀉的臨床研究[D];南京中醫(yī)藥大學(xué);2008年

，

本文編號：1441252