本文選題：寒凝瘀滯型陽(yáng)明經(jīng)肘勞　切入點(diǎn)：火針療法　出處：《廣州中醫(yī)藥大學(xué)》2013年碩士論文

【摘要】：肘勞屬于“傷筋”、“痹癥”范疇,是日常生活只要反復(fù)用力活動(dòng)前臂的人都有可能引起的疾病。急性發(fā)作的患者疼痛難耐,伸腕和前臂旋轉(zhuǎn)供能障礙,嚴(yán)重影響生活質(zhì)量和患肢的功能。推拿手法、中藥外敷、局部封閉、針灸等方法治療是臨床上較常用的方法。 近些年來(lái),針灸被運(yùn)用到緩解疼痛和消除炎癥方面取得較好的療效。針灸療法的功效有通調(diào)氣血、激發(fā)經(jīng)氣、通絡(luò)止痛、溫陽(yáng)養(yǎng)血等,這種療法源遠(yuǎn)流長(zhǎng),患者較容易接受。不少研究說(shuō)明與西藥相比,針灸有著相似甚至更好的消炎止痛的效果且基本無(wú)副作用。本著進(jìn)一步提供更多有效的針灸治療方法的宗旨,根據(jù)中醫(yī)學(xué)對(duì)肘勞的病因病機(jī)、辨證辯經(jīng)的認(rèn)識(shí),探討火針療法對(duì)改善肘勞的合理性和有效性。 作為一種具有針刺和灸雙重作用,火針療法的作用原理包括局部刺激、經(jīng)絡(luò)傳導(dǎo)、整體調(diào)節(jié)三個(gè)方面,通過(guò)將針燒至通紅,快速刺入阿是穴,可達(dá)到瞬間強(qiáng)刺激穴位,增加刺激量,增加人體陽(yáng)氣激發(fā)經(jīng)氣、調(diào)節(jié)臟腑機(jī)能,使經(jīng)絡(luò)通氣血行,臨床常有事半功倍之效,并且簡(jiǎn)便易行,價(jià)格低廉等優(yōu)點(diǎn)。 研究目的： 火針具有針刺和灸雙重療效,具有強(qiáng)刺激的特點(diǎn),這種手法在古代已被運(yùn)用在緊急寒凝痹癥和內(nèi)外各科中治療疾病。通過(guò)文獻(xiàn)及臨床實(shí)踐發(fā)現(xiàn)火針治療寒凝淤滯型陽(yáng)明經(jīng)肘勞有一定療效,從而,進(jìn)一步運(yùn)用科學(xué)臨床試驗(yàn)研究,探討火針對(duì)于改善寒凝淤滯型肘勞的臨床療效和安全性,為肘勞的辨證治療和分經(jīng)論治提供研究思路和方法。 研究方法： 在廣州中醫(yī)藥大學(xué)體育健康學(xué)院和廣州體育學(xué)院納入合格受試者60例,隨機(jī)分為火針治療組和空白對(duì)照組。其中火針治療組30例,空白對(duì)照組30例�？瞻讓�(duì)照組不予任何治療,火針治療組以手陽(yáng)明大腸經(jīng)為主,選取明顯壓痛點(diǎn)作為阿是穴進(jìn)行火針治療,配合曲池、合谷行針刺治療,得氣后采用寫(xiě)法,留針20分鐘。隔日1次,治療6次為一療程,治療1個(gè)療程后觀察疼痛指數(shù)及療效指標(biāo)的變化。將所得數(shù)據(jù)資料輸入計(jì)算機(jī),運(yùn)用SPSS13.0統(tǒng)計(jì)軟件進(jìn)行統(tǒng)計(jì)分析,通過(guò)比較兩組間的病程時(shí)間、治療前后疼痛指數(shù)(VAS評(píng)分)及療效是否具有統(tǒng)計(jì)學(xué)意義。 研究成果： 1、治療前受試者性別、年齡、病程、身高、體重、疼痛指數(shù)(VAS評(píng)分)無(wú)顯著性差異(P0.05),具有可比性；2、治療后,治療組受試者VAS評(píng)分較治療前顯著下降,經(jīng)t檢驗(yàn),治療前后有顯著性差異(P0.05)；3、治療后,治療組療效明顯優(yōu)于對(duì)照組,治療組受試者VAS評(píng)分較對(duì)照組受試者VAS評(píng)分顯著下降；4、治療后,治療組好轉(zhuǎn)所需時(shí)間較對(duì)照組明顯縮短；5、治療后,火針組幾乎無(wú)出現(xiàn)不良反應(yīng),火針療法較為安全。 研究結(jié)論： 火針治療寒凝瘀滯型陽(yáng)明經(jīng)肘勞是一種新型、有效、較安全的臨床治療方法,治療組患者VAS評(píng)分較對(duì)照組顯著下降,療效分析中,治療組療效明顯優(yōu)于對(duì)照組,而且火針療法較為安全。
[Abstract]:Elbow strain belongs to the category of "injured tendons" and "arthralgia". It is a disease that can be caused by people who work hard and repeatedly in daily life. Massage manipulation, external application of traditional Chinese medicine, local blocking, acupuncture and other methods are more commonly used in clinical treatment. In recent years, acupuncture and moxibustion have been used to relieve pain and eliminate inflammation. The effects of acupuncture and moxibustion include regulating qi and blood, arousing meridian qi, unblocking collaterals and relieving pain, warming yang and nourishing blood, and so on. This therapy has a long history. Patients are more receptive. Many studies have shown that acupuncture has similar or even better anti-inflammatory and analgesic effects than western medicine, and basically has no side effects, in line with the purpose of further providing more effective acupuncture and moxibustion treatment. According to the understanding of the etiology and pathogenesis of elbow strain and differentiation of symptoms and signs in traditional Chinese medicine, the rationality and effectiveness of fire acupuncture therapy in improving elbow strain were discussed. As a dual action of acupuncture and moxibustion, the principle of fire acupuncture therapy includes three aspects: local stimulation, meridian conduction and global regulation. By burning the acupuncture to the red point and rapidly pricking into the Ashi point, the instant strong stimulation of acupoints can be achieved. Increasing the amount of stimulation, increasing the body yang qi to stimulate meridian qi, regulating the function of viscera, making meridian ventilation and blood flow, clinical often double the effect with half the effort, and simple and easy, low price and other advantages. Objectives of the study:. Fire needle has the dual curative effect of acupuncture and moxibustion, and has the characteristic of strong stimulation. This technique has been used in ancient times to treat the disease in emergency cold and coagulation syndrome and in internal and external departments. Through literature and clinical practice, it has been found that fire acupuncture has a certain curative effect on cold and coagulated stagnation of Yangming meridian elbow strain. To explore the clinical efficacy and safety of fire aimed at improving the clinical efficacy and safety of cubital strain due to cold coagulation and stasis, and to provide research ideas and methods for the treatment of cubital strain based on syndrome differentiation and meridian differentiation. Research methods:. Sixty eligible subjects were randomly divided into fire acupuncture treatment group and blank control group, including 30 cases in fire needle treatment group, in which 30 cases were treated with fire needle. 30 cases in blank control group. No treatment was given in the blank control group. In the fire acupuncture treatment group, the main treatment group was hand Yangming large intestine meridian, and the obvious tenderness point was selected as the point of fire acupuncture treatment, combined with qu Chi and Hegu acupuncture treatment, and after getting qi, the treatment method was used. The needle was kept for 20 minutes. Once every other day, 6 times were treated as a course of treatment. After one course of treatment, the changes of pain index and curative effect index were observed. The data were input into the computer and analyzed by SPSS13.0 statistical software. By comparing the course of disease, pain index and VAS score before and after treatment, and the curative effect were statistically significant. Research findings:. 1. There was no significant difference in sex, age, course of disease, height, weight and pain index (P 0.05) before treatment. The VAS scores of the subjects in the treatment group were significantly lower than those before treatment, and were significantly lower than those before treatment (t test). There was significant difference before and after treatment. After treatment, the curative effect of the treatment group was significantly better than that of the control group. The VAS score of the treatment group was significantly lower than that of the control group, and the VAS score of the treatment group was significantly lower than that of the control group. The time required for improvement in the treatment group was significantly shorter than that in the control group. After treatment, there were almost no adverse reactions in the fire acupuncture group, and the fire needle therapy was more safe. The study concluded that:. Fire acupuncture is a new, effective and safe clinical treatment method for the cold and coagulant stagnation of Yangming meridian elbow strain. The VAS score of the patients in the treatment group is significantly lower than that in the control group. In the analysis of curative effect, the curative effect of the treatment group is obviously better than that of the control group. And fire needle therapy is safer.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R246.9

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