肝肾脾胃养护法为主干预湿热体质的临床研究

发布时间：2018-01-18 14:08

本文关键词：肝肾脾胃养护法为主干预湿热体质的临床研究　出处：《广州中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:本课题以广东地区湿热体质人群为基础,利用中医经络检测技术,探讨以肝肾脾胃养护法为主干预湿热体质的临床疗效及治疗前后经络能量值的差异,以期为临床干预湿热体质提供一种新的治疗途径及客观评价指标。方法:本课题采用随机对照、单盲的实验设计方法,纳入120例湿热体质患者,按随机数字表分为2组,每组各60例,观察时间为2个月,每个疗程6天。采用湿热体质症状评分量表为主要观察指标,治疗前后利用中医经络检测技术观察患者十二经络能量值变化情况。具体分组情况如下:实验组:肝肾脾胃养护法+清热祛湿方;对照组:普通针刺+拔罐疗法+清热祛湿方;研究过程中全部纳入对象所接受的经络检测均由专人负责,并将所得实验数据收集整理,建立数据库,采用科学合理规范的统计方法进行归纳总结,得出实验结果。结果:(1)总体疗效120例研究对象中,除去脱落病例,两组各有56例完成治疗疗程,两组疗效分别为88.33%、70.17%,经检验,差异有统计学意义(p0.05),提示两种不同疗法都可以不同程度的改善湿热体质,且实验组与对照组相比较,实验组疗效明显优于对照组。(2)湿热体质症状评分a.组内治疗前后比较,湿热体质症状评分经检验(p0.05),均有显著差异,说明两种疗法对改善患者湿热症状均有效。b.组间比较,治疗后两组患者湿热症状评分比较,经检验(p0.05),有显著差异,提示实验组在改善湿热症状上的疗效优于对照组。(3)治疗前后十二经络能量a.组内比较,治疗后两组患者十二经络水平经检验均有显著差异(p0.05),说明两种疗法对改善患者经络能量均有效。b.组间比较,实验组与对照组在改善患者经络能量上,经检验(P0.05),有显著性差异,说明实验组能更好调节湿热体质患者的经络能量。结论:1.肝肾脾胃养护法配合内服自拟清热祛湿方对调理湿热体质有显著疗效,为临床调理湿热体质提供一条新的治疗途径;2.本疗法能明显改善湿热体质患者的经络能量情况,使其达到或趋向经络能量平衡状态,尤其在调节经络高能量状态上疗效最佳,中医经络检测技术可作为辅助评估湿热体质临床疗效的一项客观指标,为临床疗效评价提供客观依据。
[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.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R259

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