周易象数切脉疗法治疗功能性消化不良的机理探讨

发布时间：2018-05-14 23:30

本文选题：周易象数切脉疗法 + 功能性消化不良　；参考：《广西中医药大学》2016年硕士论文

【摘要】：目的:通过周易象数切脉疗法治疗功能性消化不良(Functinoal dyspepsia,FD)的临床观察研究,进一步探讨周易象数切脉疗法治疗功能性消化不良疾病的机理,为本病提供新的治疗方法和思路。方法:将符合要求的80例功能性消化不良患者随机分为治疗组(40例)和对照组(40例)。对照组予中药汤剂常规治疗,治疗组予周易象数切脉疗法治疗。治疗组周易象数切脉治疗每日1次,每次15分钟。疗程2周。对照组予中药汤剂治疗,每日1付,分2次温服,疗程2周。观察记录患者治疗前后血清胃泌素、红外热象穴位皮温、中医症状积分、临床疗效情况。建立数据库,运用SPSS18.0进行统计学分析。结果:两种方法在对FD患者血清胃泌素影响方面,经统计分析,治疗前两组比较P值大于0.05,两组治疗前无显著差异,治疗后两组患者胃泌素值均有上升,与治疗前比较P值小于0.05,治疗后两组比较P值小于0.05;周易象数切脉疗法治疗组及中药对照组对FD患者两侧脾胃经五输穴经络穴位皮温影响特点不同,治疗组偏重提高两侧脾胃经远端五输穴的局部穴位皮温,对照组偏重提高两侧脾胃经近端五输穴的局部穴位皮温,相应小幅提高的穴位治疗前后比较P值小于0.05;中医主要症状单项积分比较及中医症状总积分比较,治疗前P值均大于0.05,治疗前两项积分无显著差异,具有可比性,经完成治疗后两项积分均较治疗前降低,P值小于0.05,但两项积分组间比较,P值大于0.05;(4)治疗组40例,痊愈17例,显效10例,有效7例,无效6例,总有效率85.00%;对照组40例,痊愈21例,显效7例,有效8例,无效4例,总有效90.00%,对照组总有效率略高于治疗组,经统计学分析,两组总有效率无显著差异(P0.05),提示两组方法在治疗FD方面疗效无差异。结论:治疗组能促进FD患者胃泌素分泌,且作用较对照组明显;周易象数切脉疗法能促进胃泌素的分泌,影响脾胃经远端五腧穴的局部经络穴位皮温变化,提示周易象数切脉疗法能够通过调节经络穴位经气平衡脏腑功能;两种治疗方法对FD的症状缓解和临床疗效均明显。
[Abstract]:Objective: to investigate the mechanism of digital pulse cutting therapy in the treatment of functional dyspepsia through the clinical observation of functional dyspepsia FDD (functional dyspepsia FDD), and to provide a new method and thought for the treatment of functional dyspepsia. Methods: 80 patients with functional dyspepsia were randomly divided into treatment group (n = 40) and control group (n = 40). The control group was treated with traditional Chinese medicine decoction and the treatment group was treated with Zhouyi image pulse cutting therapy. In the treatment group, pulse-cutting was performed once a day, 15 minutes each time. The course of treatment was 2 weeks. The control group was treated with traditional Chinese medicine decoction for 2 weeks. Observe and record serum gastrin, infrared heat image acupoint temperature, TCM symptom score and clinical curative effect before and after treatment. Establish database and use SPSS18.0 for statistical analysis. Results: in terms of the effect of the two methods on serum gastrin in FD patients, the P value of the two groups before treatment was greater than 0.05, and there was no significant difference between the two groups before treatment, and the gastrin values of the two groups increased after treatment. Compared with before treatment and after treatment, P value was less than 0.05. The effects of Zhouyi digital pulse cutting therapy group and traditional Chinese medicine control group on the skin temperature of spleen and stomach meridian meridians on both sides of FD patients were different. In the treatment group, the skin temperature of the local acupoints at the distal point of the spleen and stomach meridians was increased, while in the control group, the local skin temperature of the points at the proximal point of the spleen and stomach meridians was increased. The P value before and after treatment was less than 0.05. The comparison of the main symptoms of TCM and the total integral of TCM symptoms before treatment was more than 0.05. There was no significant difference between the two scores before treatment and there was comparability between the two scores. After the completion of the treatment, the P value of the two scores decreased less than 0.05, but the P value of the two integral groups was greater than 0.05%.) in the treatment group, 17 cases were cured, 10 cases were effective, 7 cases were effective, 6 cases were ineffective, and the total effective rate was 85.00% in the control group, 40 cases in the control group, and 40 cases in the control group. 21 cases were cured, 7 cases were markedly effective, 8 cases were effective, 4 cases were ineffective, and the total effective rate was 90.00.The total effective rate in the control group was slightly higher than that in the treatment group. There was no significant difference in the total effective rate between the two groups by statistical analysis, indicating that there was no difference in the curative effect between the two groups in the treatment of FD. Conclusion: the treatment group can promote the secretion of gastrin in FD patients, and the effect is more obvious than that in the control group, and the treatment group can promote the secretion of gastrin and influence the change of skin temperature at the local meridians of the distal five acupoints of spleen and stomach. The results suggest that Zhouyi image can balance the function of viscera by regulating the meridian acupoints and qi, and the two methods can relieve the symptoms of FD and have obvious clinical curative effect.
【学位授予单位】：广西中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259

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