填精祛瘀法结合分型论治治疗黄褐斑的针灸临床思路探讨

发布时间：2018-12-18 06:12

【摘要】：目的：通过理论研究和临床病例观察明确以“填精祛瘀法”结合分型论治针灸治疗黄褐斑的可行性,为丰富针灸治疗黄褐斑的临床思路提供参考依据。方法：1.理论研究：以“《中国基本古籍库》(成都中医药大学本地镜像站)”为研究对象,查阅先秦至民国中医古籍中有关黄褐斑的证治相关论述；联机检索相关期刊论文,查阅1995年1月1日至2015年3月30日已报道的中医(含针灸)治疗黄褐斑相关文献。2.临床病例观察：筛选符合标准的黄褐斑患者15例,在“病证结合”的辨治体系指导下,立足于“精虚血瘀”的共性病机,选择“肾俞、志室、膏肓、膈俞、胆俞”为主穴体现“填精祛瘀”的基础治法,并结合不同证型分型配穴针灸治疗3个疗程,设立黄褐斑皮损评分表、全身伴随症状评分表评定疗效。结果：1.立足“精虚血瘀”的共性病机,运用“填精祛瘀”为基础治法,结合分型论治取穴针灸治疗黄褐斑具备理论及临床依据。2.临床观察15例患者经过3个疗程治疗,根据黄褐斑皮损评分评价疗效,总有效率为60%；全身伴随症状评分评价疗效,总有效率为93.33%。结论：以“填精祛瘀法”结合分型论治针灸治疗黄褐斑的临床思路具有理论和临床依据,可为进一步深入研究奠定基础。
[Abstract]:Objective: to make clear the feasibility of treating chloasma with "filling essence and removing blood stasis method" combined with classification through theoretical study and clinical case observation, and to provide reference basis for enriching clinical thinking of acupuncture and moxibustion treatment of chloasma. Method 1: 1. Theoretical study: take "the Chinese basic Ancient Books Library" (Chengdu University of traditional Chinese Medicine Local Mirror Station) as the research object, consult the related exposition about the syndrome and treatment of chloasma in the ancient books of traditional Chinese medicine from the pre-Qin to the Republic of China; To search the full text database of Chinese periodicals online, consult the literature related to the treatment of chloasma in traditional Chinese medicine (including acupuncture and moxibustion) reported from January 1, 1995 to March 30, 2015. 2. Clinical case observation: 15 cases of chloasma sufferers who met the standard were selected. Under the guidance of the differentiation and treatment system of "combination of disease and syndrome", based on the common pathogenesis of "essence deficiency and blood stasis", "Shenshu", "Zhi Room", "ointment" and "Geshu" were selected. "Danshu" is the basic treatment method of "filling essence and removing blood stasis", combined with different types of syndromes combined with acupuncture and moxibustion treatment for 3 courses, set up chloasma score table, and appraised the curative effect by whole body associated symptom scale. Results: 1. Based on the common pathogenesis of "essence deficiency and blood stasis", using "filling essence and removing blood stasis" as the basic treatment method, combined with the treatment of acupuncture and moxibustion for chloasma has theoretical and clinical basis. 2. The total effective rate of 15 patients was 60 according to the score of chloasma and the total effective rate was 93.333.The total effective rate was 93.33. Conclusion: the treatment of chloasma by "filling essence and removing blood stasis method" combined with the classification of acupuncture and moxibustion has theoretical and clinical basis, which can lay a foundation for further study.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.7

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