1. 上海交通大学医学院附属仁济医院中医科,上海,200127
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祁宏, 史永奋, 李鹤, 等. 秦氏头八针结合辨证取穴治疗痰浊上扰型慢性每日头痛临床研究[J]. 上海中医药杂志, 2016,50(7):50-52.
QI Hong, SHI Yong-fen, LI He, et al. Clinical study on chronic daily headache of up-rising phlegm-turbidity treated by Qin’s Eight Acupoints with syndrome-differentiated acupoints[J]. Shanghai Journal of Traditional Chinese Medicine, 2016,50(7):50-52.
祁宏, 史永奋, 李鹤, 等. 秦氏头八针结合辨证取穴治疗痰浊上扰型慢性每日头痛临床研究[J]. 上海中医药杂志, 2016,50(7):50-52. DOI:
QI Hong, SHI Yong-fen, LI He, et al. Clinical study on chronic daily headache of up-rising phlegm-turbidity treated by Qin’s Eight Acupoints with syndrome-differentiated acupoints[J]. Shanghai Journal of Traditional Chinese Medicine, 2016,50(7):50-52. DOI:
目的:观察秦氏头八针结合辨证取穴治疗痰浊上扰型慢性每日头痛的临床疗效。 方法:将63例慢性每日头痛患者随机分为辨证组(32例)和对照组(31例);两组均给予秦氏头八针治疗,同时辨证组针刺足三里、三阴交、丰隆,对照组针刺上述穴位旁开点,疗程8周。观察两组治疗前后头痛发作次数、VAS评分、持续时间、证候积分、头痛残疾程度评估问卷(MIDAS)评分和SF-36量表评分情况。 结果:①治疗后,两组头痛发作次数、VAS评分和持续时间均较治疗前显著减少(P<0.05,P<0.01);且辨证组头痛VAS评分低于对照组(P<0.05)。②治疗后,两组中医证候评分较治疗前显著降低,差异有统计学意义(P<0.01);但两组中医证候评分比较,无显著性差异(P>0.05)。③治疗后,两组头痛残疾程度评估问卷(MIDAS)评分较治疗前显著降低,差异有统计学意义(P<0.01);且治疗后两组MIDAS评分比较,无显著性差异(P>0.05)。④治疗后,两组PCS评分和MCS评分均较治疗前显著增高,差异有统计学意义(P<0.01);且治疗后辨证组PCS评分和MCS评分均高于对照组(P<0.01)。 结论:秦氏头八针结合辨证取穴可显著提高痰浊上扰型慢性每日头痛的临床疗效,改善患者生活质量。
Objective:To observe the clinical effects of Qin’s Eight Acupoints with syndrome-differentiated acupoints in the treatment of up-rising phlegm-turbidity chronic daily headache. MethodsSixty-three subjects were randomized into observation group(n=32) and control group(n=31), and were treated by Qin’s Eight Acupoints; meanwhile, the observation group was treated by acupoints Zusanli(ST 36), Sanyinjiao(SP 6) and Fenglong(ST 40), and the control group was treated by sham acupoints lateral to above ones, with a course of 8 weeks.The headache dairy including attack frequency, visual analogue scale(VAS), lasting duration, syndrome score, migraine disability assessment(MIDAS) and SF-36 scale were assessed before and after treatment. Results:①After treatment, the headache attack frequency, visual analogue scale(VAS) and lasting duration were obviously reduced in both groups(P<0.05,P<0.01), with lower VAS score in the observation group than in the control group(P<0.05). ②After treatment, the syndrome scores were strikingly decreased in both groups(P<0.01), with no significance between the two groups(P>0.05). ③After treatment, the MIDAS scores were obviously reduced in both groups(P<0.01), with no significance between the two groups(P>0.05). ④After treatment, the PCS and MCS scores were increased in both groups(P<0.01), with more significant increase in the observation group than in the control group(P<0.01). Conclusion:Qin’s Eight Acupoints with syndrome-differentiated acupoints is effective to help chronic daily headache and improve the quality of life.
慢性每日头痛秦氏头八针辨证取穴秦亮甫
chronic daily headacheQin’s Eight Acupointsacupoint selection on syndrome differentiationQin Liangfu
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