Clinical Observation of Acupuncture Combined with Herbs on 52 Cases of Acute Stage of Herpes Zoster of Heat Stagnation in Liver Channel Type

LIU Chunyang; WANG Jusheng; LIU Zhiyong

doi:10.13288/j.11-2166/r.2017.21.011

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Clinical Observation of Acupuncture Combined with Herbs on 52 Cases of Acute Stage of Herpes Zoster of Heat Stagnation in Liver Channel Type

更新时间：2021-11-10

- Clinical Observation of Acupuncture Combined with Herbs on 52 Cases of Acute Stage of Herpes Zoster of Heat Stagnation in Liver Channel Type
- Journal of Traditional Chinese Medicine Vol. 58, Issue 21, Pages: 1842-1845(2017)
- 作者机构：
  
  1. 首都医科大学附属北京中医医院
  2. 首都医科大学
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2017.21.011
  CLC： R275.9
- Published：2017
- 稿件说明：
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[1]刘春阳,王莒生,刘志勇.针药联合治疗带状疱疹急性期肝经郁热证52例疗效观察[J].中医杂志,2017,58(21):1842-1845.

LIU Chunyang, WANG Jusheng, LIU Zhiyong. Clinical Observation of Acupuncture Combined with Herbs on 52 Cases of Acute Stage of Herpes Zoster of Heat Stagnation in Liver Channel Type[J]. Journal of Traditional Chinese Medicine2017, 58(21): 1842-1845.
[1]刘春阳,王莒生,刘志勇.针药联合治疗带状疱疹急性期肝经郁热证52例疗效观察[J].中医杂志,2017,58(21):1842-1845. DOI： 10.13288/j.11-2166/r.2017.21.011.

LIU Chunyang, WANG Jusheng, LIU Zhiyong. Clinical Observation of Acupuncture Combined with Herbs on 52 Cases of Acute Stage of Herpes Zoster of Heat Stagnation in Liver Channel Type[J]. Journal of Traditional Chinese Medicine2017, 58(21): 1842-1845. DOI： 10.13288/j.11-2166/r.2017.21.011.

摘要

目的观察刺血疗法对带状疱疹急性期肝经郁热证患者的临床疗效及可能作用机制。方法将104例带状疱疹急性期肝经郁热证患者随机分为治疗组和对照组各52例

对照组予中药内服+针刺基础治疗

治疗组在对照组基础之上加用针刺放血方法。两组均以7天为1个疗程

疼痛完全消失后停止治疗

规定治疗时间为7

8天。观察两组患者皮损愈合情况及疼痛缓解情况

以及治疗前后血浆β-内啡肽含量变化。结果治疗组止疱时间、开始结痂时间、全部结痂时间、开始脱痂时间、疼痛开始减轻时间、疼痛消失时间均短于对照组（P

0.05）;两组30天后患者后遗神经痛发生率均为3.85%（P

0.05）。治疗后治疗组患者血浆β-内啡肽含量升高较对照组显著（P

0.05）。对照组综合疗效评价总有效率为86.54%

治疗组为92.31%

治疗组高于对照组（P

0.05）。结论刺血疗法能够促进带状疱疹皮损愈合

减轻疼痛

升高患者血浆β-内啡肽含量可能是其机制之一。

Abstract

Objective To observe the clinical effect of pricking blood therapy in treating acute stage of herpes zoster patients with heat stagnation in liver channel syndrome and to study the possible mechanism. Methods Totally 104 acute stage of herpes zoster patients of heat stagnation in liver channel type were randomized into treatment group and control group

52 cases in each group. The control group was given oral herbs and basic acupuncture treatment. In addition to the treatment of the control group

blood-letting therapy was given in the treatment group. Seven days were one course in both groups. After the pain was completely disappeared

the treatment stopped. Preset treating time was 7 to 28 days. Patients’ skin lesions healing and pain relief in both groups were examined. The changes of blood plasma β-endorphin level before and after treatment was detected. Results The vesiculation stopping time

incrustation starting time

total incrustation time

decrustation starting time

time of pain starting to relieve and pain disappearing in the treatment group was shorter than those in the control group（ P < 0. 05）. After 30 days

the incidence of neuralgia in both groups was 3. 85%（ P > 0. 05）. After treatment

the increase of blood plasma β-endorphin level in the treatment group was higher than that in the control group（ P < 0. 05）. As for the comprehensive curative effect evaluation

the total effective rate of the control group and the treatment group was 86. 54% and92. 31% respectively

with significant difference（ P < 0. 05）. Conclusion Pricking blood therapy might promote the healing of herpes zoster lesions and relieve the pain

increase of the level of patient’ s blood plasma β-endorphin might be one of the mechanisms.

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