恒温雷火灸配合姜汁对脾胃虚寒型胃脘痛患者疗效及体表温度的影响

目的 观察恒温雷火灸配合姜汁对脾胃虚寒型胃脘痛患者疗效及体表温度的影响。方法 将80例脾胃虚寒型胃脘痛患者按随机数字法分为恒温雷火灸组和姜汁恒温雷火灸组。恒温雷火灸组采用恒温雷火灸法,姜汁恒温雷火灸组采用恒温雷火灸配合姜汁治疗,持续干预14 d后比较2组的临床疗效;在干预前、干预第7天和第14天观察比较腋温和脾俞、胃俞、中脘、关元、足三里、涌泉等穴位的体表温度。结果 干预14 d后姜汁恒温雷火灸组的临床疗效高于恒温雷火灸组（P<0.05）。2组胃俞、中脘、关元、足三里、涌泉等穴位体表温度存在组间效应（P<0.05）,2组腋温和脾俞、胃俞、中脘、关元、足三里、涌泉等穴位体表温度存在时间效应和交互效应（P<0.01）。在干预第7天,姜汁恒温雷火灸组的胃俞、中脘、关元、足三里、涌泉等穴位体表温度高于恒温雷火灸组（P<0.05）;在干预第14天,腋温和脾俞、胃俞、中脘、关元、足三里、涌泉等穴位体表温度高于恒温雷火灸组（P<0.05）。结论 恒温雷火灸配合姜汁可显著提高脾胃虚寒型胃脘痛患者临床疗效,同时提高体表温度,改善机体寒性症状。

Efficacy of Thermostatic Thunder-fire Moxibustion Combined with Ginger Juice on Epigastralgia and Body Surface Temperature in Patients with Spleen and Stomach Deficiency Cold

Objective To observe the efficacy of thermostatic thunder-fire moxibustion combined with ginger juice on epigastralgia and body surface temperature in patients with spleen and stomach deficiency cold type. Methods 80 cases of spleen and stomach deficiency cold type patients with epigastralgia were randomly divided into group A treated with thermostatic thunder-fire moxibustion and group B with ginger juice combined with thermostatic thunder-fire moxibustion. The clinical efficacy of the two groups after 14 days of consecutive intervention was compared. Axillary temperature and body surface temperature at the acupoints as Pishu, Weishu, Zhongwan, Guanyuan, Zusanli and Yongquan before the intervention, at 7th day and 14th day of the intervention was recorded, and compared. Results After 14 days of intervention, the clinical efficacy of group B was better than that of group A (P<0.05). There was inter-group effect on body surface temperature at the acupoints as Weishu, Zhongwan, Guanyuan, Zusanli and Yongquan (P<0.05). There were time effect and interaction effect of axillary temperature and body surface temperature at the acupoints as Pishu, Weishu, Zhongwan, Guanyuan, Zusanli and Yongquan in the two groups(P<0.01). On the 7th day of the intervention, the body surface temperature at the acupoints as Weishu, Zhongwan, Guanyuan and Yongquan in group B was higher than that in group A (P<0.05). On the 14th day of the intervention, axillary temperature and body surface temperature at the acupoints as Pishu, Weishu, Zhongwan, Guanyuan, Zusanli and Yongquan of in group B were higher than those in group A (P<0.05). Conclusion Thermostatic thunder-fire moxibustion combined with ginger juice can significantly enhance the clinical efficacy in epigastric pain in patients with cold syndrome of spleen and stomach deficiency. At the same time, it can elevate patients' body surface temperature and Improve body cold symptoms.