体针、埋针配合耳针综合治疗顽固性呃逆36例临床观察

目的 探讨针灸综合疗法在顽固性呃逆治疗中的作用.方法 采用体针、埋针、耳针相结合的针灸联合方案治疗本病36例.体针选穴以内关、巨阙、攒竹、下承浆、膻中、天突、外丰隆为主,并根据病情及证型的虚实加以配穴;埋针选穴重点在颈部第3到7颈椎(C3～C7)的夹脊穴以及背部第7、9到12胸椎(T7、T9～T12)和腰部第1～2腰椎(L1～L2)的背俞穴;耳针选穴以神门、交感、皮质下、膈、胃为主穴.结果 针灸联合方案治疗顽固性呃逆治愈率为91.67%,总有效率为100.00%.结论 针灸联合方案治疗顽固性呃逆具有较好的疗效.

Treatment of refractory hiccough in 36 cases with integrated plan of body acupuncture, needle-embedding therapy and auricular acupuncture

Objective To investigate the effects of integrated acupuncture plan on refractory hiccough. Method The integrated plan of body acupuncture, needle-embedding therapy and auricular acupuncture was given to 36 cases of refractory hiccough. In the body acupuncture the acupoints of Neiguan (PC6), Juque (CV14), Cuanzhu (BL2), Xiachengjiang (EX-ST1), Danzhong (CV17), Tiantu (CV22) and Waifenglong (EX-B2) were chosen and then combined with other apupoints according to the disease conditions and deficiency or excess states of syndromes. In the needle-embedding therapy Jiaji points (EX-B2, from C3 to C7) in the cervix, and Back-shu points (T7, from T9 to T12, from L1 to L2) in the back and waist were chosen, and in the auricular acupuncture the acupoints of Shenmen (Shenmen), Jiaogan (sympathesis), Pizhixia (subcortex), Ge (diaphragm) and Wei (stomach) were chosen. Result The cure rate of the integrated acupuncture plan was 91.67 % and the total effective rate was 100.00 %. Conclusion The integrated acupuncture plan has a good curative effect on refractory hiccough.