原发性高血压应用针刺曲池穴得气和捻转补泻手法降压效果探讨

目的：分析原发性高血压应用针刺曲池穴治疗的血压变化，探讨得气、不得气、捻转泻法与补法的临床效应。方法：随机抽选254例患者，分得气组、得气右转（以下简称右转组）、得气左转（称左转组）及不得气组，又将右转组中实证和左转组虚证合为虚补实泻组，将右转组虚证与左转组实证合为虚泻实补组，观察在针刺前、进针10min、起针即刻、起针10min时各自的血压变化。结果：针刺前与针刺后患者血压比较差异具有显著性（P<0.05）；不得气组的降压效果显著低于得气组、右转组、左转组、虚泻实补组、虚补实泻组；得气组、右转组、左转组、虚泻实补组、虚补实泻组的降压效果，各组间比较无显著性差异。结论针刺曲池穴，对原发性高血压降压效果明显，但得气才能达到较好的临床效果，以捻转方向来划分补泻手法，右转为捻转泻法，左转为补法，本文研究未发现相应的临床效果。

Treating primary HBP by acupuncture

Objective： To analyze BP changes of acupuncturing the point of Quchi. Methods： 254 patients were divided into Gain, Gain Right, Gain Left and no Gaining groups; A part of GR/GL were put together as the Xubu Shixie group; the other part of GIUGL were put together as the Xuxie Shibu group, comparing the BP changes during acupuncturing. Results： Before and after acupuncture the difference was significantly （P〈0.05）; efficacy in NG was lower than other groups; there was no difference between both groups. Conclusion： Acupuncturing the point of Quchi can achieve good effects on HBP, but only gain feeling was there; About turning right and left, there was no clinical effects and difference.