《伤寒论》经方小柴胡汤加减治疗亚健康病症的研究

目的:探究《伤寒论》经方小柴胡汤用于亚健康病证的治疗效果。方法:选取2017年8月—2018年6月来就诊的亚健康病证患者260例,根据随机数字表法将其分为对照组及观察组,每组各130例患者。对照组患者采用常规治疗,观察组患者运用《伤寒论》经方小柴胡汤进行治疗。对比分析两组患者治疗前后睡眠质量、疲劳状态、中医亚健康症状评分;对比治疗后两组亚健康量表各因子评分变化情况。结果:治疗后,两组患者睡眠质量、疲劳状态均优于治疗前,且观察组患者睡眠质量评分(156.02±15.34)、疲劳状态评分(65.10±12.72)明显低于对照组睡眠质量评分(200.79±16.46)、疲劳状态评分(80.89±14.15),差异有统计学意义(P<0.05);观察组患者精神不振、失眠多梦、胸闷气短、倦怠乏力、头晕头重、自汗多汗、食欲不振、心烦易怒等症状评分明显低于对照组,差异有统计学意义(P<0.05)。观察组患者疲劳、躯体不适、负性情绪因子评分明显低于对照组,而睡眠、小便、消化功能、正性情绪、能力及社会关系因子则明显高于对照组,差异有统计学意义(P<0.05)。结论:《伤寒论》经方小柴胡汤用于治疗亚健康病症的效果显著,提高患者睡眠质量,缓解疲劳状态,改善亚健康症状,临床意义重大。

Modified Xiaochaihu Decoction in Treatise on Febrile Diseases on Sub-health Symptoms

LIU Xiaoqin;TANG Rongwei;HUANG Jifang;HE Gaojian;WU Xia;LI Zicheng;ZHAO Shuqin(Teaching and Research Department of Traditional Chinese Medicine,Dazhou Vocational and Technical College,Dazhou 635000,Sichuan,China;Department of Traditional Chinese Internal Medicine,Dazhou Hospital of Traditional Chinese Medicine,Dazhou 635000,Sichuan,China;Department of Western Medicine,Dazhou Vocational and Technical College,Dazhou 635000,Sichuan,China;Traditional Chinese Medicine Department,Chengdu Gaoxin District West Garden Community Health Service Center,Chengdu 610042,Sichuan,China;Department of Traditional Chinese Internal Medicine,Dazhou Tongchuan District Hospital of Chinese Medicine,Dazhou 635000,Sichuan,China;Department of Preventive Medicine,Dazhou Hospital of Integrated Traditional Chinese and Western Medicine,Dazhou 635000,Sichuan,China)