苍龟探穴针刺天柱治疗颈源性头痛临床观察

目的:观察苍龟探穴法针刺天柱治疗颈源性头痛的疗效。方法:将70例患者随机分为2组。治疗组36例采用苍龟探穴法针刺患侧天柱穴,先直刺,再依次向同侧的风池、风府及下方的颈夹脊、同侧枕骨粗隆方向透刺。对照组34例取患侧风池、天柱、率谷、头维、相应颈夹脊、后溪、阿是穴。行常规针刺手法。两组均每日针1次,6次为一疗程。结果:两组疗效经检验差异无显著性意义(P>0·05),但从针刺镇痛的起效时段上看,前者的即刻、第2次、第3次后的愈显率高于后者,经统计学分析,差异有显著性意义(P<0·05)。结论:苍龟探穴针法可以达到常规针刺的疗效,而且较常规针刺起效快。

Clinical observation on treatment of cervicogenic headache with turtle-probing needling at Tianzhu (BL 10)

Objective To observe therapeutic effect of turtle-probing needling at Tianzhu (BL 10) on cervicogenic headache. Methods Seventy cases were randomly divided into a treatment group (n=36) and a control group (n=34). The treatment group were treated with turtle-probing needling at Tianzhu (BL 10) on the affected side, first perpendicularly needling the point and then penetration-needling homolateral Fengchi (GB 20), Fengfu (GV 16), below cervical Jiaji points (EX-B2), and occipital tuberosity in order. And the control group were treated with acupuncture at Fengchi (GB 20),Tianzhu (BL 10), Shuaigu (GB 8), Touwei (ST 8) and corresponding cervical Jiaji points (EX-B2), Houxi (SI 3), Ashi points at the affected side with routine needling manipulation. Treatment was given once each day, 6 sessions constituting one course. Results There was no significant difference between the two groups in therapeutic effect (P>0.05), but the cured and markedly effective rates for analgesic effect in the observation group at the first three sessions were higher than those in the control group (P<0.05). Conclusion The turtle-probing needling method and the routine needling have a similar therapeutic effect, but the turtle-probing need -ling method more rapidly produces the analgesic effect.