中药内服外敷治疗热痹的临床观察

目的]观察中药内服及外用金黄膏加活血化瘀膏治疗热痹的疗效。方法]76例患者根据辨证分型,分为对照组湿热型(12例)、对照组热毒型(16例)、治疗组湿热型(20例)和治疗组热毒型(28例),对照组和治疗组的湿热型均内服加味三妙丸,治疗组外用金黄膏加活血化瘀膏;对照组和治疗组热毒型均内服新癀片,治疗组外用金黄膏加活血化瘀膏。治疗前后采用100mm目测模拟疼痛标尺线(VAS)疼痛评分及疗效综合评定。结果]1个疗程(7d)后,两治疗组疗效均明显优于对照组,P<0.05。结论]内服药物基础上配合金黄膏加活血化瘀膏治疗热痹有显著疗效。

Clinical observation on effect of oral administration and external use of Chinese herbs in treating arthritis of heat type

Objective] To observe the clinical curative effect of oral administration of Chinese herbs and external use of Jinhuang plaster combined with Huoxue Huayu plaster in treating arthritis of heat type.Methods] Seventy-six patients were randomly divided into four groups depending on the symptoms.Twelve cases of them were in the control group with damp-heat,16 in the control group with toxic-heat;20 in the treatment group with damp-heat and 28 in the treatment group with toxic-heat.The patients in control and treatment groups with damp-heat received the modified Sanmiao pills and the patients in treatment group were externally used Jinhuang plaster combined with Huoxue Huayu plaster.The patients in control and treatment group with toxic-heat were given with Xinhuang tablets,while the patients in treatment group were externally used Jinhuang plaster combined with Huoxue Huayu plaster.The clinical curative effects of the two groups before and after treatment were evaluated with VAS pain score.Results] Compared with the control group,the curative effect in both treatment groups were significantly superior in alleviating the swelling extent,pain index and tenderness index.There was a significant difference between the two groups(P<0.05).Conclusion] There is a significant effect when treating with oral administration of Chinese herbs combined with external use of Jinhuang plaster and Huoxue Huayu plaster.