灸刺足三里治疗难治性面瘫临床观察

目的:观察采用灸刺足三里激发“循经感传”治疗难治性面瘫的临床疗效。方法:60例患者随机分为灸刺足三里组(试验组)、常规治疗组(对照组)各30例,对照组取合谷、太冲、头维等穴,试验组在对照组取穴基础上加灸刺足三里,以患者自觉有温热感沿针体传入穴位深层为度。结果:试验组总有效率为93·3%,明显优于对照组的76·7%(P<0·05);试验组中,有循经感传者的总有效率为100·0%,明显优于无循经感传者的80·0%(P<0·05)。结论:灸刺足三里激发“循经感传”治疗难治性面瘫具有较好疗效,值得推广应用。

Clinical observation on moxibustion and acupuncture at Zusanli (ST 36) for treatment of refractory facial paralysis

Objective To observe clinical therapeutic effect of moxibustion and acupuncture at Zusanli (ST 36) on refractory facial paralysis. Methods Sixty cases were randomly divided into a test group and a control group, 30 cases in each group. The control group were treated with acupuncture at Hegu (LI 4), Taichong (LR 3), Touwei (ST 8), etc., and the test group with acupuncture at the same points as those in the control group plus moxibustion and acupuncture at Zusanli (ST 36) with a warm-heat sense transmitting into the depth of the point along the needle body for the patient. Results The total effective rate of 93.3% in the test group was significantly better than 76.7% in the control group ( P<0.05 ); in the test group, the total effective rate for the patients with needling sensation propagating along the channel was 100%, which was significantly superior to 80.0% in the patients with no needling sensation propagating along the channel (P<0.05). Conclusion Moxibustion and acupuncture at Zusanli (ST 36) activating sensation propagating along channel as main way has a better therapeutic effect on refractory facial paralysis.