三伏铺灸治疗胃寒型慢性胃炎14例

目的：观察三伏铺灸治疗胃寒型慢性胃炎的临床疗效。方法：14例胃寒型慢性胃炎患者分别于2012、2013年三伏天的头伏、中伏、末伏的第1天行铺灸治疗。将已制备的姜泥饼覆盖穴区,再将一长条三角艾炷铺放在姜泥饼正上方,点燃三角艾炷的上角开始施灸。先在上腹部中皖穴区（以任脉为中线,区域涵盖上脘、中脘、建里、下脘、水分穴,以及足少阴＇肾经的腹通谷、阴都、石关、商曲穴）行2壮铺灸,再在背部胸脊下穴区（位于背部,以督脉为中线,区域涵盖筋缩、中枢、脊中、悬枢穴,以及胸9-12段、腰1段夹脊穴）行2壮铺灸,完成1次治疗约需40 min。每年治疗3次,共6次。全部治疗结束后统计疗效。结果：14例患者中,近期临床治愈2例,显效7例,有效4例,无效1例,总有效率为92.9%。结论：三伏天铺灸治疗胃寒型慢性胃炎有较好疗效,临床症状显著改善。

Fourteen cases of chronic gastritis with stomach cold treated by long snake moxibustion on dog days

Objective To observe the clinical efficacy of long snake moxibustion in treating chronic gastritis with stomach cold on dog days. Methods Fourteen cases of chronic gastritis with stomach cold were treated by long snake moxibustion on the first day of the first, second and the last of dog days respectively in 2012 and 2013. The acupoint area was covered by the ginger cake, and a bar of triangle-shaped moxa cone was laid on the ginger cake, and moxibustion began by igniting the upper angle of the moxa cone. Long snake moxibustion with two moxa cones burned up in sequence was conducted around the area of Zhongwan （中脘 CV 12） of upper abdomen （covering Shangwan （上脘 CV 13）, CV 12, Jianli （建里 CV 114 Xiawan （下脘 CV 10） and Shuifen （水分 cv 9）, as well as Futonggu （腹通谷 KI 20）, Yindu （阴都 KI 19）, Shiguan （石关 KI 18） and Shangqu （商曲 KI 27） along the kidney meridian of foot-shaoyin）, and then the moxibustion with two moxa cones burned up in sequence was conducted around the lower thoracic spine at the back （covering Jinsuo （筋缩 GV 8）, Zhongshu （中枢 GV 7）, Jizhong （脊中 GV 6） and Xuanshu （悬枢 GV 5） as well as Jiaji （夹脊 EX-B 2） extending from T 9 to T 12 and L i with the governor vessel as the centerline at the back）, and the treatment lasted for about 40 min. The treatment was made three times a year, and with a total of six times in two years. The efficacy was statistically evaluated after the course of the treatment. Results Among the 14 patients, recently clinically cured for 2 cases, markedly effective for 7 cases, effective for 4 cases and ineffective for i case, with the total effective rate of 92.9%. Conclusion Efficacy of long snake moxibustion in treating chronic gastritis with stomach cold on dog days is effective and clinical symptoms are significantly improved.