悬灸治疗阴虚内热型痤疮的疗效观察

目的:观察悬灸治疗阴虚内热型痤疮的临床疗效。方法:筛选阴虚内热型痤疮患者56例,随机分为治疗组29例,对照组27例。治疗组取风门、肺俞、膏肓俞、膈俞等穴悬灸加痤疮局部处理治疗,对照组针刺加痤疮局部处理治疗,每周治疗3次,治疗12周后,对痤疮皮损和阴虚体质积分改善情况进行评价。结果:治疗组总有效率高于对照组(P<0.05);治疗组患者皮损积分的下降情况优于对照组(P<0.05);两组治疗后的体质积分均有明显下降,且治疗组积分下降得更明显(P<0.05)。结论:悬灸不仅可以较明显改善阴虚内热型痤疮的皮损情况,也可以对患者阴虚体质状态进行较好的调整,且简便易行。

Clinical Treatment of 29 Cases of Acne of "Yin-Deficiency-Inner Heat Type" by Suspended Moxibustion

Objective To observe the clinical effect of moxibustion therapy for 29 cases of yin-deficiency type acne.Methods In this clinical trial,56 cases of acne patients with yin-deficiency-inner heat type were enrolled.These patients were randomly divided into moxibustion group(treated by suspended moxibustion,n=29) and control group(treated by acupuncture,n=27).In addition,patients of the two groups were also treated by local purulent discharge and skin disinfection,once a week,4 times a month,8 times altogether.Both suspended moxibustion and acupuncture interventions were performed once every other day,3 times a week and 3 months altogether.The therapeutic effect was evaluated by skin lesion score and patients' constitution score.Results Of the patients in the moxibustion and control groups,2 and 1 was cured(the acne subsided above 90% and symptoms disappeared),14 and 6 experienced marked improvement(the acne subsided by 60%-90% and symptoms were obviously relieved),10 and 15 were effective(the acne subsided by 30%-59% and symptoms were relieved),3 and 5 invalid(the acne subsided by below 30% and symptoms were worsen),respectively.The effective rate of the moxibustion group was significantly higher than that of the control group(P<0.05).Following the treatment,the skin lesion score and yin-deficiency constitution score were significantly decreased in comparison with pre-treatment in the same one group(P<0.05),and those of the moxibustion group were remarkably lower than those of the control group(P<0.05).Conclusion Suspended moxibustion is effective in improving both skin lesion and yin-deficiency constitution in acne patients with yin-deficiency-inner heat type.