摘要
目的探讨辨证刮痧对原发性高血压病(肝阳上亢证)患者血压、中医症状及焦虑情绪的影响。方法将60例肝阳上亢证原发性高血压病患者随机分为对照组和观察组各30例,两组均接受生活方式干预指导,对照组辅以常规刮痧方案,以平补平泻手法刮肝经、肾经、膀胱经、头颈部督脉及部分络属腧穴;观察组辅以辨证刮痧方案,以补法刮肾经、泻法刮肝经并辨腧穴特性选用补泻手法进行刮痧。两组疗程均为4周,记录治疗前后血压、中医证候评分、汉密尔顿焦虑量表(HAMA)评分。结果两组患者血压、中医证候评分、HAMA评分均较治疗前降低(P<0.05),且观察组降幅大于对照组(P<0.05)。结论辨证刮痧方案可降低原发性高血压病(肝阳上亢证)患者血压,改善中医症状,减轻焦虑,效果优于常规刮痧,可作为辅助手段进一步研究与推广。
Objective To explore the effects of dialectical scraping on blood pressure,TCM symptoms and anxiety in patients with primary hypertension(hyperactivity of liver-Yang type). Methods 660 patients with hyperactivity of liver-Yang type essential hypertension were randomly were divided into control group and observation group,30 cases each,both groups received lifestyle intervention,on this basis,the control group was given a routine scraping plan,with the plain scraping technique scraping the liver meridian,kidney meridian,bladder meridian and part of the acupuncture points;The observation group was given a dialectical scraping plan,scraping the kidney meridian by supplementing method,scraping the liver meridian by catharsis method and selecting the method of supplementing and decreasing the acupoint characteristics. The course of treatment in both groups was 4 weeks,and blood pressure,TCM syndrome score and Hamilton Anxiety Scale(HAMA)score were recorded before and after treatment. Results Blood pressure,TCM syndrome score and HAMA score in both groups were lower than before treatment(P<0.05),and the decrease in the observation group was lower than that in the control group(P<0.05). Conclusion Dialectical scraping can reduce the blood pressure of patients with primary hypertension(hyperactivity of liver-Yang type),improve the symptoms of TCM,reduce anxiety,and the effect is better than that of conventional scrapping, which can be used as an auxiliary means for further research and promotion.
作者
曾维轲
潘晓彦
雷建兰
邓斯琪
ZENG Weike;PAN Xiaoyan;LEI Jianlan;DENG Siqi(Hunan University of Chinese Medicine,Changsha 410208,Hunan,China;The First Hospital of Hunan University of Chinese Medicine,Changsha 410007,Hunan,China)
出处
《辽宁中医药大学学报》
CAS
2021年第4期135-138,共4页
Journal of Liaoning University of Traditional Chinese Medicine
基金
湖南省教育厅研究生科研创新项目(CΧ2018B511)。
关键词
刮痧
高血压病
肝阳上亢
辨证
手法
scrapping
high blood pressure
hyperactivity of liver-Yang
syndrome differentiation
technique
作者简介
曾维轲(1995-),男,湖南邵阳人,护师,硕士,研究方向:中西医结合护理;通讯作者:潘晓彦(1970-),女,湖南冷水江人,教授、主任护师,硕士研究生导师,硕士,研究方向:中医护理。
