[1]刘彬,廖若夷,唐燕,等.辰时刮痧治疗1级原发性高血压肝阳上亢证疗效观察[J].西部中医药,2026,39(01):176-180.[doi:10.12174/j.issn.2096-9600.2026.01.30]
　LIU Bin,LIAO Ruoyi,TANG Yan,et al.Clinical Observation on Guasha During the Chen Hour in Treating Stage I Essential Hypertension with Liver Yang Hyperactivity Syndrome[J].Western Journal of Traditional Chinese Medicine,2026,39(01):176-180.[doi:10.12174/j.issn.2096-9600.2026.01.30]
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辰时刮痧治疗1级原发性高血压肝阳上亢证疗效观察()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
39
期数:
2026年01期
页码:
176-180
栏目:
临床研究
出版日期:
2026-01-15

文章信息/Info

Title:
Clinical Observation on Guasha During the Chen Hour in Treating Stage I Essential Hypertension with Liver Yang Hyperactivity Syndrome
作者:
刘彬1, 廖若夷1, 唐燕2, 余艳兰1, 郭元1, 谷林2
1.湖南中医药大学第一附属医院，湖南 长沙 410007
2.湖南中医药大学第二附属医院，湖南 长沙 410005
Author(s):
LIU Bin1, LIAO Ruoyi1, TANG Yan2, YU Yanlan1, GUO Yuan1, GU Lin2
1.The First Hospital of Hunan University of Chinese Medicine, Changsha 410007, China
2.The Second Hospital of Hunan University of Chinese Medicine, Changsha 410005, China
关键词:
原发性高血压1级; 肝阳上亢; 辰时; 刮痧; 子午流注
Keywords:
essential hypertension; liver hyperactivity; the hour (7-9 a.m.); midnight-noon ebb-flow of and blood
分类号:
R255.3
DOI:
10.12174/j.issn.2096-9600.2026.01.30
文献标志码:
B
摘要:
目的观察辰时刮痧治疗1级原发性高血压（essential hypertension， EH）］肝阳上亢证的临床疗效。 方法将符合纳入标准的60例1级EH患者随机分为观察组和对照组各30例。对照组给予非辰时刮痧联合生活方式干预；观察组给予辰时（上午7∶00～9∶00）刮痧联合生活方式干预，两组刮痧操作步骤及手法相同。刮痧治疗每周1次，每次约45 min，疗程4周。比较两组患者干预前及干预第1、2、3、4周后血压水平，每周刮痧前后血压差值变化，以及两组患者中医证候积分、血脂变化情况。 结果干预后，观察组患者收缩压第1周为（134.90±6.89）mm Hg（1 mm Hg≈0.133 kPa）、第2周为（127.10±7.52）mm Hg、第3周为（123.33±7.42）mm Hg、第4周为（121.00±5.87）mm Hg，均较对照组降低（P＜0.05）；干预因素和时间因素存在交互效应（F交互=4.538，P＜0.05）。观察组舒张压水平第2周为（81.47±5.75）mm Hg、第3周为（80.00±5.72）mm Hg、第4周为（79.7±5.27）mm Hg，均较对照组降低（P＜0.05）；干预因素和时间因素存在交互效应（F交互=5.582，P＜0.05）。第1、2周观察组收缩压差值及第1、2、3周观察组舒张压差值均高于对照组（P＜0.05）；干预后，观察组患者中医证候积分低于对照组（P＜0.05）；两组患者甘油三酯、总胆固醇、低密度脂蛋白胆固醇水平均下降，组内比较差异有统计学意义（P＜0.05）。 结论辰时刮痧总体疗效优于非辰时刮痧，辰时刮痧患者第1、2周血压下降幅度高于非辰时刮痧患者，且患者症状改善效果优于非辰时刮痧。
Abstract:
ObjectiveTo observe clinical effects of Guasha during the Chen hour (7-9 a.m.) in the treatment of stage I essential hypertension (EH) with liver Yang hyperactivity syndrome. MethodsSixty cases of stage I EH who met the inclusion criteria were randomly allocated to the observation group and the control group with 30 cases in each. The control group was given non-Chen-hour Guasha and lifestyle intervention, while the observation group received Guasha during the Chen hour (7-9 a.m.) and lifestyle intervention, Guasha was performed in a consistent manner with regard to both the procedure and the manipulation technique, once each week, around 45 minutes, and the course was four weeks. To compare the levels of blood pressures before the intervention, after one, two, three and four weeks of the intervention, the changes of blood pressure differences before and after Guasha each week, TCM syndrome scores and the changes of blood lipid between the two groups. ResultsAfter the intervention, the patients’ systolic blood pressure (SBP) in the observation group was (134.90±6.89)mm Hg (1 mm Hg≈0.133 kPa) in the first week, (127.10±7.52) mm Hg in the second week, (123.33±7.42) mm Hg in the third week, and (121.00±5.87) mm Hg in the forth week, lower than these of the control group (P<0.05); there was a significant interaction effect between the intervention factor and the time factor (F interaction=4.538, P<0.05). The patients’ diastolic blood pressure (DBP) in the observation group was (81.47±0.75) mm Hg in the second week, (80.00±5.72) mm Hg in the third week, and (79.7±5.27) mm Hg in the forth week, lower than these of the control group (P<0.05); a significant interaction effect existed between the intervention factor and the time factor (F interaction=5.582, P<0.05). SBP differences at week one and two and DBP differences at week one, two and three in the observation group were higher than these of the control group (P<0.05); after the intervention, TCM syndrome scores of the observation group were lower than these of the control group (P<0.05); the decrease in the levels of triglyceride, total cholesterol and low density lipoprotein cholesterol (LDL-C) was observed in the two groups, and the difference showed statistical meaning within the group (P<0.05). ConclusionOverall, Guasha therapy is more effective when performed during the Chen hour than at other times, and the advantages are reflected in a significantly greater blood pressure reduction and the improvements of clinical effects observed in the Chen hour group at both the first and second weeks of treatment.

相似文献/References:

[1]丁劲,施兴艳.中医护理干预对肝阳上亢型高血压睡眠障碍的影响*[J].西部中医药,2013,26(10):115.
　DING Jin,SHI Xingyan.Effects of TCM Nursing Intervention on Sleep Disorder Induced by Hypertension of Liver Yang Hyperactivity Pattern[J].Western Journal of Traditional Chinese Medicine,2013,26(01):115.
[2]刘士举.天麻钩藤饮对肝阳上亢型高血压患者生活质量的影响[J].西部中医药,2014,27(11):94.
[3]李雅君.天麻钩藤饮治疗肝阳上亢型高血压60例[J].西部中医药,2013,26(03):76.
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[4]方杭.清镇安神方治疗肝阳上亢型慢性脑供血不足疗效观察[J].西部中医药,2020,33(07):97.[doi:10.12174/j.issn.1004-6852.2020.07.25]
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备注/Memo

备注/Memo:
国家中医优势专科项目（czxm-yb-2024002）；湖南省自然科学基金医卫联合项目（2025JJ80961）；湖南省卫生健康委卫生健康科研课题资助（20257416）；湖南中医药大学校院联合基金（2023XYLH038）；湖南中医药大学校院联合基金项目（2024XYLH344）；湖南中医药大学学科建设“揭榜挂帅”项目（B1-4）。刘彬（1992—），女，硕士学位，主管护师。研究方向：中医护理与心血管疾病护理。
更新日期/Last Update: 2026-01-15