[1]胡杏平,张庆霞,陈文治,等.基于“扶阳理论”探讨火龙灸对阳虚型腰椎管狭窄症患者体质改变的影响[J].西部中医药,2025,38(11):148-151.[doi:10.12174/j.issn.2096-9600.2025.11.27]
　HU Xingping,ZHANG Qingxia,CHEN Wenzhi,et al.Influence of Fire-dragon Moxibustion on Body Constitution of Patients with Lumbar Spinal Stenosis of Yang Deficiency Pattern Based on "Strengthening Yang-Qi Theory"[J].Western Journal of Traditional Chinese Medicine,2025,38(11):148-151.[doi:10.12174/j.issn.2096-9600.2025.11.27]
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基于“扶阳理论”探讨火龙灸对阳虚型腰椎管狭窄症患者体质改变的影响()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
38
期数:
2025年11期
页码:
148-151
栏目:
特色医疗
出版日期:
2025-11-15

文章信息/Info

Title:
Influence of Fire-dragon Moxibustion on Body Constitution of Patients with Lumbar Spinal Stenosis of Yang Deficiency Pattern Based on "Strengthening Yang-Qi Theory"
作者:
胡杏平, 张庆霞, 陈文治, 王慧敏, 韦以宗
广东省中医院芳村医院，广东 广州 510370
Author(s):
HU Xingping, ZHANG Qingxia, CHEN Wenzhi, WANG Huimin, WEI Yizong
Fangcun Hospital, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510370, China
关键词:
腰椎管狭窄症; 火龙灸; 阳虚; 体质
Keywords:
lumbar spinal stenosis; fire-dragon moxibustion; deficiency; body constitution
分类号:
R274.9
DOI:
10.12174/j.issn.2096-9600.2025.11.27
文献标志码:
B
摘要:
目的探讨改良火龙灸对阳虚型腰椎管狭窄症患者体质改变的影响。 方法选取阳虚型腰椎管狭窄症患者88例，采用简单随机法分为两组，每组44例。对照组接受背部艾箱灸治疗，观察组实施背部督脉火龙灸治疗。完成1个完整治疗周期后，采用视觉模拟评分法（visual analogue score，VAS）评估两组患者腰痛程度，并比较体质改善情况。 结果VAS评分治疗前两组比较差异无统计学意义（P＞0.05）；治疗后各时间点两组均下降，且观察组下降更明显，其中随访60天、90天时观察组均低于对照组，差异有统计学意义（P＜0.05）。阳虚体质量表转化分治疗前两组比较差异无统计学意义（P＞0.05）；治疗后各时间点两组均下降，且观察组下降更显著，随访60天、90天时观察组低于对照组，差异有统计学意义（P＜0.05）。阳虚体质改善有效率疗程结束后及随访30天时，两组比较差异无统计学意义（P＞0.05）；随访60天、90天时，观察组高于对照组，差异有统计学意义（P＜0.05）。两组治疗期间均未发生不良反应。 结论相较于传统艾箱灸，改良火龙灸治疗阳虚型腰椎管狭窄症，不仅短期疗效明确，且在长期改善患者阳虚体质、维持临床疗效方面优势更显著。
Abstract:
ObjectiveTo discuss the influence of fire-dragon moxibustion on body constitution of patients with lumbar spinal stenosis (LSS) of Yang deficiency pattern based on "strengthening Yang-Qi theory". MethodsA total of 88 cases of LSS of Yang deficiency pattern were chosen, and allocated to two groups using simple randomization with 44 cases in each. The control group was treated with moxibustion box therapy on the back, and dorsal fire-dragon moxibustion along governor meridian was conducted in the observation group. After finishing one complete therapeutic cycle, VAS was adopted to assess the degrees of lumbago in the two groups, and to compare the improvements of body constitution. ResultsThe difference had no statistical meaning in VAS scores before the treatment between the two groups (P>0.05); the scores were lowered at different time points after the treatment, and the reduction in the observation group was more noticeable, among them, the observation group was lower than the control group during 60-day follow-ups and 90-day follow-ups, and the difference showed statistical meaning (P<0.05). The difference had no statistical meaning in converted scores on the Yang deficiency constitution scale before the treatment between the two groups (P>0.05); after the treatment, the scores were declined at different time points, and the decrease of the observation group was more significant, the observation group was lower than the control group during 60-day follow-up and 90-day follow-up, and the difference had statistical meaning (P<0.05). The difference had no statistical meaning in the improvement rate of Yang deficiency constitu-tion by the end of the course and during 30-day follow-up (P>0.05); the observation group was higher than the control group during 60-day follow-up and 90-day follow-up, and the difference had statistical meaning (P<0.05). No adverse reaction occurred during therapeutic period. ConclusionCompared with traditional moxibustion box, modified fire-dragon moxibustion in the treatment of LSS of Yang deficiency pattern not only demonstrates signi-ficant short-term clinical effects, but also has the advantages of improving body constitution of Yang deficiency for a long term, and maintaining clinical effects.

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备注/Memo

备注/Memo:
广东省中医药局科研项目（20222069）；广东省中医院院内专项（2017KT1591）。胡杏平（1978—），女，副主任护师。研究方向：骨科疾病的临床护理。Email：13711590485@126.com。
更新日期/Last Update: 2025-11-15