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中华养生保健 ›› 2025, Vol. 43 ›› Issue (6): 19-23.

• 中医诊疗 • 上一篇    下一篇

热敏灸结合补中益气汤治疗过敏性鼻炎肺脾气虚证的临床疗效观察

徐海燕1, 张琳2, 徐敏2, 朱道成2, 许巍2   

  1. 1.江西中医药大学医务所,江西 南昌,330004;
    2.江西中医药大学附属医院针灸三科,江西 南昌,330006
  • 发布日期:2025-03-17
  • 作者简介:徐海燕(1973—),女,汉族,籍贯:江西省上饶市,硕士研究生,主任中医师,研究方向:过敏性鼻炎临床与基础研究。
  • 基金资助:
    江西省中医药管理局科技计划(2022A152)

Clinical Efficacy Observation of Heat Sensitive Moxibustion combined with Buzhong Yiqi Decoction for the Treatment of Allergic Rhinitis Lung Spleen with Qi Defi ciency Syndrome

XU Hai-yan1, ZHANG Lin2, XU Min2, ZHU Dao-cheng2, XU Wei2   

  1. 1. Medical Institute of Jiangxi University of Traditional Chinese Medicine, Nanchang Jiangxi 330004, China;
    2. Acupuncture and moxibustion Department III,Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, Nanchang Jiangxi 330006, China
  • Published:2025-03-17

摘要: 目的 与常规西药对比,观察热敏灸结合补中益气汤治疗过敏性鼻炎肺脾气虚证患者的临床疗效。方法 选择2022年10月—2023年10月江西中医药大学附属医院热敏灸科门诊收治的过敏性鼻炎患者60例作为研究对象,采用随机数表法将所有患者分为试验组与对照组,各30例。试验组采用热敏灸结合补中益气汤治疗,对照组采用常规抗过敏药氯雷他定治疗。两组均治疗1次/d,5次/周,10次为1疗程,治疗2个疗程后分别评估鼻症状总分(TNSS)、鼻炎伴随症状总分(TNNSS)、鼻-结膜炎生存质量量表(RQLQ)及临床疗效。结果 干预前,两组的年龄、性别、TNSS评分、RQLQ评分以及TNNSS评分比较,差异无统计学意义(P>0.05)。干预后,试验组在改善患者TNSS评分、TNNSS评分、RQLQ评分方面优于对照组,差异有统计学意义(P<0.05)。试验组总有效率高于对照组,差异有统计学意义(P<0.05)。结论 热敏灸结合补中益气汤治疗过敏性鼻炎肺脾气虚证患者,比常规抗过敏药氯雷他定治疗临床效果更佳。

关键词: 热敏灸, 补中气益汤, 过敏性鼻炎, 肺脾气虚证, 疗效

Abstract: Objective Compared with conventional Western medicine, the clinical efficacy of treating allergic rhinitis patients with lung-spleen qi deficiency syndrome using heat-sensitive moxibustion combined with Bu Zhong Yi Qi Tang was observed. Methods Randomized controlled trial design was adopted. Sixty eligible subjects were included. They were divided into two groups by random number table method. Experimental group (n=30) : heat-sensitive moxibustion combined with Buzhong Yiqi decoction; Control group (n=30) : the conventional antiallergic drug loratadine. Both groups were treated once a day, 5 times/week, 10 times as a course of treatment. Total Nasal Symptom Score (TNSS) , Total Non-Nasal Symptom Score (TNNSS), nasal conjunctivitis Quality of Life scale (RQLQ) and clinical efficacy were evaluated after a total of 2 courses of treatment. Results Before intervention, there was no significant difference in age, gender, TNSS score, RQLQ score and TNNSS score between the two groups (P>0.05). After the intervention, the experimental group showed superior improvements in TNSS, TNNSS, and RQLQ scores compared with the control group, with statistically significant differences (P<0.05).The total effective rate of the experimental group was 90.00%, higher than that of the control group 76.67%, the difference was statistically significant (P<0.05). Conclusion Heat sensitive moxibustion combined with Buzhong Yiqi Decoction in the treatment of allergic rhinitis lung qi deficiency syndrome of clinical advantage.

Key words: heat-sensitive moxibustion, Buzhong Qi Yi decoction, allergic rhinitis, Lung Qi deficiency syndrome, comparative efficacy study

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