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子午流注择时中药膏摩对脾胃虚寒型胃脘痛患者临床疗效观察
高巍,姜萌
天津市中西医结合医院南开医院天津 300100
摘要:
目的:探讨基于子午流注理论下择时中药膏摩对脾胃虚寒型胃脘痛患者护理的临床效果,分析比较辰时中药膏摩与非辰时中药膏摩的疗效差异。方法:回顾性分析2024年1月—12月本院消化内科收治的60例脾胃虚寒型胃脘痛患者的病历资料,根据入院时间分为观察组与对照组。观察组采用子午流注理论下辰时(7:00—9:00)中药膏摩(中脘双侧、天枢、关元)进行治疗,1次/d,连续7 d为1个疗程。对照组采取非辰时进行中药膏摩。比较两组患者干预前后治疗效果及中医证候评分。结果:观察组患者干预后的中医症状评分低于对照组,生活质量评分高于对照组,差异均有统计学意义(P <0.05)。结论:采用子午流注理论下辰时中药膏摩干预方案可以降低患者的临床症状,改善中医证候。
关键词:  胃脘痛  脾胃虚寒  中药膏摩  子午流注  辰时
DOI:10.3969/j.issn.1007-6948.2025.03.016
投稿时间:2025-04-01
基金项目:
Observation on the clinical efficacy of traditional Chinese medicine ointment massage at Chen time for patients with spleen and stomach deficiency cold type
GAO Wei,JIANG Meng
Tianjin Nankai Hospital300100,China
Abstract:
Objective To explore the clinical effect of timed traditional Chinese medicine (TCM) ointment massage based on the theory of Ziwu Liuzhu on patients with stomachache due to spleen and stomach deficiency cold type, and to analyze and compare the therapeutic effects of TCM ointment massage at Chen time (7:00—9:00) and non-Chen time. Methods A retrospective analysis was conducted on the medical records of 60 patients with stomachache due to spleen and stomach cold deficiency admitted to the Department of Gastroenterology of our hospital from January 2024 to December 2024. The patients were divided into the Chen time group (7:00—9:00) and the non-Chen time group based on the actual treatment time. The Chen time group received TCM ointment massage at Chen time (7:00—9:00) on Zhongwan, bilateral Tianshu,and Guanyuan acupoints, once a day for 7 consecutive days as one course of treatment. The non-Chen time group received TCM ointment massage at non-Chen time. The therapeutic effects and TCM syndrome scores of the two groups before and after intervention were compared. Results The TCM symptom scores of the Chen time group were lower than those of the non-Chen time group after intervention,and the prognosis of the Chen time group was better than that of the non-Chen time group (P <0.05). Conclusion The intervention plan of timed TCM ointment massage based on the theory of Ziwu Liuzhu (at Chen time) has a better effect on reducing clinical symptoms and improving TCM syndromes than the conventional TCM ointment massage group.
Key words:  Stomachache  spleen and stomach deficiency cold type  TCM ointment massage  Ziwu Liuzhu  Chen time

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