子午流注纳甲法针刺治疗原发性三叉神经痛的临床观察
Clinical Observation on Acupuncture Treatment of Primary Trigeminal Neuralgia by the Midnight-Noon Ebb-Flow Na-Jia Method
摘要: 目的：观察子午流注纳甲法针刺对原发性三叉神经痛(PTN)患者疼痛发作和焦虑状态的影响。方法：将60例PTN患者随机分为对照组与观察组各30例。观察组给予子午流注纳甲法取穴针刺治疗，对照组给予常规针刺治疗，比较两组的临床疗效以及治疗前后两组患者模拟疼痛积分(VAS)、发作次数、心理焦虑状态(HAMA)的变化。结果：治疗后，观察组总有效率(86.67％)显著高于对照组(66.67％)；两组患者视觉模拟疼痛评分(VAS)、发作次数均降低，且观察组VAS评分、发作次数均低于对照组(P < 0.05)；两组患者心理焦虑状态积分(HAMA)均降低，且观察组积分低于对照组(P < 0.05)。结论：子午流注纳甲法取穴治疗三叉神经痛临床效果显著，可有效缓解三叉神经痛，改善患者心理焦虑状态。
Abstract: Objective: To observe the influence of acupuncture by the Midnight-Noon Ebb-Flow Na-Jia method in Traditional Chinese Medicine on the pain attacks and anxiety state of patients with Primary Trigeminal Neuralgia (PTN). Methods: Sixty patients with PTN were randomly divided into a control group and an observation group, with 30 patients in each group. The observation group was treated with acupuncture at acupoints selected by the Midnight-Noon Ebb-Flow Na-Jia method, while the control group was treated with conventional acupuncture. The clinical efficacy of the two groups was compared, as well as the changes in the Visual Analogue Scale (VAS) scores for pain, the number of pain attacks, and the Hamilton Anxiety Rating Scale (HAMA) scores for anxiety state before and after treatment between the two groups. Results: After treatment, the total effective rate of the observation group (86.67%) was significantly higher than that of the control group (66.67%). The VAS scores for pain and the number of pain attacks in both groups decreased, and the VAS scores and the number of pain attacks in the observation group were lower than those in the control group (P < 0.05). The HAMA scores for anxiety state in both groups decreased, and the scores in the observation group were lower than those in the control group (P < 0.05). Conclusion: Acupuncture at acupoints selected by the Midnight-Noon Ebb-Flow Na-Jia method has a remarkable clinical effect in the treatment of trigeminal neuralgia. It can effectively relieve trigeminal neuralgia and improve the anxiety state of patients.
文章引用：刘川, 尚艳杰, 卢雨. 子午流注纳甲法针刺治疗原发性三叉神经痛的临床观察[J]. 中医学, 2025, 14(7): 3051-3057. https://doi.org/10.12677/tcm.2025.147450

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