赤凤迎源齐刺法治疗风寒湿痹型颞下颌关节紊乱病的临床疗效

Clinical Efficacy of Chifeng Yingyuan and Cluster Needling Method in Treating Temporomandibular Disorders of Wind-Cold-Dampness Obstruction Type

摘要: 目的：对比赤凤迎源齐刺法与普通针刺治疗风寒湿痹型颞下颌关节紊乱病的临床疗效。方法：纳入2025年9月至3月就诊于黑龙江中医药大学附属第一医院60例颞下颌关节紊乱病患者，采用随机对照方法分为对照组和观察组，每组30例。分别给予普通针刺和赤凤迎源齐刺治疗，观察两组治疗前后的VAS评分、PI指数评分及最大张口度(MMO)，对比两组临床治疗效果。结果：经4周治疗后，观察组患者VAS评分较对照组无明显差异(P > 0.05)、PI指数较对照组降低(P < 0.05)，MMO较对照组增大(P < 0.05)。讨论：对于风寒湿痹型颞下颌关节紊乱病，赤凤迎源齐刺法可有效缓解疼痛，减轻功能障碍，具有较高的临床疗效。

Abstract: Objective: To compare the clinical efficacy of Chifeng Yingyuan cluster needling versus conventional acupuncture in treating temporomandibular disorders (TMD) of wind-cold-dampness obstruction type. Methods: Sixty patients with TMD treated at the First Affiliated Hospital of Heilongjiang University of Chinese Medicine from September 2025 to March 2026 were enrolled and randomly divided into a control group (conventional acupuncture, n = 30) and an observation group (Chifeng Yingyuan cluster needling, n = 30). Visual analog scale (VAS) scores, pain index (PI) scores, and maximum mouth opening (MMO) were assessed before and after treatment to compare clinical outcomes. Results: After 4 weeks of treatment, there was no significant difference in the VAS scores between the observation group and the control group (P > 0.05). The PI in the observation group was lower than that in the control group (P < 0.05), and the MMO in the observation group was greater than that in the control group (P < 0.05). Conclusion: For TMD of wind-cold-dampness obstruction type, Chifeng Yingyuan cluster needling effectively alleviates pain, improves functional impairment, and demonstrates superior clinical efficacy.