火龙罐疗法联合药物治疗强直性脊柱炎肾虚督寒证的疗效观察
Observation of the Efficacy of Dragon Pot Therapy Combined with Drug Treatment for Ankylosing Spondylitis Kidney Deficiency and Cold Syndrome
摘要: 目的：观察火龙罐疗法联合药物治疗强直性脊柱炎肾虚督寒证的临床效果。方法：收集2023年9月~2024年9月就诊于黑龙江省中医医院风湿病科门诊及住院的64例强直性脊柱炎肾虚督寒证患者作为研究对象，随机分为火龙罐组与常规组，每组32例患者。常规组予柳氮磺吡啶联合塞来昔布用药，火龙罐组则为在常规组治疗的基础上予以火龙罐治法，均同时治疗4周。火龙罐隔日一行，每周治疗3次，一共12次。两组的中医证候积分、中医症状、炎症相关指标、总体功能、临床疗效以及发生不良反应的情况进行对比。结果：两组在治疗4周后，两组中医症状积分、BASDAI评分、BASFI评分、CRP (mg/L)值、ESR (mm/h)值均降低(P < 0.05)，且火龙罐组低于对照组(P < 0.05)，火龙罐组临床疗效值均高于对照组(P < 0.05)，两组均未发现不良反应。结论：火龙罐疗法联合药物可提高AS肾虚督寒证临床疗效，缓解患者症状，减轻炎症反应，有利预后治疗。
Abstract: Objective: To observe the clinical effect of dragon pot therapy combined with drug therapy in the treatment of ankylosing spondylitis with kidney deficiency and cold syndrome. Methods: A total of 64 patients with ankylosing spondylitis kidney deficiency and cold syndrome who were admitted to the Department of Rheumatology of Heilongjiang Provincial Hospital of Traditional Chinese Medicine from September 2023 to September 2024 were randomly divided into the Fire Dragon tank group and the conventional group, with 32 patients in each group. The conventional group was treated with sulfasalazine combined with celecoxib, and the dragon tank group was treated with the dragon tank based on the conventional group, both of which were treated simultaneously for 4 weeks. The dragon jar is a group every other day, and the treatment is 3 times a week, 12 times. The TCM syndrome scores, TCM symptoms, inflammation-related indicators, overall function, clinical efficacy, and adverse reactions of the two groups were compared. Results: At 4 weeks after treatment, the TCM symptom score, BASDAI score, BASFI score, CRP (mg/L) value and ESR (mm/h) value of the two groups were decreased (P < 0.05), and the fire dragon tank group was lower than the control group (P < 0.05), and the clinical efficacy value of the fire dragon tank group was higher than that of the control group (P < 0.05), and no adverse reactions were found in the two groups. Conclusion: The combination of fire dragon tank therapy can improve the clinical efficacy of AS kidney deficiency and cold syndrome, alleviate patients’ symptoms, reduce inflammatory reactions, and facilitate prognostic treatment.
文章引用：赵佳辉, 刘立天. 火龙罐疗法联合药物治疗强直性脊柱炎肾虚督寒证的疗效观察[J]. 中医学, 2025, 14(10): 4249-4255. https://doi.org/10.12677/tcm.2025.1410616

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