基于“内病外治，殊途同归”理论对肺脾气虚型哮喘发泡疗法的临床疗效观察

Observation on the Clinical Effect of Foaming Therapy for Asthma with Deficiency of Lung and Spleen Qi Based on the Theory of “External Treatment of Internal Diseases and the Same Destination by Different Ways”

摘要: 目的：基于“内病外治，殊途同归”理论，观察白芥子散发泡疗法治疗肺脾气虚型哮喘的临床疗效与安全性。方法：将72例肺脾气虚型慢性持续期哮喘患者随机分为治疗组与对照组各36例。两组均予西医常规治疗，对照组加用白芥子散穴位贴敷，治疗组加用白芥子散发泡疗法，疗程均为4周。比较两组治疗前后中医证候积分、肺功能(FEV1、FVC、FEV1/FVC)、哮喘发作频率及临床疗效，观察不良反应。结果：治疗组总有效率为94.44%，显著高于对照组77.78% (P < 0.05)；治疗后两组中医证候积分均下降，且治疗组低于对照组(P < 0.05)；两组肺功能均改善，治疗组改善更显著(P < 0.05)；治疗组哮喘发作频率明显低于对照组(P < 0.05)；两组均未见严重不良反应。结论：在西医常规治疗基础上联合白芥子散发泡疗法，可显著改善肺脾气虚型哮喘患者临床症状，提高肺功能，减少发作次数，疗效优于常规穴位贴敷，体现了中医“内病外治、殊途同归”的诊疗优势，安全可行，值得临床推广。

Abstract: Objective: Based on the theory of “external treatment of internal diseases and the same destination by different routes”, the clinical efficacy and safety of white mustard seed powder foaming therapy in the treatment of asthma with lung and spleen qi deficiency were observed. Methods: 72 patients with chronic asthma of lung-spleen deficiency type were randomly divided into treatment group and control group with 36 cases each. Both groups were treated with conventional western medicine. The control group was treated with acupoint application of white mustard powder acupoint application, and the treatment group was treated with white mustard seed powder foaming therapy. The course of treatment was 4 weeks. The TCM syndrome score, pulmonary function (FEV1, FVC, FEV1/FVC), asthma attack and clinical efficacy were compared before and after treatment, and adverse reactions were observed. Results: The total effective rate of the treatment group was 94.44%, which was significantly higher than that of the control group (77.78%) (P < 0.05); After treatment, the TCM syndrome scores of the two groups decreased, and the treatment group was lower than the control group (P < 0.05); pulmonary function was improved in both groups, especially in the treatment group (P < 0.05); the asthma attack in the treatment group was significantly lower than that in the control group (P < 0.05); There were no serious adverse reactions in both groups. Conclusion: On the basis of conventional western medicine treatment combined with white mustard seed powder foaming therapy, it can significantly improve the clinical symptoms of asthma patients with deficiency of lung and spleen qi, improve lung function and attack, and the curative effect is superior to conventional acupoint application. It reflects the diagnosis and treatment advantages of “internal disease and external treatment, different routes to the same goal” in traditional Chinese medicine. It is safe and feasible, and worthy of clinical promotion.