“扶正通窍”火龙罐综合灸联合导引术干预肺脾气虚型鼻鼽患者的临床研究

Clinical Study on the Intervention of “Fuzheng Tongqiao” Huolong Cupping Comprehensive Moxibustion Combined with Daoyin Exercise in Patients with Allergic Rhinitis of Lung-Spleen Qi Deficiency Pattern

摘要: 目的：探讨扶正通窍火龙罐综合灸联合导引术对肺脾气虚型鼻鼽患者的干预效果。方法：采用便利抽样法，选取2023年11月~2025年12月在广西壮族自治区某三级甲等医院耳鼻喉科收治的60例肺脾气虚型鼻鼽患者，通过随机数字表法将其划分为对照组与观察组，各30例。两组均给予常规西药治疗(糠酸莫米松鼻喷雾剂、氯雷他定片)；观察组在对照组基础上采用火龙罐综合灸联合导引术治疗。分别于干预前、干预2周、干预结束后1个月，对比两组患者的鼻气道阻力、鼻部症状评分(TNSS)、鼻部伴随症状评分(TNNSS)、鼻结膜炎生活质量问卷评分(RQLQ)及临床疗效，并记录两组不良反应发生情况。结果：干预后，观察组鼻气道阻力显著低于对照组(P < 0.05)；重复测量方差分析结果显示，观察组TNSS、TNNSS及RQLQ得分均低于对照组(P < 0.05)，且时间效应、组间效应及交互效应均具有统计学意义(P < 0.05)，两组均未出现相关不良反应。结论：扶正通窍火龙罐综合灸联合导引术用于肺脾气虚型鼻鼽患者的治疗，可有效改善其鼻阻力、鼻部症状及伴随症状，提升生活质量，疗效确切且安全性良好，可为临床治疗和教学提供参考。

Abstract: Objective: To explore the intervention effect of Fuzheng Tongqiao fire-dragon jar comprehensive moxibustion combined with Daoyin therapy on patients with nasosinus disease of lung-spleen qi deficiency type. Methods: A total of 60 patients with lung-spleen qi deficiency type allergic rhinitis admitted to the ENT Department of a tertiary Grade A hospital in Guangxi Zhuang Autonomous Region from May 2023 to December 2025 were enrolled by convenience sampling method. All subjects were randomly divided into the control group and the observation group with 30 cases in each group. Both groups received conventional western medicine treatment, including mometasone furoate nasal spray and loratadine tablets. On the basis of conventional treatment, the observation group was additionally treated with fire dragon jar comprehensive moxibustion combined with Daoyin therapy. Nasal airway resistance, Total Nasal Symptom Score (TNSS), Total Non-Nasal Symptom Score (TNNSS), Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) scores and clinical efficacy were compared between the two groups before intervention, at 2 weeks of intervention and 1 month after intervention. Meanwhile, the incidence of adverse reactions in the two groups was recorded. Results After intervention, the nasal airway resistance in the observation group was significantly lower than that in the control group (P < 0.05). Repeated measures analysis of variance showed that the scores of TNSS, TNNSS and RQLQ in the observation group were lower than those in the control group (P < 0.05). The time effect, inter-group effect and interaction effect were all statistically significant (P < 0.05). No related adverse reactions occurred in either group. Conclusion: For patients with lung-spleen qi deficiency type allergic rhinitis, the combined application of Fuzheng Tongqiao fire dragon jar comprehensive moxibustion and Daoyin therapy can effectively ameliorate nasal resistance, nasal symptoms and accompanying symptoms, and improve patients’ quality of life. It has definite curative effect and high safety, which can provide references for clinical treatment and professional teaching.