摘要: 目的：观察自拟通下消炎方联合针灸治疗慢性胆囊炎(肝胆湿热证)的临床疗效。方法：将符合纳入标准的本病患者120例随机分为治疗A组、治疗B组、治疗C组和对照组，每组40例。对照组消炎利胆片治疗，治疗A组予以自拟通下消炎方，治疗B组予针灸，治疗C组予自拟通下消炎方联合针灸。治疗4周后观察4组疗效。结果：治疗效果：治疗4周后，治疗A组、治疗B组、治疗C组、对照组均有改善，P < 0.05(差异有统计学意义)；治疗后治疗组C组优于治疗A组、治疗B组、治疗C组、对照组，P < 0.05；治疗后治疗C组优于治疗A组，P < 0.05；治疗后治疗A组优于治疗B组，P < 0.05；治疗后治疗C组优于治疗B组，P < 0.05。中医症候积分：治疗4周后，治疗后治疗A组、治疗B组、治疗C组、对照组均有改善，P < 0.05；治疗后治疗组C组优于治疗A组、治疗B组、治疗C组优于对照组，P < 0.05；治疗后治疗C组优于治疗A组，P < 0.05；治疗后治疗A组未见明显优于治疗B组，P > 0.05(差异无统计学意义)；治疗后治疗C组优于治疗B组，P < 0.05。彩超影像疗效：治疗4周后，治疗后治疗A组、治疗B组、治疗C组、对照组均有改善，P < 0.05；治疗后治疗组C组优于治疗A组、治疗B组、治疗C组优于对照组，P < 0.05；治疗后治疗C组优于治疗A组，P < 0.05；治疗后治疗A组未见明显优于治疗B组，P > 0.05；治疗后治疗C组优于治疗B组，P < 0.05。结论: 自拟通下消炎方联合针灸治疗慢性胆囊炎(肝胆湿热型)可以改善患者症状，临床疗效高于单纯使用中药自拟通下消炎方、消炎利胆片、针灸，值得临床应用以及推广。
Abstract:
Objective: To observe the clinical efficacy of Tongxia Xiaoyan Recipe combined with acupuncture and moxibustion in the treatment of chronic cholecystitis (damp heat syndrome of liver and gallbladder). Method: 120 patients with this disease who met the inclusion criteria were randomly divided into treatment group A, treatment group B, treatment group C, and control group, with 40 cases in each group. The control group was treated with Xiaoyan Lidan Tablet, the treatment group A was given Tongxia Xiaoyan Prescription, the treatment group B was given acupuncture and mox-ibustion, and the treatment group C was given Tongxia Xiaoyan Prescription combined with acu-puncture and moxibustion. After 4 weeks of treatment, observe the therapeutic effects of 4 groups. Result: Treatment effect: After 4 weeks of treatment, treatment group A, treatment group B, treat-ment group C, and control group all improved, P < 0.05 (the difference was statistically significant); after treatment, the treatment group C was better than the treatment group A, B, C, and control groups, P < 0.05; After treatment, Group C was better than Group A, P < 0.05; after treatment, group A was better than group B in treatment, P < 0.05; after treatment, the treatment group C was better than the treatment group B, P < 0.05. Traditional Chinese Medicine Syndrome Score: After 4 weeks of treatment, the treatment groups A, B, C, and control showed improvement (P < 0.05); after treatment, the treatment group C was better than the treatment group A, B, and C, with P < 0.05; after treatment, Group C was better than Group A, P < 0.05; After treatment, group A showed no significant improvement compared to group B, P > 0.05 (no statistically significant difference); after treatment, the treatment group C was better than the treatment group B, P < 0.05. Evaluation of color Doppler ultrasound imaging efficacy: After 4 weeks of treatment, treatment group A, treat-ment group B, treatment group C, and control group all improved, P < 0.05; after treatment, the treatment group C was better than the treatment group A, B, and C, with P < 0.05; After treatment, Group C was better than Group A, P < 0.05; after treatment, group A showed no significant im-provement compared to group B, P > 0.05; after treatment, the treatment group C was better than the treatment group B, P < 0.05. Conclusion: The self-made Tongxia Xiaoyan Recipe combined with acupuncture and moxibustion can improve the symptoms of patients with chronic cholecystitis (hepatobiliary damp heat type), and its clinical efficacy is higher than that of the self-made Tongxia Xiaoyan Recipe, Xiaoyan Lidan Tablets, and acupuncture and moxibustion, which are worth clinical application and promotion.