扶阳罐循经温推法对阳虚寒凝型糖尿病周围神经病变下肢症状的效果观察

Observation of the Effect of Fuyang Tank by Temperature Pushing Method on the Symptoms of Lower Limb Symptoms of Yang Deficiency and Cold Coagulation Diabetic Peripheral Neuropathy

摘要: 目的：观察扶阳罐循经温推干预阳虚寒凝型糖尿病周围神经病变下肢症状的疗效，为扶阳罐循经温推法的临床运用提供证据。方法：将符合纳入标准的32例患者随机分为对照组和实验组，每组各16例，两组均接受常规治疗和护理，实验组在此基础上给予扶阳罐循经温推治疗。12周后评价两组患者的下肢症状改善情况。结果：治疗后，两组患者TCSS评分均较治疗前低(P < 0.01)，两组患者的神经症状、感觉功能检查积分均为治疗后小于治疗前，且实验组的积分小于对照组，实验组总有效率大于对照组(P < 0.05)。结论：扶阳罐循经温推法能有效的减轻下肢疼痛、麻木、感觉异常等症状，提高患者的日常生活能力，属于安全有效的中医外治方法之一，值得推广和运用。

Abstract: Objective: To observe the efficacy of Fuyang jar in the lower limb symptoms of peripheral neuropathy of yang deficiency and cold coagulation, and to provide evidence for the clinical application of Fuyang jar by meridian temperature push. Methods: A total of 32 patients with peripheral neuropathy symptoms who met the inclusion criteria were randomly divided into control group and experimental group, with 16 cases in each group, and both groups received treatment and nursing for diabetic neuropathy. Improvement in lower extremity symptoms was assessed after 12 weeks. Results: the TCSS scores of both groups were lower than those before treatment (P < 0.01), the scores of neurological symptoms and sensory function tests in both groups were lower than those before treatment, and the scores of the experimental group were smaller than those of the control group, and the total effective rate of the experimental group was greater than that of the control group (P < 0.05). Conclusion: Fuyang jar can effectively reduce the symptoms of lower limb pain, numbness, paresthesia and improve patients’ daily life ability, which is one of the safe and effective external treatment methods of traditional Chinese medicine, and is worth promoting and using.