太冲透刺涌泉对肝阳上亢型偏头痛的影响

The Effect of Taichong Penetrating Yongquan on Migraine of Liver Yang Hyperactivity Type

摘要: 目的：探讨太冲透刺涌泉治疗肝阳上亢型偏头痛的效果及机制。方法：本试验60例诊断为肝阳上亢型偏头痛患者选于2023年2月至2024年2月在本院就诊的患者，根据随机数字表法分为2组，各30例。对照组参照“十四五”规划教材《针灸学》取穴；观察组以对照组取穴为基础，选取涌泉穴，给予太冲透刺涌泉针法。分别观察两组治疗前、后的偏头痛综合量化评分、中医证候积分、VAS疼痛评分，及对比两组的临床疗效。结果：两组治疗前的一般资料差异无统计学意义(P > 0.05)；治疗后的各项观察指标积分与治疗前相比均有减小，观察组的临床疗效改善更加显著，观察组的各积分均低于对照组，以上差异均有统计学意义(P < 0.05)。结论：太冲透刺涌泉治疗肝阳上亢型偏头痛效果优于常规针刺。

Abstract: Objective: To explore the effect and mechanism of Taichong penetrating Yongquan in the treatment of migraine with hyperactivity of liver yang. Methods: 60 patients with migraine diagnosed as hyperactivity of liver yang were selected from February 2023 to February 2024 in our hospital. According to the random number table method, they were divided into two groups, 30 cases in each group. The control group referred to the “14th Five-Year Plan” textbook “Acupuncture” to select acupoints; on the basis of acupoint selection in the control group, the observation group selected Yongquan acupoint and gave Taichong penetration acupuncture. The migraine comprehensive quantitative score, TCM syndrome score and VAS pain score of the two groups before and after treatment were observed, and the clinical efficacy of the two groups was compared. Results: There was no significant difference in general data between the two groups before treatment (P > 0.05); The scores of each observation index after treatment were lower than those before treatment, and the clinical efficacy of the observation group was more significant. The scores of the observation group were lower than those of the control group, and the above differences were statistically significant (P < 0.05). Conclusion: The effect of Taichong penetrating Yongquan in the treatment of migraine with hyperactivity of liver yang is better than that of conventional acupuncture.