基于子午流注理论的雷火灸对消渴病痹症的临床疗效

doi:10.3760/cma.j.cn441417-20241122-11029

国际医药卫生导报 ›› 2025, Vol. 31 ›› Issue (11): 1916-1920.DOI: 10.3760/cma.j.cn441417-20241122-11029

基于子午流注理论的雷火灸对消渴病痹症的临床疗效

陈赟祁艳焕毛佳慧钟印芹王雨琪周凤鸣

广州中医药大学深圳医院（福田）内分泌科，深圳 518034

收稿日期:2024-11-22 出版日期:2025-06-01 发布日期:2025-06-15
通讯作者: 钟印芹，Email：641296484@qq.com
基金资助:
深圳市福田区卫生健康系统科研项目（FTWS2022038）；广东省中医药局科研项目（20211338）

Clinical efficacy of thunder-fire moxibustion based on the Ziwuliuzhu theory on diabetes arthralgia

Chen Yun, Qi Yanhuan, Mao Jiahui, Zhong Yinqin, Wang Yuqi, Zhou Fengming

Department of Endocrinology, Shenzhen Hospital of Guangzhou University of Chinese Medicine (Futian), Shenzhen 518034, China

Received:2024-11-22 Online:2025-06-01 Published:2025-06-15
Contact: Zhong Yinqin, Email: 641296484@qq.com
Supported by:
Shenzhen Futian District Health System Research Project (FTWS2022038); Scientific Research Project of Guangdong Provincial Bureau of Traditional Chinese Medicine (20211338)

摘要/Abstract

摘要：

目的　观察子午流注理论指导下的雷火灸治疗消渴病痹症的临床效果。方法　本研究为随机对照试验。选取2023年1月至2024年6月在广州中医药大学深圳医院（福田）内分泌科住院的消渴病痹症患者210例，按随机数字表法分为对照组和治疗组各105例。治疗组男47例，女58例；年龄49（36，59）岁，病程10.0（7.5，15.5）年。对照组男51例，女54例；年龄49（35，59）岁，病程10.0（8.0，15.5）年。对照组接受常规雷火灸治疗，治疗组在对照组基础上采用子午流注理论指导下的时辰和穴位选择。每次灸疗30 min，每日1次，共治疗2周。比较两组治疗前后中医症候积分、视觉模拟评分法（VAS）评分、糖尿病特异性生存质量量表（DSQL）评分。采用配对设计的符号秩和检验（Wilcoxon检验）、两独立样本秩和检验（Mann-WhitneyU检验）、χ2检验进行统计学分析。结果　治疗2周后，治疗组中医症候积分、VAS评分、DSQL评分均低于对照组［5.0（3.0，7.5）分比6.0（3.5，10.5）分、0（0，2）分比1（0，2）分、42.0（39.0，47.0）分比47.0（39.5，56.0）分］（均P<0.05）。结论　子午流注理论指导下雷火灸治疗消渴病痹症患者能有效降低中医症候积分，缓解疼痛，提高生存质量。

关键词:

子午流注, 雷火灸, 消渴病痹症, 糖尿病周围神经病变, 中医护理学

Abstract:

Objective　To observe the clinical effect of thunder-fire moxibustion under the guidance of Ziwuliuzhu theory in the treatment of diabetes arthralgia. Methods　This study was a randomized controlled trial. A total of 210 patients with diabetes arthralgia who were hospitalized in the Department of Endocrinology of Shenzhen Hospital of Guangzhou University of Chinese Medicine (Futian) from January 2023 to June 2024 were selected and were divided into a control group and a treatment group, with 105 cases in each group, according to the random number table method. In the treatment group, there were 47 males and 58 females, the age was 49 (36,59) years old, and the disease duration was 10.0 (7.5, 15.5) years. In the control group, there were 51 males and 54 females, the age was 49 (35,59) years old, and the disease duration was 10.0 (8.0, 15.5) years. The control group received conventional thunder-fire moxibustion, and the treatment group adopted the selection of time and acupoints under the guidance of Ziwuliuzhu theory on the basis of the control group. Each moxibustion lasted for 30 minutes, once a day, for a total of 2 weeks. The traditional Chinese medicine (TCM) syndrome scores, Visual Analogue Scale (VAS) scores, and Diabetes-Specific Quality of Life Scale (DSQL) scores were compared between the two groups before and after treatment. Statistical analysis was performed using the paired design signed rank sum test (Wilcoxon test), two independent sample rank sum test (Mann-Whitney U test), and χ² test. Results　After 2 weeks of treatment, the TCM syndrome score, VAS score, and DSQL score of the treatment group were all lower than those of the control group [5.0 (3.0, 7.5) points vs. 6.0 (3.5, 10.5) points, 0 (0, 2) points vs. 1 (0, 2) points, 42.0 (39.0, 47.0) points vs. 47.0 (39.5) 56.0) points] (all P<0.05). Conclusion　Thunder-fire moxibustion under the guidance of Ziwuliuzhu theory in the treatment of diabetes arthralgia patients can effectively reduce the TCM syndrome score, relieve the pain, and improve the quality of life.

Key words: Ziwuliuzhu, , Thunder-fire moxibustion, , Diabetes arthralgia, , Diabetic peripheral neuropathy, , Traditional Chinese medicine nursing

陈赟祁艳焕毛佳慧钟印芹王雨琪周凤鸣. 基于子午流注理论的雷火灸对消渴病痹症的临床疗效 [J]. 国际医药卫生导报, 2025, 31(11): 1916-1920.

Chen Yun, Qi Yanhuan, Mao Jiahui, Zhong Yinqin, Wang Yuqi, Zhou Fengming.

Clinical efficacy of thunder-fire moxibustion based on the Ziwuliuzhu theory on diabetes arthralgia [J]. International Medicine and Health Guidance News, 2025, 31(11): 1916-1920.

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基于子午流注理论的雷火灸对消渴病痹症的临床疗效

Clinical efficacy of thunder-fire moxibustion based on the Ziwuliuzhu theory on diabetes arthralgia

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