Clinical Observation on the Fire Needling Combined with Zishen Qinggan Decoction in the Treatment of Herpes Zoster with Heat Stagnation in the Liver Channel Syndrome
10.13359/j.cnki.gzxbtcm.2024.07.023
- VernacularTitle:火针联合滋肾清肝汤治疗肝经郁热证带状疱疹的临床观察
- Author:
Zhi-Hui YAN
1
;
Yu WANG
;
Peng-Fei YUAN
;
Miao LI
Author Information
1. 承德市中医院针灸科,河北承德 067000
- Keywords:
fire needling;
acupuncture;
Zishen Qinggan Decoction;
humoral immunity;
pain mediators;
herpes zoster;
clinical observation
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2024;41(7):1812-1819
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical efficacy of fire needling combined with Zishen Qinggan Decoction in the treatment of herpes zoster with heat stagnation in the liver channel syndrome.Methods Sixty patients with herpes zoster of heat stagnation in the liver channel type were randomly divided into observation group and control group,30 cases in each group.The control group was treated with fire needling into herpes,and the observation group was treated with Zishen Qinggan Decoction on the basis of the control group.Both groups were treated for four weeks.After one month of treatment,the clinical efficacy of the two groups was evaluated.The regression time of clinical symptoms after treatment in the two groups was observed,including the stop of herpes(the time when no new blister appeared),the complete regression of herpes(the time from the appearance of herpes to the complete regression),the disappearance of pain(the time from the onset of pain to the beginning of relief),scab formation(the time from herpes treatment to scab formation),and decrustation(the time from scab formation to decrustation).The changes of Visual Analogue Scale(VAS)of pain score,substance P(SP),prostaglandin E2(PGE2)and β-endorphin(β-EP),as well as immunoglobulin A(IgA),immunoglobulin G(IgG)and immunoglobulin M(IgM)were compared between the two groups before and after treatment.The safety and adverse reactions of the two groups were evaluated.Results(1)The total effective rate was 96.67%(29/30)in the observation group and 80.00%(24/30)in the control group.The curative effect of the observation group was superior to that of the control group,and the difference was statistically significant(P＜0.05).(2)After treatment,the herpes stopping time,herpes complete regression time,pain disappearance time,scab formation time and scab removal time in the observation group were significantly superior to those in the control group,and the differences were statistically significant(P＜0.05).(3)After treatment,the levels of SP,PGE2 and β-EP in the two groups were significantly improved(P＜0.05),and the improvement of SP,PGE2 and β-EP in the observation group was significantly superior to that in the control group(P＜0.05).(4)After treatment,the VAS scores of the two groups were significantly improved(P＜0.05),and the improvement of VAS score in the observation group was significantly superior to that in the control group,the difference was statistically significant(P＜0.05).(5)After treatment,the levels of IgA,IgG and IgM in the two groups were significantly improved(P＜0.05),and the improvement in the levels of IgA,IgG and IgM in the observation group was superior to that in the control group,the difference being significant(P＜0.05).(6)The incidence of adverse reactions in the observation group was 10.00%(3/30),the control group was 6.67%(2/30).There was no significant difference in the incidence of adverse reactions between the observation group and the control group(P＞0.05).Conclusion Fire needling combined with Zishen Qinggan Decoction in the treatment of herpes zoster with heat stagnation in the liver channel syndrome can significantly shorten the regression time of clinical symptoms and reduce the pain symptoms of patients.The curative effect is significant and the safety is high.
