摘要
[目的]观察黄连阿胶汤结合耳穴压豆治疗失眠(阴虚火旺)疗效。[方法]使用前瞻性设计方法,对60例门诊患者使用黄连阿胶汤结合耳穴压豆,黄连阿胶汤(黄连、黄芩各10g,白芍30g,阿胶烊化10g,鸡子黄冲服1枚);性情急躁、烦躁易怒加郁金、合欢、香附各15g;阳升面热、两颧潮红、头晕、耳鸣加龟板先煎、龙骨先煎各25g、磁石先煎15g;心烦胸闷,呕恶不舒,苔见黄腻加胆南星、半夏各15g,陈皮10g,竹茹15g;伴心悸便秘加柏子仁15g,酸枣仁捣碎,先煎25g;心神不安、善惊易恐加龙齿煅,先煎、珍珠母先煎、茯神各30g,远志15g;肢倦神疲纳呆加黄芪30g,白术15g,党参10g,木香7g。煎服方法:黄芩、黄连、白芍等正常煎煮,阿胶烊化,取等量黄酒放入阿胶中浸泡12h,再加入少许清水在锅中蒸30min,后放凉呈皮冻样,待喝汤药时,趁汤药热时把阿胶放进去,烊化在里面,等到温热时把鸡子黄放入汤药里面搅匀同服。耳穴压豆,主穴:双侧安眠穴;配穴:双侧神门,双侧心、肝、肾、皮质下,耳廓常规消毒,将生王不留行籽置于0.5cm2胶布中心位置贴于上述耳穴,每穴每日按压6次,3min/次,每3d换一次王不留行贴。连续治疗30d为1疗程。观测临床表现、伴随症状(烦躁易怒、颧红、头晕、耳鸣、胸闷恶心、便秘、善惊易恐、神疲纳呆、心悸)、不良反应。治疗1疗程(30d),判定疗效。[结果]治疗组痊愈38例,好转20例,无效2例,总有效率96.67%(58/60)。烦躁易怒、颧红、头晕、耳鸣、胸闷恶心、便秘、善惊易恐、神疲纳呆明显与治疗前比较明显减少(P<0.05,P<0.01),心悸与治疗前比较无明显减少(P>0.05)。[结论]黄连阿胶汤结合耳穴压豆治疗失眠(阴虚火旺),疗效满意,无严重不良反应,值得推广。
[Objective] To observe the effect of Huanglian Ejiao decoction combined with ear acupoint pressing beans on insomnia(Yin deficiency and fire exuberance). [Method] A prospective method was used to Treat 60 outpatients with Huanglian Ejiao decoction combined with ear point pressing beans, Huanglian Ejiao decoction(10 g for Coptis chinensis and Baishao, 30 g for Baishao, 10 g for Ejiao closure, and 1 for Chicken Huang). They were irritable, irritable and irritable with tulips, acacia, acacia, 15 g for each;Yangshengmian fever, red cheeks, dizziness and ears. Mingjia tortoise plate, keel and magnet were decocted 25 g and 15 g respectively;distressed chest, nausea, moss, yellow greasy with Dannanxing, Pinellia ternata 15 g, orange peel 10 g, Zhuru 15 g;with palpitation and constipation, Jiabaiziren 15 g, sour jujube seed smashed with 25 g first;nervous, fearful and easily calcined dragon’s teeth first, mother-of-pearl first decocted, Fushen 30 g,respectively. Yuanzhi 15 g;limb fatigue and mental fatigue plus Astragalus 30 g, Atractylodes macrocephala15 g, Codonopsis pilosula 10 g, Muxiang 7 g. Decoction methods: Scutellaria baicalensis, Coptis chinensis,Paeonia lactiflora and other normal decoction, the closure of the gelatin, take the same amount of yellow rice wine into the gelatin, soak for 12 hours, add a little water in the pot steaming for 30 minutes, then cool the skin frozen sample, when drinking soup medicine, take advantage of the heat of the gelatin into the soup,dissolve in it, and when warm, stir the chicken yellow into the soup medicine. Uniform clothing. Auricular acupoint pressing beans, main acupoint: bilateral sleeping acupoints;matching acupoints: bilateral shenmen,bilateral heart, liver, kidney, subcortical, auricle routine disinfection, will be placed in the center of 0.5 cm2 adhesive tape on the above ear acupoints, each acupoint pressing 6 times a day, 3 minutes per time, every3 days to change Wangbuxing paste. Continuous treatment for 30 days is a course of treatment. Clinical manifestations,
作者
邰阳升
TAI Yangsheng(Department of Traditional Chinese Medicine,Haicheng Hospital of Traditional Chinese Medicine,Haicheng114200,Liaoning,China)
出处
《实用中医内科杂志》
2018年第12期14-17,共4页
Journal of Practical Traditional Chinese Internal Medicine
关键词
失眠
阴虚火旺
黄连阿胶汤
耳穴压豆
伴随症状
中药复方
insomnia
Yin deficiency and Fire prosperity(阴虚火旺)
Huanglians Ejiao decoction(黄连阿胶汤)
ear point pressure beans
accompanied symptoms
traditional Chinese medicine compound prescription
