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慢性胃炎临床治疗中针灸的效果及对临床症状缓解情况分析
袁会芝，北京和通世嘉中医门诊部,北京,100093
中外临床医学 , DOI: 10.12479/questpress-zwlcyx.20250217
Abstract: 目的 探究在慢性胃炎的治疗中，予以针灸治疗对改善患者临床症状所发挥的积极价值。方法 于2023 年8 月—2025 年8 月时间内开展本次分析，针对慢性胃炎患者进行治疗研究，患者对象来源于我院确诊并治疗的患者，共计纳入组内66 例。划分不同治疗组，组名是研究组和对照组，例数一致。对照组口服中成药治疗，研究组采用口服中成药结合针灸治疗方案，为期治疗共2 周。在治疗后，统计疗效数据、症状好转时间、并发症及半年内复发率四项指标数据，获取数据后进行对比。结果 ①疗效数据，以研究组总有效率数据96.96% 为记录，相较于对照组的总有效率数据75.76%，研究组疗效好，数据呈差异对比，P<0.05；②研究组各项症状好转明显少于对照组，P<0.05；③不良反应，获取研究组不良反应发生率为9.09%，明显低于对照组27.27%，差异存在统计学意义。④ 3 个月后，研究组复发1例，对照组复发7例，研究组复发率低，P<0.05。结论 在慢性胃炎的治疗中，中医针灸治疗对策可改善患者临床症状，减少不良反应与复发率，临床疗效好，值得推广。
百癣夏塔热胶囊联合枸地氯雷他定治疗慢性荨麻疹的临床研究
- , 2018, DOI: 10.7501/j.issn.1674-5515.2018.03.030
Abstract: 目的 观察百癣夏塔热胶囊联合枸地氯雷他定治疗慢性荨麻疹的临床疗效。方法 选取2015年10月―2017年5月东莞市茶山医院收治的慢性荨麻疹患者84例，随机分为对照组和治疗组，每组各42例。对照组口服枸地氯雷他定片，1片/次，1次/d。治疗组在对照组治疗基础上口服百癣夏塔热胶囊，35~45 kg者，2粒/次，2次/d；45 kg及以上者，2粒/次，3次/d。两组患者均连续治疗4周。观察两组的临床疗效，比较两组治疗前后症状积分、血清学指标和免疫功能的变化情况。对两组进行3个月的随访，观察复发情况。结果 治疗后，对照组和治疗组的总有效率分别为71.43%、90.48%，两组比较差异有统计学意义（P < 0.05）。治疗后，两组皮肤瘙痒积分、风团直径积分、风团数目积分、免疫球蛋白E（IgE）、白细胞介素-4（IL-4）、IL-18、IL-33、CD8+均显著降低，干扰素-γ（IFN-γ）、CD4+、CD4+/CD8+明显上升，同组治疗前后比较差异有统计学意义（P < 0.05）；治疗后，治疗组皮肤瘙痒积分、风团直径积分、风团数目积分、IgE、IL-4、IL-18、IL-33、CD8+均低于对照组，IFN-γ、CD4+、CD4+/CD8+高于对照组，两组比较差异具有统计学意义（P < 0.05）。随访期间，对照组和治疗组的复发率分别为19.05%、2.38%，两组比较差异有统计学意义（P < 0.05）。结论 百癣夏塔热胶囊联合枸地氯雷他定治疗慢性荨麻疹具有较好的临床疗效，可改善患者症状和免疫状态，同时可有效降低复发率，具有一定的推广应用价值
竹沥胶囊联合双黄连注射液治疗急慢性咽喉炎的临床研究
- , 2017, DOI: 10.7501/j.issn.1674-5515.2017.07.019
Abstract: 目的 研究竹沥胶囊联合双黄连注射液治疗急慢性咽喉炎的临床疗效。方法 选取2015年1月―2016年12月在湖北医药学院附属东风医院就治的急慢性咽喉炎患者78例，随机分为对照组和治疗组，每组各39例。对照组患者静脉注射双黄连注射液，10～20 mL/次，1～2次/d。治疗组患者在对照组的基础上口服竹沥胶囊，4粒/次，3次/d。两组患者连续治疗14 d。评价治疗后两组患者临床疗效，同时比较治疗前后两组症状消失时间、血清IL-1、IL-6和TNF-α水平、咽炎症状评分以及不良反应和复发率改善情况。结果 治疗后，对照组总有效率为74.36%，显著低于治疗组的92.31%，两组比较差异具有统计学意义（P< 0.05）。治疗后，治疗组患者咽喉干痒、咽喉疼痛、黏膜充血及声音嘶哑消失时间均显著短于对照组患者，两组比较差异具有统计学意义（P< 0.05）。治疗后，治疗组患者血清IL-1、IL-6及TNF-α水平均显著下降（P< 0.05），且治疗后治疗组患者IL-1、IL-6和肿瘤坏死因子-α（TNF-α）水平明显低于对照组（P< 0.05）。治疗后，两组患者的咽炎症状积分均比治疗前有显著下降（P< 0.05）；且治疗组患者评分明显低于对照组（P< 0.05）。治疗后随访发现，治疗组患者的不良反应发生率和复发率分别为7.69%、2.56%，均显著低于对照组患者的17.95%、10.26%，两组比较差异具有统计学意义（P< 0.05）。结论 竹沥胶囊联合双黄连注射液治疗急慢性咽喉炎疗效优于单用双黄连注射液治疗，具有一定的临床推广应用价值
针灸治疗慢性萎缩性胃炎临床研究进展
Clinical Research Progress of Acupuncture in the Treatment of Chronic Atrophic Gastritis  [PDF]
项天玥
Traditional Chinese Medicine (TCM) , 2023, DOI: 10.12677/TCM.2023.1211505
Abstract: 慢性萎缩性胃炎作为胃癌前疾病，有癌变风险，但目前临床上西医治疗有时效性，且产生副作用及不良反应，尚不能满足治疗需要，针灸具有简、便、廉、验等的特点，且疗效安全可靠，方式多样，为治疗慢性萎缩性胃炎拓宽了思路。整理近五年针灸治疗CAG相关文献，从CAG的病因病机及辨证分型、针灸治疗CAG临床应用与动物实验研究进行综述，以期为今后相关研究提供参考。
As a precancerous disease of gastric cancer, chronic atrophic gastritis has the risk of canceration. However, the current clinical treatment of western medicine has timeliness, side effects and ad-verse reactions, which cannot meet the needs of treatment. Acupuncture and moxibustion have the characteristics of simplicity, convenience, cheapness and effectiveness, and the curative effect is safe and reliable, with various ways, which broadens the way of thinking for the treatment of chron-ic atrophic gastritis. The literature related to acupuncture and moxibustion treatment of CAG in re-cent five years was summarized from the aspects of etiology, pathogenesis, syndrome differentia-tion, clinical application of acupuncture and moxibustion treatment of CAG and animal experi-mental research, with a view to providing reference for future related research.
从胃泌素角度探讨针灸治疗慢性萎缩性胃炎的双向调节作用
Discussion from Gastrin on Bidirectional Regulating Effect of Acupuncture and Moxibustion on Chronic Atrophic Gastritis  [PDF]
李峰, 吴焕淦, 刘雅楠, 黎梅, 王晓梅
Traditional Chinese Medicine (TCM) , 2019, DOI: 10.12677/TCM.2019.85050
Abstract:
慢性萎缩性胃炎作为一种临床的常见疾病，与胃癌的发生密切相关，目前没有有效的治愈办法。近年来针灸治疗慢性萎缩性胃炎的临床研究有一定的进展，疗效也较为肯定，但其具体机制众说纷坛。本文从胃泌素的角度探讨针灸治疗慢性萎缩性胃炎的具体机制，发现针灸对胃泌素的双向调节作用可能是其治疗慢性萎缩性胃炎的机制之一，为临床研究提供新的思路。
Chronic atrophic gastritis is a common clinical disease, closely related to the occurrence of gastric cancer, and there is no effective cure at present. In recent years, acupuncture and moxibustion have made great progress in the clinical study on the treatment of chronic atrophic gastritis with satisfied clinical efficacy, but the mechanism is controversial. This article discussed the specific mechanism of acupuncture and moxibustion in treatment of chronic atrophic gastritis from gastrin. It was found that the bidirectional regulating effect of acupuncture and moxibustion on gastrin may be one of the mechanisms of acupuncture and moxibustion in treatment of chronic atrophic gastritis, providing a new idea for clinical research.
针灸改善慢性肾炎微炎症状态的研究进展
Research Progress on Acupuncture for Microinflammatory State in Chronic Glomerulonephritis  [PDF]
李梦航, 周晓萍
Advances in Clinical Medicine (ACM) , 2026, DOI: 10.12677/acm.2026.1652150
Abstract: 慢性肾小球肾炎(CGN)是慢性肾脏病(CKD)的重要病因之一，微炎症状态作为其持续进展的关键病理环节，日益受到临床关注。针灸疗法在改善慢性肾炎患者临床症状、延缓肾功能恶化方面显示出独特优势。本文系统综述了慢性肾炎微炎症状态的病理特征、主要炎症介质及临床意义，梳理了近年来针灸治疗慢性肾炎的临床研究进展，并从调节免疫炎症反应、改善肾脏微循环、调控神经–内分泌–免疫网络及抗氧化应激等多维度探讨针灸干预微炎症状态的可能机制，旨在为针灸辅助治疗慢性肾炎提供理论依据和临床参考。
Chronic glomerulonephritis (CGN) is one of the important causes of chronic kidney disease (CKD). Microinflammatory state, as a key pathological link in its continuous progression, has attracted increasing clinical attention. Acupuncture and moxibustion therapy has shown unique advantages in improving clinical symptoms and delaying renal function deterioration in chronic nephritis patients. This paper systematically reviewed the pathological characteristics, main inflammatory mediators and clinical significance of microinflammatory state in chronic glomerulonephritis, summarized the recent clinical research progress of acupuncture in treating chronic nephritis, and explored the possible mechanisms of acupuncture intervention in microinflammatory state from multiple dimensions including regulating immune-inflammatory response, improving renal microcirculation, regulating neuro-endocrine-immune network and anti-oxidative stress, aiming to provide theoretical basis and clinical reference for acupuncture-assisted treatment of chronic glomerulonephritis.
从“少阳为枢”论治慢性萎缩性胃炎伴焦虑状态
Treatment of Chronic Atrophic Gastritis with Anxiety State from “Shaoyang Being the Pivot”  [PDF]
周婷, 朱璐, 吴璐一, 王照钦, 王清仪, 张琳珊, 钱晴兰, 冶尕西, 李琪, 吴焕淦
Traditional Chinese Medicine (TCM) , 2025, DOI: 10.12677/tcm.2025.1412764
Abstract: 慢性萎缩性胃炎(CAG)作为常见消化系统疾病，临床常并发不同程度情绪障碍。中医认为，CAG伴焦虑状态主要因气血失调所致，而“少阳为枢”理论在此类病症治疗中具有独特优势。少阳涵盖肝、胆及三焦，是人体气机升降出入的重要调节枢纽。CAG伴焦虑患者多存在少阳枢机不利、脾胃升降失调现象，进而影响消化功能与情绪状态。治疗原则为和解少阳、调畅气机，以恢复少阳枢机功能、调和脾胃、缓解焦虑。本文基于“少阳为枢”理论，从少阳对气机升降、气血运行的调节作用出发，剖析少阳枢机不利与CAG病机间的关联，并以调畅少阳枢机为切入点，探讨枢利少阳法在治疗CAG伴焦虑状态中的疗效，为针灸治疗CAG提供新的临床诊疗思路。
Chronic atrophic gastritis (CAG), a common digestive disorder, is frequently accompanied by varying degrees of emotional disturbances in clinical settings. Traditional Chinese Medicine (TCM) posits that anxiety associated with CAG primarily stems from qi and blood disharmony. The theory of “Shaoyang Being the Pivot” offers unique therapeutic advantages for such conditions. Shaoyang encompasses the liver, gallbladder, and triple energizer, serving as a crucial regulatory hub for the ascending, descending, entering, and exiting of qi within the body. Patients with CAG and anxiety often exhibit impaired Shao Yang pivotal function and disrupted ascending-descending movements of the spleen and stomach, which subsequently affect digestive function and emotional state. The therapeutic principle involves harmonizing the Shao Yang and regulating qi movement to restore Shao Yang pivotal function, harmonize the spleen and stomach, and alleviate anxiety. Based on the “Shaoyang Being the Pivot” theory, this paper analyzes the connection between impaired Shaoyang pivotal function and the pathogenesis of CAG, focusing on Shaoyang’s regulatory role in qi movement and qi-blood circulation. It explores the efficacy of the “facilitating Shaoyang pivotal function” method in treating CAG with anxiety, providing new clinical insights for acupuncture therapy of CAG.
激光针灸对慢性萎缩性胃炎大鼠胃黏膜三叶因子表达的影响
邵雪辉,王建国,张晓丽,高建武
- , 2017,
Abstract: 目的观察激光针灸干预对慢性萎缩性胃炎（CAG）大鼠胃黏膜组织三叶因子家族1(TFF1)及三叶因子家族3(TFF3)表达的影响。 方法共选取清洁级健康Wistar大鼠50只，随机取9只大鼠纳入正常组，采用综合法将余下大鼠制成CAG动物模型，待病理检查确认造模成功后，将CAG造模动物随机分为模型对照组、给药组及激光针灸组。给药组大鼠采用延参健胃胶囊及康复新液进行灌服，激光针灸组选择足三里作为针灸穴位并给予氦氖激光穴位照射。经14d干预后采集各组大鼠标本，采用免疫组织化学法检测各组大鼠胃黏膜中TFF1及TFF3表达。 结果正常组大鼠胃黏膜中TFF1表达较强，模型组TFF1表达较正常组明显减弱（P<0.05)，给药组、激光针灸组TFF1表达则较模型组明显增强（P<0.05）；正常组大鼠胃黏膜中TFF3表达较弱，模型组TFF3表达较正常组明显增强（P<0.05)，激光针灸组TFF3表达较模型组明显减弱（P<0.05）；给药组、激光针灸组TFF1及TFF3表达与正常组间差异均统计学意义（P>0.05）。 结论激光针灸干预对CAG大鼠胃黏膜具有防御及修复损伤功能，其治疗机制可能与促进TFF1表达、降低TFF3表达有关
柴胡疏肝散治疗慢性胃炎气滞型胃痛临床研究
杨鹏飞,赵增武
- , 2017, DOI: 10.13424/j.cnki.jsctcm.2017.04.012
Abstract: 目的 探讨柴胡疏肝散治疗慢性胃炎气滞型胃痛患者的临床疗效。方法 选取 2014 年 11 月至 2016 年 3 月期间在我院门诊部接受治疗的 100 名慢性胃炎气滞型胃痛患者为实验对象，随机分成治疗组和对照组， 每组 50 例。对照组给予口服西药果胶铋治疗，治疗组给予中药柴胡疏肝散为基础随症加减进行治疗。连续治 疗 1 月后，观察对比两组患者的临床治疗及不良反应、 治疗前后症状积分等差异情况。结果 治疗后，两组患者 的临床症状均得到一定改善，其中，治疗组治愈率、 总有效率均显著高于对照组( P ＜ 0
中医特色护理对急性腹泻患儿症状改善和复发率的护理疗效观察
Observation on the Nursing Effect of Traditional Chinese Medicine Characteristic Nursing on the Improvement of Symptoms and Recurrence Rate in Children with Acute Diarrhea  [PDF]
刘莲莲, 赵令强, 袁崇芬, 田晓宁, 阙平, 刘凯, 薛艳君, 唐海燕, 崔洁, 田梦璐
Advances in Clinical Medicine (ACM) , 2024, DOI: 10.12677/acm.2024.1451522
Abstract: 目的：探讨中医特色护理在急性腹泻患儿中的应用效果及对症状改善和复发率的影响。方法：选择2023年3月至2023年12月昌乐县人民医院儿科收治的急性腹泻患儿200例为对象，信封法分为两组各100例。对照组采用常规护理，观察组联合中医特色护理，两组均完成7 d护理，并对患儿进行2个月随访，比较两组症状改善、康复指标、复发率及满意度。结果：两组干预后患儿症状改善明显；观察组腹胀、腹痛、腹泻及大便性状得分低于对照组(P < 0.05)；观察组腹泻消失及住院时间短于对照组(P < 0.05)；观察组2个月随访复发率低于对照组(P < 0.05)；满意度高于对照组(P < 0.05)。结论：中医特色护理用于急性腹泻患儿中，有助于降低中医症状评估，缩短患儿康复所需时间，能降低患儿复发率，可获得较高的护理满意度，值得推广应用。
Objective: To explore the application effect of traditional Chinese medicine characteristic nursing in children with acute diarrhea and its impact on symptom improvement and recurrence rate. Method: 200 children with acute diarrhea admitted to the Department of Pediatrics of Changle County People’s Hospital from March 2023 to December 2023 were selected as the subjects. They were divided into two groups using envelope method, with 100 cases in each group. The control group received routine nursing care, while the observation group received a combination of traditional Chinese medicine specialty nursing care. Both groups completed 7-day nursing care, and the patients were followed up for 2 months to compare symptom improvement, rehabilitation indicators, recurrence rate, and satisfaction between the two groups. Result: After intervention, the symptoms of the children in both groups improved significantly; the scores of abdominal distension, abdominal pain, diarrhea, and stool characteristics in the observation group were lower than those in the control group (P < 0.05); the disappearance of diarrhea and hospitalization time in the observation group were shorter than those in the control group (P < 0.05); the recurrence rate of the observation group after 2 months of follow-up was lower than that of the control group (P < 0.05); the satisfaction level was higher than that of the control group (P < 0.05). Conclusion: The use of traditional Chinese medicine characteristic nursing in children with acute diarrhea can help reduce the evaluation of traditional Chinese medicine symptoms, shorten the recovery time for children, reduce the recurrence rate of children, and achieve high nursing satisfaction. It is worth promoting and applying.
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