CAJ | 학술논문

目的：调查痞满脾胃虚弱证临床症状与胸椎小关节紊乱的关系和观察手法整复胸椎小关节紊乱对痞满脾胃虚弱证临床症状的影响。方法：以符合痞满脾胃虚弱证诊断标准者为调查对象，统计调查对象中并发胸椎小关节紊乱的机率，并对具有胸椎小关节紊乱局部体征者进行手法治疗，以治疗前后的症状积分情况评价疗效。结果：在调查的100例痞满脾胃虚弱证患者中，有32例具有胸椎棘突偏歪、后突和棘旁压痛或肌紧张等局部体征，占调查人数的32%；其中32例痞满脾胃虚弱证并胸椎小关节紊乱患者经手法整复其胸椎小关节紊乱后，治疗前后主要症状积分比较有显著性差异（P<0.01），总有效率为87.5%。结论：痞满脾胃虚弱证与胸椎小关节紊乱有关，手法整复胸椎小关节紊乱可有效地改善痞满脾胃虚弱证患者的临床症状，但确切的治疗机制还有待进一步研究。
목적：조사비만비위허약증림상증상여흉추소관절문란적관계화관찰수법정복흉추소관절문란대비만비위허약증림상증상적영향。방법：이부합비만비위허약증진단표준자위조사대상，통계조사대상중병발흉추소관절문란적궤솔，병대구유흉추소관절문란국부체정자진행수법치료，이치료전후적증상적분정황평개료효。결과：재조사적100례비만비위허약증환자중，유32례구유흉추극돌편왜、후돌화극방압통혹기긴장등국부체정，점조사인수적32%；기중32례비만비위허약증병흉추소관절문란환자경수법정복기흉추소관절문란후，치료전후주요증상적분비교유현저성차이（P<0.01），총유효솔위87.5%。결론：비만비위허약증여흉추소관절문란유관，수법정복흉추소관절문란가유효지개선비만비위허약증환자적림상증상，단학절적치료궤제환유대진일보연구。
Objective:To investigate the the relationship between clinical symptoms of weak spleen and stomach and thoracic facet joint disorders and the effect of the manual therapy. Methods: The patients who meet the diagnostic criteria as subjects, survey the probability of concurrent thoracic facet joint disorders in patients, and used manual therapy to treat the local signs, evaluated the efficacy before and after treatment. Results: In 100 patients, there are 32 cases with thoracic spinous process skew, prominent and paraspinal tenderness or muscle tension and other local signs, accounted for 32% of those surveyed; which 32 patients with thoracic facet joint disorders were given manipulation therapy, the main symptom scores before and after treatment there was a significant difference (P<0.01), total efficiency was 87.5%. Conclusion:Weak spleen and stomach related with thoracic facet joint disorders, manual therapy can effectively improve the clinical syndrome of weak spleen and stomach, but the exact mechanism remains to be further studied.