CAJ | 학술논문

　　目的：分析原发性高血压应用针刺曲池穴治疗的血压变化，探讨得气、不得气、捻转泻法与补法的临床效应。方法：随机抽选254例患者，分得气组、得气右转（以下简称右转组）、得气左转（称左转组）及不得气组，又将右转组中实证和左转组虚证合为虚补实泻组，将右转组虚证与左转组实证合为虚泻实补组，观察在针刺前、进针10min、起针即刻、起针10min时各自的血压变化。结果：针刺前与针刺后患者血压比较差异具有显著性（P<0.05）；不得气组的降压效果显著低于得气组、右转组、左转组、虚泻实补组、虚补实泻组；得气组、右转组、左转组、虚泻实补组、虚补实泻组的降压效果，各组间比较无显著性差异。结论针刺曲池穴，对原发性高血压降压效果明显，但得气才能达到较好的临床效果，以捻转方向来划分补泻手法，右转为捻转泻法，左转为补法，本文研究未发现相应的临床效果。
　　목적：분석원발성고혈압응용침자곡지혈치료적혈압변화，탐토득기、불득기、념전사법여보법적림상효응。방법：수궤추선254례환자，분득기조、득기우전（이하간칭우전조）、득기좌전（칭좌전조）급불득기조，우장우전조중실증화좌전조허증합위허보실사조，장우전조허증여좌전조실증합위허사실보조，관찰재침자전、진침10min、기침즉각、기침10min시각자적혈압변화。결과：침자전여침자후환자혈압비교차이구유현저성（P<0.05）；불득기조적강압효과현저저우득기조、우전조、좌전조、허사실보조、허보실사조；득기조、우전조、좌전조、허사실보조、허보실사조적강압효과，각조간비교무현저성차이。결론침자곡지혈，대원발성고혈압강압효과명현，단득기재능체도교호적림상효과，이념전방향래화분보사수법，우전위념전사법，좌전위보법，본문연구미발현상응적림상효과。
Objective:To analyze BP changes of acupuncturing the point of Quchi. Methods:254 patients were divided into Gain, Gain Right, Gain Left and no Gaining groups;A part of GR/GL were put together as the Xubu Shixie group;the other part of GR/GL were put together as the Xuxie Shibu group, comparing the BP changes during acupuncturing. Results: Before and after acupuncture the difference was significantly (P<0.05); efficacy in NG was lower than other groups; there was no difference between both groups. Conclusion:Acupuncturing the point of Quchi can achieve good effects on HBP, but only gain feeling was there;About turning right and left, there was no clinical effects and difference.