中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
25期
91-94,98
,共5页
一草二白三虫汤%面肌痉挛%治疗
一草二白三蟲湯%麵肌痙攣%治療
일초이백삼충탕%면기경련%치료
Yicao Erbai Sanchong Soup%Hemifacial spasm%Treatment
目的：观察一草二白三虫汤加减治疗面肌痉挛的效果。方法将北京市石景山医院中医科2012年9月~2013年9月收治的风痰阻络型原发性面肌痉挛患者22例纳入临床观察，将所有患者分为治疗组(12例)和对照组(10例)。治疗组患者给予一草二白三虫汤(由甘草、白附子、白芍、僵蚕、蝉衣、全蝎等组成)加减，对照组患者给予卡马西平治疗。比较两组患者的临床效果。结果治疗组治愈率(66.67%)及总有效率(91.67%)明显高于对照组(40.00%、60.00%)，差异均有高度统计学意义(均P<0.01)。结论一草二白三虫汤治疗面肌痉挛效果确切，具有祛风化痰、通络止痛止痉的功效，可缩短疗程，减少患者痛苦，且不易复发，可以作为临床上面肌痉挛的首选治疗方法，值得临床推广。
目的：觀察一草二白三蟲湯加減治療麵肌痙攣的效果。方法將北京市石景山醫院中醫科2012年9月~2013年9月收治的風痰阻絡型原髮性麵肌痙攣患者22例納入臨床觀察，將所有患者分為治療組(12例)和對照組(10例)。治療組患者給予一草二白三蟲湯(由甘草、白附子、白芍、僵蠶、蟬衣、全蝎等組成)加減，對照組患者給予卡馬西平治療。比較兩組患者的臨床效果。結果治療組治愈率(66.67%)及總有效率(91.67%)明顯高于對照組(40.00%、60.00%)，差異均有高度統計學意義(均P<0.01)。結論一草二白三蟲湯治療麵肌痙攣效果確切，具有祛風化痰、通絡止痛止痙的功效，可縮短療程，減少患者痛苦，且不易複髮，可以作為臨床上麵肌痙攣的首選治療方法，值得臨床推廣。
목적：관찰일초이백삼충탕가감치료면기경련적효과。방법장북경시석경산의원중의과2012년9월~2013년9월수치적풍담조락형원발성면기경련환자22례납입림상관찰，장소유환자분위치료조(12례)화대조조(10례)。치료조환자급여일초이백삼충탕(유감초、백부자、백작、강잠、선의、전갈등조성)가감，대조조환자급여잡마서평치료。비교량조환자적림상효과。결과치료조치유솔(66.67%)급총유효솔(91.67%)명현고우대조조(40.00%、60.00%)，차이균유고도통계학의의(균P<0.01)。결론일초이백삼충탕치료면기경련효과학절，구유거풍화담、통락지통지경적공효，가축단료정，감소환자통고，차불역복발，가이작위림상상면기경련적수선치료방법，치득림상추엄。
Objective To observe the effect of modified treatment of Yicao Erbai Sanchong Soup in hemifacial spasm. Methods 22 cases of patients with type of wind-phlegm obstructing the merdian of primary hemifacial spasm inclusion criteria admitted to Department of Traditional Chinese Medicine in Beijing Shijingshan Hospital from September 2012 to September 2013 were enrolled into clinical observation. All patients were divided into treatment group (12 cases) and control group (10 cases). The patients of treatment group were given Yicao Erbai Sanchong Soup (made by the licorice, rhizoma typhonii, radix paeoniae alba, stiff silkworm, periostracum cicada, scorpio, etc.), the patients of control group were given Carbamazepine therapy. The clinical outcomes of the two groups were compared. Results The cure rate and total effective rate of treatment group (66.67%, 91.67%) were all significantly higher than those of control group (40.00%, 60.00%), the differences were all statistically significant (all P < 0.01). Conclusion Yicao Erbai Sanchong Soup in the treatment of hemifacial spasm has a definite efficacy, which has effects of eliminating wind and resolving phlegm, activating meridians to stop pain, anti-spasm, which can shorten the course of treatment, reduce pain of pa-tients, which is difficult to recur, it is can be used as a first choice treatment of hemifacial spasm in clinic and it is worthy of promotion.
