CAJ | 학술논문

目的：观察循经取穴与非经非穴治疗餐后不适综合征（PDS ）型功能性消化不良的临床疗效。方法68例 PDS型患者随机分为循经取穴（A组）与非经非穴（B组）两组，每组34例。A组针刺足三里及内关穴，同时根据中医虚实辨证，实证加用太冲、内庭，予针刺补法；虚证加用公孙、阴陵泉，予针刺泻法；B组在上述经穴旁2 cm处针刺，并根据辨证虚实分别采用相应补泻手法。分别对两组治疗前后的临床疗效进行评价并随访6个月。结果 A 组与B组治疗前后的总疗效及尼平消化不良指数（NDI）评分比较差异均有统计学意义（P＜0．05）。结论循经取穴治疗PDS型功能性消化不良疗效确切，优于非经非穴治疗。
목적：관찰순경취혈여비경비혈치료찬후불괄종합정（PDS ）형공능성소화불량적림상료효。방법68례 PDS형환자수궤분위순경취혈（A조）여비경비혈（B조）량조，매조34례。A조침자족삼리급내관혈，동시근거중의허실변증，실증가용태충、내정，여침자보법；허증가용공손、음릉천，여침자사법；B조재상술경혈방2 cm처침자，병근거변증허실분별채용상응보사수법。분별대량조치료전후적림상료효진행평개병수방6개월。결과 A 조여B조치료전후적총료효급니평소화불량지수（NDI）평분비교차이균유통계학의의（P＜0．05）。결론순경취혈치료PDS형공능성소화불량료효학절，우우비경비혈치료。
Objective To investigate the clinical effect of selecting acupoints along channel and the non‐channel and non‐acu‐point for treating functional dyspepsia postprandial distress syndrome (PDS) .Methods A total of 68 cases of PDS were randomly divided into the selecting acupoint along channel group (group A) and the non‐channel and non‐acupoint group (group B) ,34 cases in each group .The group A was acupunctured at the Zusanli point and Neiguan point .At the same time according to the Deficiency and Excess pattern discrimination ,the Taichong and Neiting points were added by the acupuncture tonifying method for the Excess pattern ,while the Gongsun and Yinlingquan points were added by the acupuncture reducing method for the Deficiency pattern;in group the B ,the area at 2 cm besides the above points were acupunctured and the tonifying and reducing methods were adopted based on the Deficiency and Excess pattern discrimination .The clinical effects before and after treatment were evaluated in the two groups and the 6‐month follow‐up was conducted .Results The total effect and the NDI scores before and after treatment had sta‐tistical difference between the group A and B(P< 0 .05) .Conclusion Selecting acupoint along channel is definitely effective for treating functional dyspepsia PDS ,and is better than the non‐channel and non‐acupoint treatment .