摘要
Abstract
Objective:To investigate the clinical effect of auricular tip bloodletting therapy in reducing blood pressure and improving symptoms in hypertensive patients with different traditional Chinese medicine(TCM)syndrome types.Methods:A total of 143 patients with grade 2/3 hypertension were enrolled,and according to TCM syndrome differentiation,they were divided into liver-fire excess group with 60 patients,Yin-deficiency and Yang-hyperactivity group with 48 patients,phlegm-dampness stagnation group with 20 patients,and Yin-Yang deficien-cy group with 15 patients.All patients underwent bilateral auricular tip bloodletting therapy,and blood pressure and TCM syndrome score were observed before treatment and at 15 minutes,30 minutes,and 1 hour after treatment.Re-sults:Auricular tip bloodletting therapy had an overall response rate of 81.8％(117/143)in reducing blood pres-sure and 72.0％(103/143)in improving symptoms,and the liver-fire excess group had a response rate of 100.0％(60/60)for improving TCM syndrome and reducing blood pressure,with a significantly better response rate than the other groups(P＜0.01).At 15 minutes after treatment,there was a significant reduction in blood pressure in the liver-fire excess group,the Yin-deficiency and Yang-hyperactivity group,and the phlegm-dampness stagnation group,while the Yin-Yang deficiency group had a significant reduction in blood pressure at 30 minutes after treatment.At 1 hour after treatment,all groups except the Yin-Yang deficiency group had a significant reduc-tion in blood pressure.Conclusion:Auricular tip bloodletting therapy effectively improves symptoms and lowers blood pressure in hypertensive patients with different TCM syndrome types,with a significant effect on patients with liver-fire excess syndrome,and therefore,it can be used as an effective adjunctive emergency treatment for hyper-tension management.关键词
高血压/中医证型/耳尖放血疗法/降压疗效/证候疗效/高血压急救Key words
hypertension/traditional Chinese medicine syndrome type/auricular tip bloodletting therapy/antihypertensive effect/therapeutic effect on symptoms/emergency treatment of hypertension分类
医药卫生
