甘肃中医药大学学报2026，Vol.43Issue(1)：54-59,6.DOI:10.16841/j.issn1003-8450.2026.01.08
舒筋活络洗剂熏洗联合体外冲击波疗法治疗跟痛症气滞血瘀证30例临床观察
Clinical observation on 30 cases of painful heel syndrome with qi stagnation and blood stasis treated by Shujin Huoluo Decoction(舒筋活络洗剂)fumigation and washing combined with extracorporeal shock wave therapy
摘要
Abstract
Objective To observe the clinical efficacy of the combination of Shujin Huoluo Decoction(舒筋活络洗剂)fumigation and washing and extracorporeal shock wave therapy(ESWT)in the treatment of qi stagnation and blood stasis syndrome of painful heel syndrome.Methods 60 patients with qi stagnation and blood stasis syn-drome of painful heel syndrome were randomly divided into a control group and a treatment group,with 30 cases in each group.The control group was treated with ESWT,while the treatment group was treated with Shujin Huoluo Decoction fumigation and washing combined with ESWT.The treatment lasted for 15 days,and a one-month follow-up was conducted.The clinical efficacy,visual analogue scale(VAS)scores for pain during morning walking,and Maryland foot function scores before and after treatment were compared between the two groups.The recurrence and safety of the two groups were also evaluated.Results After treatment,the VAS scores for pain during morning walking in both groups were significantly reduced,and the Maryland foot function scores were significantly increased.The differences compared with the same group before treatment were statistically significant(P＜0.01).Moreover,the improvement in the treatment group was more obvious,and the differences compared with the control group after treatment were statistically significant(P＜0.05 or P＜0.01).The total effective rate of the control group was 80.00％(24/30),and that of the treatment group was 96.67％(29/30).The difference between the two groups was statistically significant(P＜0.05).After one month of follow-up,3 patients in the control group had a recur-rence,while no recurrence was observed in the treatment group.During the treatment period,no adverse reactions such as skin redness,swelling,or allergy occurred in the treatment group,while 6 patients in the control group expe-rienced adverse reactions such as pain intolerance and local swelling.Conclusion The combination of Shujin Huoluo Decoction fumigation and washing with ESWT is effective in treating painful heel syndrome with qi stagna-tion and blood stasis.It can effectively relieve the pain symptoms during morning walking and significantly improve foot function.Its short-term and long-term efficacy are significantly better than those of ESWT alone,and it has high safety,making it worthy of clinical promotion and application.关键词
跟痛症/气滞血瘀证/舒筋活络洗剂/体外冲击波疗法/视觉模拟评分法评分/Maryland足功能评分/临床疗效Key words
painful heel syndrome/qi stagnation and blood stasis syndrome/Shujin Huoluo Decoction(舒筋活络洗剂)/extracorporeal shock wave therapy/visual analogue scale score/Maryland foot function score/clinical effi-cacy分类
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刘建平,禄成龙,宫玉锁,陈绪帆,李培可..舒筋活络洗剂熏洗联合体外冲击波疗法治疗跟痛症气滞血瘀证30例临床观察[J].甘肃中医药大学学报,2026,43(1):54-59,6.基金项目
兰州市科学技术局项目(2024-4-16). （2024-4-16）
