中国中医骨伤科杂志2026，Vol.34Issue(5)：25-31,7.DOI:10.20085/j.cnki.issn1005-0205.260504
国医大师李士懋发汗法(寒痉汤)治疗寒凝证型颈椎病的多中心随机对照临床研究
A Multi-Center Randomized Controlled Clinical Study on the Treatment of Cervical Spondylopathy of Cold-Congealing Pattern with National Master of Traditional Chinese Medicine Li Shimao's Diaphoresis Method(HJD)
摘要
Abstract
Objective:To observe the clinical efficacy of the diaphoretic method developed by Li Shimao in treating cervical spondylosis with the cold-congealing pattern.Methods:A total of 480 patients with cervical spondylosis of cold-congealing pattern were randomly assigned to four control groups and one observation group,with 96 cases in each group.The four control groups received cervical traction,Jingfukang gran-ules,cervical acupuncture,and cervical tuina manipulation,respectively.The observation group was treated with Han-jing decoction(HJD)administered according to the diapho-retic method.Visual analogue scale(VAS)scores,Tanaka cervical spondylotic radiculopathy symptom score(20-point),cervical lordosis angle(CLA),plasma viscosity(PV),hematocrit(HCT),and clinical efficacy were evaluated before and after treatment in all five groups.Results:Com-pared with baseline,all five groups showed significant improvement after treatment in VAS scores,cervical spondylosis symptom scores,CLA,PV,and HCT(all P<0.05).The overall response rate was 94.79%in the observation group,and 82.29%,79.17%,84.38%,and 85.42%in the four control groups,respectively.The overall response rate in the observa-tion group was significantly higher than that in each control group(P<0.05).The observation group showed a smaller improvement in CLA than the traction and tuina manipulation groups(P<0.05),but demonstrated significant advantages in pain relief and hemorheological improvement.The incidence of adverse reactions in the observation group was 6.25%(6/96),while the total incidence of adverse reactions in the control groups was 7.50%(29/384).The difference between the groups was not statistically significant(P>0.05).All adverse reactions resolved spontaneously or were alleviated with symptomatic treatment,and no serious adverse events occurred.Conclusion:The diaphoretic method is effective for the treatment of cervical spondylosis of cold-congealing pattern.It alleviates clinical symptoms,reduces pain,improves cer-vical lordosis angle and hemorheological indices,and demonstrates good safety,suggesting that it warrants broader clinical application.关键词
发汗法/寒痉汤/颈椎病/寒凝证/颈椎前凸角/血液流变学/随机对照试验Key words
diaphoretic method/Hanjing decoction/cervical spondylosis/cold-congealing pattern/cervical lordosis angle/hemorheology/randomized controlled trial分类
医药卫生引用本文复制引用
胡志勇,程文会,刘清磊,王文娟,周然然,王金榜,杨燕兵..国医大师李士懋发汗法(寒痉汤)治疗寒凝证型颈椎病的多中心随机对照临床研究[J].中国中医骨伤科杂志,2026,34(5):25-31,7.基金项目
"十二五"国家科技支撑计划项目(2013BAI13B02)河北省中医药管理局项目(2022258) （2013BAI13B02）
