摘要
目的:探究李远实教授“四合一”从肝论治脏躁临床应用效果。方法:选取2021年7月—2023年8月芦溪县人民医院收治的50例脏躁患者为研究对象,采用随机数字表法将其分为对照组和治疗组,各25例。对照组采用甘麦大枣汤加减治疗,治疗组采用“四合一”疗法治疗。15 d为1个疗程,两组均治疗4个疗程。对比两组临床疗效、精神病症症状改善情况、身心状态、治疗安全性。结果:治疗组总有效率92.10%高于对照组的68.00%,差异有统计学意义(P<0.05)。治疗后,两组简明精神病评定量表评分均较治疗前降低,且治疗组低于对照组,差异均有统计学意义(P<0.05)。治疗后,两组症状自评量表中各个方面评分均较治疗前降低,且治疗组均低于对照组,差异均有统计学意义(P<0.05)。治疗组治疗安全性优于对照组,差异有统计学意义(P<0.05)。结论:李远实教授“四合一”从肝论治脏躁的临床应用效果良好,有助于缓解患者精神病症状态,改善身心状态,安全可靠。
Objective:To explore the clinical effect of Professor LI Yuanshi’s“four-in-one”therapy treating of hysteria from liver.Methods:A total of 50 patients with hysteria from liver admitted to Luxi People’s Hospital from July 2021 to August 2023 were selected as the study objects,and were divided into a control group and a treatment group by random number table method,with 25 cases in each group.The control group was treated with Ganmai Dazao Decoction,and the treatment group was treated with“four-in-one”therapy.Each course of treatment lasted for 15 days,and both groups received 4 courses of treatment.The clinical efficacy,improvement of mental symptoms,physical and mental status and treatment safety of the two groups were compared.Results:The total effective rate of the treatment group was 92.00%higher than 68.00%of the control group,with statistically significant(P<0.05).After treatment,the scores of both groups on the Brief Psychiatric Rating Scale were decreased than before treatment,and the treatment group was lower than the control group,with statistically significant(P<0.05).After treatment,the scores in all aspects of the Symptom Checklist 90 in both groups were decreased than before treatment,and the treatment group were lower than the control group,with statistically significant(P<0.05).The treatment safety of the treatment group was better than that of the control group,the difference was statistically significant(P<0.05).Conclusion:Professor Li Yuanshi’s“four-in-one”therapy treating of hysteria from liver has good clinical application effect,which is helpful to alleviate the condition of psychotic symptoms of patients,improve the physical and mental state,safe and reliable.
作者
陈文
周静雨
易海波
李远实
CHEN Wen;ZHOU Jingyu;YI Haibo;LI Yuanshi(Department of Acupuncture and Moxibustion,Luxi People’s Hospital Pingxiang 337000,China;Department of Emergency,Luxi People’s Hospital,Pingxiang 337000,China;Department of Anorectal Dermatology,Luxi County People’s Hospital,Pingxiang 337000,China)
出处
《中国伤残医学》
2025年第1期1-4,共4页
Chinese Journal of Trauma and Disability Medicine
基金
江西省中医药管理局科技计划(2023B1099)。
关键词
脏躁
甘麦大枣汤
“四合一”疗法
身心状态
安全性
Hysteria tiem liver
Ganmai Dazao Decoction
“Four-in-one”therapy
Physical and mental state
Security