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All four groups received routine treatment, and the acupuncture group was additionally treated with Tongyuan acupuncture, and the Decoction group was additionally treated with modified Yiqi Tongluo Decoction, while the combination group was additionally treated with Tongyuan acupuncture combined with modified Yiqi Tongluo Decoction. All four groups were treated for 3 months. Scores of traditional Chinese medicine symptoms, degrees of neurological deficit, limb motor functions and daily living abilities, clinical efficacy, hemorheological changes and safety were observed.Results: After treatment, the main symptoms, secondary symptoms, tongue pulse and total scores, NIHSS scores, blood viscosity, whole blood high shear viscosity, whole blood low shear viscosity, and red blood cell aggregation indexes of the four groups all decreased (P <0.05), which were lowest in the combination group, higher in the acupuncture group and B, highest in control group (P <0.05). After treatment, the Fugl - Meyer and BI scores in all four groups increased (P <0.05), and those of the combination group were higher than the other three groups (P < 0.05), of which the acupuncture group and the Decoction group were both higher than the control group (P <0.05). The total effective rate of the combination group was highest (97.50%), followed by the acupuncture group and B (80.00%, 82.50%), lowest in control group (63.42%). The incidences of adverse reactions were consistent among the four groups (P >0.05).Conclusion: For patients with limb movement dysfunction (Qi deficiency and blood stasis syndrome) after stroke, Tongyuan acupuncture and modified Yiqi Tongluo Decoction can alleviate symptoms, enhance efficacy, and improve blood rheology. Moreover, the combination of the two has a better effect, with safety., authors=ZHAO Li1, PANG Qingmin1, ZHAO Yuxiao1, authorsList=ZHAO Li, PANG Qingmin, ZHAO Yuxiao, authorCompany=1 Department of Acupuncture and Moxibustion, Zhengzhou Central Hospital, Zhengzhou 450007, China, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=河南省医学科技攻关计划项目 (LHGJ20230719)), CN=ArticleExt(id=1304438811639959612, articleId=1304438811413467195, tenantId=1146029695717560320, journalId=1302318977290174537, language=CN, title=通元针法联合益气通络汤加减对卒中后肢体运动障碍(气虚血瘀证)患者的治疗效果分析, columnId=1303760933084484510, journalTitle=中医药学报, columnName=临床研究, runingTitle=null, highlight=null, articleAbstract=目的: 分析对卒中后肢体运动障碍(气虚血瘀证)患者采用通元针法联合益气通络汤加减治疗的效果。 方法: 选取郑州市中心医院2021年1月—2023年3月收治的172例卒中后肢体运动障碍(气虚血瘀证)患者随机分为对照组、针刺组、汤药组与联合组,每组43例。4组均接受常规治疗,针刺组另予以通元针法,汤药组另予以益气通络汤加减,联合组另予以通元针法联合益气通络汤加减,均治疗3个月。观察4组中医症状评分,神经功能缺损程度、肢体运动功能和日常生活能力、临床疗效、血液流变学变化及安全性。 结果: 治疗后4组主症、次症、舌脉象和总分,NIHSS评分,血液黏稠度、全血高切黏度、全血低切黏度、红细胞聚集指数均下降(P < 0.05),且联合组最低(P < 0.05),针刺组与汤药组均稍高,对照组最高;治疗后4组Fugl - Meyer与BI评分均升高(P < 0.05),且联合组均高于其余3组(P < 0.05),针刺组和汤药组均高于对照组(P < 0.05);联合组总有效率最高97.50% (39/40),针刺组和汤药组稍低,分别为80.00% (32/40)、82.50% (33/40),对照组最低63.42% (26/41);4组不良反应发生率差异无统计学意义(P > 0.05)。 结论: 对卒中后肢体运动障碍(气虚血瘀证)患者采用通元针法、益气通络汤加减治疗均可减轻症状、增强疗效、改善血液流变学,且二者联合的作用更佳,具有安全性。, authors=赵莉1, 庞青民1, 赵欲晓1, authorsList=赵莉, 庞青民, 赵欲晓, authorCompany=1 郑州市中心医院针灸理疗科,河南 郑州 450007, correspAuthors=null, authorNote=赵莉(1984-),女,硕士,副主任医师,主要从事针灸临床及慢性疾病调理相关研究。, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, 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通元针法联合益气通络汤加减对卒中后肢体运动障碍(气虚血瘀证)患者的治疗效果分析
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中医药学报
| 临床研究 2026,54(1): 74-79
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中医药学报
|临床研究
2026
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通元针法联合益气通络汤加减对卒中后肢体运动障碍(气虚血瘀证)患者的治疗效果分析
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赵莉1, 庞青民1, 赵欲晓1
作者信息
1 郑州市中心医院针灸理疗科,河南 郑州 450007
作者简介:
赵莉(1984-),女,硕士,副主任医师,主要从事针灸临床及慢性疾病调理相关研究。
Analysis of the Therapeutic Efficacy of Tongyuan Acupuncture Combined with Modified Yiqi Tongluo Decoction in Patients with Post - Stroke Limb Movement Dysfunction (Qi Deficiency and Blood Stasis Syndrome)
ZHAO Li1, PANG Qingmin1, ZHAO Yuxiao1
Affiliations
1 Department of Acupuncture and Moxibustion, Zhengzhou Central Hospital, Zhengzhou 450007, China
Objective: To analyze on the effect of Tongyuan acupuncture combined with modified Yiqi Tongluo Decoction in the treatment of patients with limb movement disorders (Qi deficiency and blood stasis syndrome) after stroke.Methods: 172 patients with post stroke limb movement disorders (Qi deficiency and blood stasis syndrome) admitted to Zhengzhou Central Hospital from January 2021 to March 2023 were randomly divided into 4 groups. All four groups received routine treatment, and the acupuncture group was additionally treated with Tongyuan acupuncture, and the Decoction group was additionally treated with modified Yiqi Tongluo Decoction, while the combination group was additionally treated with Tongyuan acupuncture combined with modified Yiqi Tongluo Decoction. All four groups were treated for 3 months. Scores of traditional Chinese medicine symptoms, degrees of neurological deficit, limb motor functions and daily living abilities, clinical efficacy, hemorheological changes and safety were observed.Results: After treatment, the main symptoms, secondary symptoms, tongue pulse and total scores, NIHSS scores, blood viscosity, whole blood high shear viscosity, whole blood low shear viscosity, and red blood cell aggregation indexes of the four groups all decreased (P <0.05), which were lowest in the combination group, higher in the acupuncture group and B, highest in control group (P <0.05). After treatment, the Fugl - Meyer and BI scores in all four groups increased (P <0.05), and those of the combination group were higher than the other three groups (P < 0.05), of which the acupuncture group and the Decoction group were both higher than the control group (P <0.05). The total effective rate of the combination group was highest (97.50%), followed by the acupuncture group and B (80.00%, 82.50%), lowest in control group (63.42%). The incidences of adverse reactions were consistent among the four groups (P >0.05).Conclusion: For patients with limb movement dysfunction (Qi deficiency and blood stasis syndrome) after stroke, Tongyuan acupuncture and modified Yiqi Tongluo Decoction can alleviate symptoms, enhance efficacy, and improve blood rheology. Moreover, the combination of the two has a better effect, with safety.
Key words
Tongyuan acupuncture
/
Yiqi Tongluo Decoction
/
Post - stroke limb movement dysfunction
/
Qi deficiency and blood stasis syndrome
ZHAO Li, PANG Qingmin, ZHAO Yuxiao.
Analysis of the Therapeutic Efficacy of Tongyuan Acupuncture Combined with Modified Yiqi Tongluo Decoction in Patients with Post - Stroke Limb Movement Dysfunction (Qi Deficiency and Blood Stasis Syndrome)[J].
Acta Chinese Medicine and Pharmacology,
2026
, 54
(1)
: 74
-79
.
DOI: 10.19664/j.cnki.1002-2392.260014