針刺阿是穴治療痤瘡的臨床療效觀察

Observation of Clinical Curative Effects of Acne Vulgaris Therapy by Needling on Oh-Yes Acupoints

黃月順(Yueh-Shun Huang)

《中國鍼灸學雜誌》 2卷1期 (2014/12) Pp. 92-118

https://doi.org/10.6528/CAMS.2014.0006

摘要

痤瘡是一種常見的毛囊皮脂腺的慢性炎症病變，又稱粉刺、酒刺、肺風粉刺等，好發於面部、背部和胸部等皮脂腺分佈較多的部位，皮損包括白頭及黑頭粉刺、丘疹、膿丘疹、膿皰、結節、囊腫，皮損較重或治療不當者可遺留瘢痕甚至毀容。因此，尋求簡、便、廉、速、效的方法治療痤瘡，是本研究的主要目的。目的：通過對針刺阿是穴治療痤瘡的臨床療效觀察，將有助於對痤瘡患者有更好的治療，以簡單、相對安全無害而有效的方法，使患者更願意接受治療，改善痤瘡患者的症狀，提高生活品質，也可以減少痤瘡對患者心理、健康的影響。方法：從新北市永和區永和區明師中醫聯合診所，收集臨床痤瘡患者共60例，採用隨機方法將患者分為治療組及對照組，治療組針刺阿是穴，對照組針刺合谷、曲池、內庭、陰陵泉、血海、三陰交、太衝、足三里，操作以34號美容針針刺阿是穴，對照組則以32號一吋半毫針，將以上穴位分成兩組，各四穴交替使用，每週治療三次，每次留針20分鐘，並加電針一週為一療程，共四個療程。治療後隨訪八週，治療期間，兩組均停止其他治療痤瘡的方法。結果：兩組的基本情況經過統計學分析，結果說明兩組療效在統計學上無顯著差異(P＞0.05)。結論：針刺阿是穴治療痤瘡與以傳統體針治療痤瘡皆有一定療效。然針刺阿是穴療法具有較小副作用，操作簡單、創傷小，近期療效明顯，對病灶阿是穴針刺治療，患者較有直接治療的感覺，而擁有更深的治療信心，而較能堅持治療療程。

關鍵字

痤瘡 ； 粉刺 ； 阿是穴 ； 針刺阿是穴

並列摘要

Acne vulgaris is a common chronic inflammation of sebaceous gland of hair follicle, which are also called as comedo, whelk or rosasea, etc. It is generally distributed in the face, back and thorax area which are abundant in sebaceous glands. The skin lesions of comedo include closed comedo, open comedo, papula, pustula, pus, nodule and cyst, severe skin lesion or inappropriate treatment applied might leave over scar or disfigure. Therefore, it is our main objective to find out simple, convenient, inex-pensive and effective methods to treat acne vulgaris. Objective: By clinical observation of curative effect via needling on oh-yes acupoints would contribute enormously in therapeutic result of patients with acne vulgaris in a rather simple, safe, harmless and effective way. It would encourage patients' willing to receive therapy, improve symptoms of acne vulgaris, raise life quality and decrease psychological and health impact of patients. Method: We selected 60 cases of acne vulgaris from the Means Tradi-tional Chinese Medical Polyclinic at Young-he City in the Taipei County, and divided patients into therapeutic group and comparative group in random sampling. We needled oh-yes acupoints in therapeutic group by #34 cosmetic needle and needled Hegu, Quchi, Neitin, Yinlinchuan, Xuehai, Sanyinjiao, Taichong, Zusanli acupoints in comparative group by #32 microneedle with length of 1.5 cun. We divided the acupoints mentioned above into two groups and needled each four acupoints alternatively. The therapy is practiced three times per week with needle retaining for 20 minutes at each course and electroacupuncture was applied later for a week as another one course, four courses of therapy were practiced in the aggregate. Post-therapy visiting of patients were conducted for eight weeks later. No other methods of therapy on acne vulgaris were received within therapeutic period. Result: No statistic significant variation (P＞0.05) in curative effect between therapeutic group and comparative group after analyzing basic data of each groups. Conclusion: Both needling on oh-yes acupoints and traditional body acupoints have certain curative effects in treating acne vulgaris. However, needling on oh-yes acupoints has less side effect with advantage of simple maneuver, minor trauma and prominent short term effect. Practicing acupuncture on oh-yes acupoints in nidus would let patients have sensation of direct therapy and have more profound confidence in treatment, therefore they can insist to receive therapy throughout the whole courses of treatment.

並列關鍵字

Acne vulgaris ； Comedo ； Oh-yes acupoint ； Needling on Oh-yes acupoint