旴江谢氏刺营微创疗法结合清咽利膈汤治疗肺胃蕴热型急喉痹：随机对照试验

范新华; 袁敏芳; 李国华; 亢婷婷; 李佩玲; 谢强

doi:10.13703/j.0255-2930.20241120-0001

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旴江谢氏刺营微创疗法结合清咽利膈汤治疗肺胃蕴热型急喉痹：随机对照试验

临床研究 | 更新时间：2025-11-20

- 旴江谢氏刺营微创疗法结合清咽利膈汤治疗肺胃蕴热型急喉痹：随机对照试验
- Xujiang Xie's bloodletting therapy combined with Qingyan Lige decoction for acute pharyngitis with lung-stomach heat accumulation: a randomized controlled trial
- 中国针灸 2025年45卷第11期页码：1565-1570
- 作者机构：
  
  桐乡市中医医院耳鼻咽喉科，浙江桐乡　314500
  桐乡市中医医院皮肤性病科，浙江桐乡　314500
  江西省中医院耳鼻咽喉科，南昌　330004
- 作者简介：
  
  ✉谢强，主任中医师。E-mail：1162694185@qq.com
- 基金信息：
  
  浙江省中医药科技计划项目(2024ZL1108)
- DOI：10.13703/j.0255-2930.20241120-0001
  中图分类号：
- 收稿：2024-11-20，
  
  网络首发：2025-07-25，
  
  纸质出版：2025-11-12
- 稿件说明：
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范新华, 袁敏芳, 李国华, 等. 旴江谢氏刺营微创疗法结合清咽利膈汤治疗肺胃蕴热型急喉痹：随机对照试验[J]. 中国针灸, 2025,45(11):1565-1570.

FAN Xinhua, YUAN Minfang, LI Guohua, et al. Xujiang Xie's bloodletting therapy combined with Qingyan Lige decoction for acute pharyngitis with lung-stomach heat accumulation: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2025, 45(11): 1565-1570. DOI: 10.13703/j.0255-2930.20241120-0001.
范新华, 袁敏芳, 李国华, 等. 旴江谢氏刺营微创疗法结合清咽利膈汤治疗肺胃蕴热型急喉痹：随机对照试验[J]. 中国针灸, 2025,45(11):1565-1570. DOI： 10.13703/j.0255-2930.20241120-0001.

FAN Xinhua, YUAN Minfang, LI Guohua, et al. Xujiang Xie's bloodletting therapy combined with Qingyan Lige decoction for acute pharyngitis with lung-stomach heat accumulation: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2025, 45(11): 1565-1570. DOI: 10.13703/j.0255-2930.20241120-0001. DOI：

摘要

目的：

观察旴江谢氏刺营微创疗法结合清咽利膈汤治疗肺胃蕴热型急喉痹的临床疗效。

方法：

将88例肺胃蕴热型急喉痹患者随机分为观察组（44例，脱落4例）和对照组（44例，脱落4例）。对照组口服清咽利膈汤治疗，每次150 mL，每日2次，连续服用6 d；在对照组治疗基础上，观察组加用旴江谢氏刺营微创疗法，点刺双侧少商、商阳、耳尖放血，每处出血0.1~0.5 mL，隔日1次，共治疗3次。观察两组患者治疗前和治疗6 d后中医症状与体征积分、血常规[白细胞（WBC）计数、中性粒细胞百分比（NE%）]、炎症指标[血清C反应蛋白（CRP）、白细胞介素（IL）-1β、IL-6、肿瘤坏死因子（TNF）-α含量]、免疫指标（？？、？？、？？水平），并评定两组临床疗效。

结果：

治疗6 d后，两组咽痛积分、咽黏膜悬雍垂红肿积分、咽干灼热积分、咽后壁淋巴滤泡红肿积分、恶寒发热积分、中医症状与体征总积分、WBC计数、NE%、血清CRP含量、血清IL-1β含量、血清

IL-6含量、血清TNF-α含量、？？水平较治疗前降低（

0.05），且观察组上述指标低于对照组（

0.01，

0.05，

0.001）。治疗6 d后，两组？？、？？水平较治疗前升高（

0.05），且观察组高于对照组（

0.001）。观察组总有效率为95.0%（38/40），高于对照组的90.0%（36/40，

0.001）。

结论：

旴江谢氏刺营微创疗法结合清咽利膈汤治疗肺胃蕴热型急喉痹可减轻患者临床症状，抑制炎症反应，改善免疫功能。

Abstract

Objective

To observe the clinical efficacy of Xujiang

Xie

's bloodletting therapy combined with

Qingyan Lige

decoction on acute pharyngitis with lung-stomach heat accumulation.

Methods

A total of 88 patients with acute pharyngitis of lung-stomach heat accumulation were randomly divided into an observation group (44 cases

4 cases dropped out) and a control group (44 cases

4 cases dropped out). The control group was treated with oral

Qingyan Lige

decoction

150 mL each time

twice a day for 6 continuous days. On the basis of the treatment in the control group

Xujiang

Xie

's bloodletting therapy was applied at bilateral Shaoshang (LU11)

Shangyang (LI1)

and Erjian (EX-HN6) in the observation group

0.1-0.5 mL of bloodletting per site

once every other day for 3 times in total. The TCM symptom and sign score

complete blood count (white blood cell [WBC

]

count

neutrophilic granulocyte percentage [NE%

]

)

inflammation indexes (serum levels of C-reactive protein[CRP

]

interleukin[IL

]

-1β

IL-6

tumor necrosis factor [TNF

]

-α) and immune indexes (？？

？？

？？) of the two groups were observed before treatment and after 6 days of treatment

and the clinical efficacy was evaluated.

Results

After 6 days of treatment

the sore throat scores

redness and swelling scores of pharyngeal mucosa and uvula

pharyngeal dry and burning scores

hyperemia scores of posterior pharyngeal lymphoid follicles

chill and fever s

cores

total scores of TCM symptom and sign

WBC count

NE%

CRP

IL-1β

IL-6

TNF-α and ？？ in both groups were decreased compared with those before treatment (

0.05)

the above indexes in the observation group were lower than those in the control group (

0.01

0.05

0.001). After 6 days of treatment

the levels of ？？ and ？？ in both groups were increased compared with those before treatment (

0.05)

and the above indexes in the observation group were higher than those in the control group (

0.001). The total effective rate of the observation group was 95.0% (38/40)

which was higher than 90.0% (36/40) in the control group (

0.001).

Conclusion

Xujiang

Xie

's bloodletting therapy combined with

Qingyan Lige

decoction could improve the symptoms in patients with acute pharyngitis of lung-stomach heat accumulation

inhibit inflammatory response and improve immune function.

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