论文总字数：19288字

摘 要

中医之道在于从整体出发来治疗疾病，中医在千年的实践中总结出了辩证的、整体的疾病治疗方法。其中重要的一个分支便是灸法，针灸在国内外已经被学术界熟知。而近些年新兴的熨灸疗法则是脱胎于传统灸法的一类新分支。由于灸法在临床医学领域已经应用得颇为广泛，无力同时研究，所以本次课题选择高血压作为研究对象。从具体向原理推进，通过熨灸对高血压病人的治疗找到熨灸在临床上治疗疾病的推广方向。

本次课题在南京大缘馆内进行，按照病例选择标准筛选出40例确诊为高血压的病例。随机将病人分为四组（每组10人）：药物组、熨灸治疗组、饮食干预组、熨灸加饮食干预组。四组的身体资料进行平均调配，使各项指标较为均衡，具有对照的可信性。药物组使用卡托普利对高血压进行药物治疗；熨灸治疗组采用熨灸疗法进行治疗；饮食干预组在治疗过程中全程进行纯素低脂饮食控制；熨灸加饮食干预组则在单纯饮食控制的基础上进行熨灸治疗。疗程6周。四组病例治疗过程中，对病人的血压进行跟踪测量，记录血压值的时时变化，在每次治疗前后对病人的血压进行测量.观察实验数据来寻找熨灸对高血压治疗的机理。为更好地在临床治疗中推广熨灸寻找理论依据。

结论：熨灸疗法在长期治疗中，对血压确实有明显的控制效果，再结合中医中的饮食调理，可以极大改善高血压病人的生活质量，起到了治疗效果。熨灸治疗副作用小，治疗无明显刺激性，病人依从度，具有推广的价值。同时从单纯饮食控制的角度，进行适当的饮食控制也能使血压下降趋于正常值。

关键词：高血压 中医 熨灸疗法

Abstract

The role of traditional ‘iron moxibustion’ in the treatment of diseases

The traditional Chinese medicine method is to treat diseases from the whole of the body. One of the important branches is the moxibustion method, which has been well known in the academic world at home and abroad. In recent years, the iron moxibustion therapy is a new branch of traditional moxibustion. Since the moxibustion method has been widely used in the field of clinical medicine and cannot be studied at the same time, this topic selects hypertension as the research object. Advance from the specific to the principle and through the treatment of hypertensive patients by iron moxibustion, find the promotion direction of moxibustion in clinical treatment of diseases.

The subject was conducted in the DaYuanGuan in Nanjing, and 40 cases confirmed to be hypertension were screened according to the case selection criteria. The patients were randomly divided into four groups (10 in each group): drug group, moxibustion treatment group, diet control group, iron moxibustion and diet control group. The four groups of body data were evenly distributed to make the indicators more balanced and have the credibility of the comparison. The drug group used captopril for drug treatment of hypertension; the moxibustion treatment group was treated with iron moxibustion therapy; the diet control group underwent vegan low-fat diet control throughout the treatment; the ironing moxibustion and diet control group were on the basis of diet control and moxibustion treatment. The course of treatment is 6 weeks. During the treatment of the four groups of patients, the blood pressure of the patient was tracked and measured, and the blood pressure was recorded to change from time to time. The blood pressure of the patient was measured before and after each treatment. The experimental data were observed to find the mechanism of the treatment of hypertension by moxibustion. To find a theoretical basis for better promotion of moxibustion in clinical treatment.

Conclusion: In the long-term treatment, iron moxibustion therapy has obvious control effect on blood pressure. Combined with the dietary adjustment in Chinese medicine, it can greatly improve the quality of life of hypertensive patients and has a therapeutic effect. Ironing moxibustion has small side effects, no obvious irritation, and it can improve patient compliance, which has the value of promotion. At the same time, from the perspective of simple diet control, proper diet control can also lower blood pressure to normal values.

Key Words: hypertension; Chinese medicine; iron moxibustion

目录

摘要 I

Abstract II

目录 IV

第一章文献综述 1

1.1高血压病情在我国的发展情况 1

1.2高血压发病机制 2

1.3高血压治疗药物 2

1.4高血压药物治疗的局限性 3

1.5高血压的中医治疗背景 5

第二章 临床研究 7

2.1实验对象和科学研究方法 7

2.1.1病例资料 7

2.1.2病例选择 7

2.2监测指标 8

2.2.1安全性指标 8

2.2.2治疗性指标 8

2.3治疗方法 9

2.4疗效评价 10

2.4.1症状改善情况 10

2.4.2数据分析 10

2.5数据处理 11

2.6结果分析 11

2.6.1症状改善分析 11

2.6.2病人血压变化采集情况 14

2.6.3血压变化趋势图 15

2.6.4临床综合疗效 16

2.6.5安全性评价 16

2.6.6中医药对高血压疗效讨论 16

第三章结论和课题价值 17

3.1临床疗效评价结果 17

3.2课题价值和中医药前景展望 19

3.2.1课题价值 19

3.2.2中医药前景 21

参考文献 22

附 录 24

第一章文献综述

1.1高血压病情在我国的发展情况

中国自上世纪施行改革开放政策以来，城镇和乡村人民的生活水平有了很大幅度的提高。而这之后的肥胖，食物多油盐，缺乏必要的运动等一系列由生活水平提高带来的后果导致我国以高血压为首的心血管疾病发病率显著提升，成为了对居民健康状态产生威胁的重要原因之一。

上世纪80年代我国第一次对城乡高血压情况进行调查的时候，统计患病率就达到7.73％，到90年代时约为10％左右，而到了2010年进行调查的时候发病率已经飙升到23.2％[1][2]。到2017年我国高血压发病率已经达到45％，几年来的发病率近乎指数增长，可谓形势非常严峻，我国2017年高血压发病情况与历年高血压发病率变化如图1图2所示[3]。

请支付后下载全文，论文总字数：19288字