四物汤和牵正散加减治疗面肌痉挛的临床观察

冉宁晶1，邓先勇2 ，杨东东1

（1.四川成都中医药大学附属医院，四川 成都，610075；2.四川成都关怀医院，四川 成都，610072）

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摘要：

目的 观察四物汤和牵正散加减治疗面肌痉挛的临床疗效。方法 选取2013年12月至2016年1月在我院门诊就诊的面肌痉挛患者30例，回顾分析所有患者的临床资料，观察治疗总有效率、治疗前、后痉挛强度变化、服药后疗效维持时间和不良反应情况。结果 所有患者经过四物汤和牵正散加减治疗，总有效率为86.7%，经过治疗，面肌痉挛程度0～I 级、II 级、III 级和IV 级的患者分别为5、15、6、4 例；治疗0～I 级、II 级、III 级和IV 级服药后疗效维持时间分别为（14.62 ±5.82）、（13.48 ± 4.98）、（10.47±3.32）、（7.24±2.16）周。2 例患者服药后出现腹胀、大便偏稀，但无水样便；2 例患者出现嗜睡，但不影响工作和生活。结论 四物汤和牵正散加减治疗面肌痉挛，安全有效，值得推广。

关键词：面肌痉挛；四物汤；牵正散

中图分类号：R277.7文献标志码：A文章编号：2096-1413(2017)16-0128-03

Clinical observation of modified Siwu decoction and Qianzheng powder in the treatment of facial spasm
RAN Ning-jing 1, DENG Xian-yong 2, YANG Dong-dong 1
(1. the Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610075; 2. Care Hospital of Chengdu,

Chengdu 610072, China)

ABSTRACT: Objective To observe the clinical effect of modified Siwu decoction and Qianzheng powder in the treatment of facial spasm. Methods Thirty cases of patients with facial spasm from December 2013 to January 2016 in our hospital were selected and retrospectively analyzed. The total effective rate, changes of spasticity, duration of maintenance and adverse reactions were observed before and after treatment of all the patients. Results All patients were treated with Siwu decoction and Qianzheng powder, and the total effective rate was 86.7%. After treatment, the extent of facial spasm in 0-I class, II class, III class and IV class were 5, 15, 6, 4 cases respectively. The duration of maintenance in 0-I class, II class, III class and IV class were (14.62±5.82), (13.48±4.98), (10.47±3.32), (7.24±2.16) weeks respectively. Two cases experienced abdominal distension, loose stools but no watery stools, two cases with drowsiness, but it did not affect work or life. Conclusion Modified Siwu decoction and Qianzheng powder is safe and effective in the treatment of facial spasm.
KEYWORDS: facial spasm; Siwu Decoction; Qianzheng powder

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