同仁大活络丸干预风寒湿痹阻型痹证临床研究OA
Clinical Study on Tongren Dahuoluo Pills in the Treatment of Bi Syndrome Due to Wind-Cold-Dampness Obstruction Type
目的 探讨同仁大活络丸治疗风寒湿痹阻型痹证的综合疗效及安全性.方法 采用自身前后对照设计,选取2024年4月—2024年12月北京同仁堂中医医院就诊的风寒湿痹阻型痹证患者150例,均口服同仁大活络丸,疗程30 d.治疗前后采用中医证候量表、视觉模拟评分法(VAS)、膝关节西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分及颈椎功能障碍指数问卷评估症状体征,并监测安全性指标及不良反应.结果 最终纳入统计136例(脱落14例).与治疗前相比,患者关节疼痛、屈伸不利、肿胀等中医证候及疼痛程度显著改善(P<0.001),膝关节功能、颈肩活动能力亦显著提升(P<0.001),总有效率95.6%.治疗期间无严重不良反应,安全性指标无明显异常.结论 同仁大活络丸治疗风寒湿痹阻型痹证疗效较好,可有效改善患者症状,安全性良好.
Objective To investigate the comprehensive efficacy and safety of Tongren Dahuoluo pills in the treatment of bi syndrome due to wind-cold-dampness obstruction type.Methods A self-controlled before-and-after design was adopted.A total of 150 patients with bi syndrome due to wind-cold-dampness obstruction type who were treated at Beijing Tongrentang Hospital of Traditional Chinese Medicine from April 2024 to December 2024 were enrolled,and all received oral Tongren Dahuoluo pills for 30 days.Before and after treatment,symptoms and signs were evaluated using the traditional Chinese medicine(TCM)syndrome scale,visual analogue scale(VAS),Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC),and neck disability index(NDI).Safety indicators and adverse reactions were monitored.Results A total of 136 cases were included in the statistical analysis(14 cases dropped out).Compared with before treatment,TCM syndromes including joint pain,limited motion,swelling,and pain severity were significantly improved(P<0.001).Knee joint function and neck-shoulder mobility were also significantly enhanced(P<0.001).The total effective rate was 95.6%.No serious adverse reactions occurred during treatment,and no obvious abnormalities were found in safety indicators.Conclusion Tongren Dahuoluo pills had favorable efficacy in the treatment of bi syndrome due to wind-cold-dampness obstruction,could effectively improve patients'symptoms,and showed good safety.
郝婷婷;庄扬名;孔繁飞;何川
北京同仁堂中医医院内科,北京 100051北京同仁堂中医医院内科,北京 100051北京同仁堂中医医院内科,北京 100051北京同仁堂股份有限公司经营分公司,北京 100171
医药卫生
痹证风寒湿痹证同仁大活络丸
bi syndromewind-cold-dampness bi syndromeTongren Dahuoluo pills
《光明中医》 2026 (4)
53-57,5
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