【摘要】 目的 观察自拟强经汤辨证治疗轻-中度脾肾两虚型腕管综合征的临床疗效。方法 选取2022年9月至2024年7月至云南省中医医院脑病科门诊就诊的60例原发性腕管综合征患者，将其分为30例研究组和30例对照组。研究组予自拟强经汤加减口服，对照组口服甲钴胺片配合维生素治疗，观察患者服药后的症状改善情况，以BCTQ评分、VAS评分结果来体现。结果 治疗后患者BCTQ评分、VAS评分差异均有统计学意义（P<0.05）。结论 自拟强经汤加减辨证治疗轻-中度脾肾两虚型腕管综合征具有较好的临床疗效，合理运用强经汤加减治疗轻-中度脾肾两虚型腕管综合征能尽早缓解患者症状，免于手术治疗之苦。更多还原

【Abstract】 Objective Observation of the clinical efficacy of Qiangjing Tang in the dialectical treatment of mild to moderate spleen-kidney deficiency type carpal tunnel syndrome. Methods Sixty patients with primary carpal tunnel syndrome who visited the Brain Disease Department of Yunnan Provincial Hospital of Traditional Chinese Medicine from September 2022 to July 2024 were selected and divided into a study group of 30 cases and a control group of 30 cases. The study group received modified Qiangjing Tang orally, while the control group received oral methylcobalamin tablets combined with vitamin treatment. The improvement of patients’ symptoms after medication was observed, and the results were reflected by BCTQ score and VAS score. Results The difference in BCTQ score and VAS score among patients after treatment was statistically significant(P <0.05). Conclusion The dialectical treatment of mild to moderate spleen kidney deficiency type carpal tunnel syndrome with modified Qiangjing Tang has good clinical efficacy. Reasonable use of modified Qiangjing Tang in the treatment of mild to moderate spleen kidney deficiency type carpal tunnel syndrome can relieve patients’ symptoms as early as possible and avoid the pain of surgical treatment.更多还原