Volume 24 Issue 3
Mar.  2026
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Article Navigation >  Chinese Journal of General Practice  > 2026  >  24(3): 491-494
YUAN Qiangqiang, SUN Lulu, ZHENG Qi, KONG Lingzhong, ZHANG Kun. The clinical efficacy of Huatan Tongluo Decoction+Acupuncture on nuchal region for dysphagia disorder after stroke with wind-phlegm-blocked collateral syndrome[J]. Chinese Journal of General Practice, 2026, 24(3): 491-494. doi: 10.16766/j.cnki.issn.1674-4152.004426
Citation: YUAN Qiangqiang, SUN Lulu, ZHENG Qi, KONG Lingzhong, ZHANG Kun. The clinical efficacy of Huatan Tongluo Decoction+Acupuncture on nuchal region for dysphagia disorder after stroke with wind-phlegm-blocked collateral syndrome[J]. Chinese Journal of General Practice, 2026, 24(3): 491-494. doi: 10.16766/j.cnki.issn.1674-4152.004426
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The clinical efficacy of Huatan Tongluo Decoction+Acupuncture on nuchal region for dysphagia disorder after stroke with wind-phlegm-blocked collateral syndrome

doi: 10.16766/j.cnki.issn.1674-4152.004426

  • Department, Bozhou People's Hospital, Bozhou, Anhui 236800, China

Funds:

 202304295107020113

  • Received Date: 2025-10-12
    Available Online: 2026-06-02
    Abstract
  •   Objective  To verify the clinical effect of Huatan Tongluo Decoction combined with acupuncture,clarify its role in improving patients'swallowing function and alleviating clinical symptoms,and provide a reference for diagnosis and treatment.  Methods  A total of 94 patients with dysphagia disorder after stroke with wind-phlegm-blocked collateral syndrome treated in Bozhou People's Hospital from March 2024 to August 2025 were chosen and separated into the control group (n=47,conventional treatment+rehabilitation training) and the observation group (n=47,Huatan Tongluo Decoction+acupuncture on the nuchal region on the basis of the control group) by random number table method.The clinical efficacy,TCM syndrome score,swallowing function,inflammatory factor level,and adverse reactions were compared.  Results  After 4 weeks of treatment,the total effective rate of the observation group was 95.74%(45/47),which was higher than that of the control group (80.85%,38/47,χ2=5.045,P=0.025);after 4 weeks of treatment,the TCM syndrome score of the observation group was lower (P<0.05);after 4 weeks of treatment,the proportion of grade Ⅰ swallowing function in the observation group was 29.79%,which was higher than that of the control group (12.77%,P<0.05);after 4 weeks of treatment,the levels of inflammatory factors in the observation group were lower than those in the control group (P<0.05);the incidence of adverse reactions in the two groups was 6.38%(3/47) and 12.77%(6/47) respectively,and there was no significant difference (χ2=0.490,P=0.483).  Conclusion  Huatan Tongluo Decoction combined with acupuncture on the nuchal region has a good effect on dysphagia disorder after stroke,which can significantly improve the symptoms of dysphagia,improve the swallowing function,reduce inflammation,and have high safety.

     

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    • References(22)
  • [1]
    LABEIT B, MICHOU E, HAMDY S, et al. The assessment of dysphagia after stroke: state of the art and future directions[J].Lancet Neurol,2023,22(9):858-870. doi: 10.1016/S1474-4422(23)00153-9
    [2]
    WANG J M, CHANG E, JIANG Y J. Effects of vitamin C stimulation on rehabilitation of dysphagia after stroke: a randomized trial[J].Eur J Phys Rehabil Med,2022,58(4):558-564.
    [3]
    WANG L Y, SHI A Q, XUE H, et al. Efficacy of transcranial direct current stimulation combined with conventional swallowing rehabilitation training on post-stroke dysphagia[J].Dysphagia,2023,38(6):1537-1545. doi: 10.1007/s00455-023-10581-2
    [4]
    龙海波,张石,王叶.针刺与吞咽康复训练对缺血性脑卒中吞咽障碍病人吞咽功能及营养状态的影响[J].中西医结合心脑血管病杂志,2021,19(18):3199-3203.

    LONG H B, ZHANG S, WANG Y. The influence of acupuncture and swallowing rehabilitation training on the swallowing function and nutritional status of patients with dysphagia after ischemic stroke[J].Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease,2021,19(18):3199-3203.
    [5]
    谢霞,李文娟,黄文琦,等.健脾通络针法联合会厌通络汤治疗脑卒中后假性延髓麻痹吞咽困难疗效观察[J].山西医药杂志,2022,51(9):963-966.

    XIE X, LI W J, HUANG W Q, et al. Effect of Epiglottis tongluo soup with Tonifying spleen acupuncture in the patients with dysphagia in hypoplastic extended myeloid palsy after ischemic stroke[J].Shanxi Medical Journal,2022,51(9):963-966.
    [6]
    李艳,黄伟.头项针联合吞咽功能训练治疗中风后吞咽障碍患者临床疗效观察[J].湖北中医药大学学报,2023,25(5):86-89.

    LI Y, HUANG W. Clinical obseruation on scalp and neck acupuncture combined with swallowing function training[J].Journal of Hubei University of Chinese Medicine,2023,25(5):86-89.
    [7]
    陈颖,甄玉婷,徐朝辉,等.化痰通络汤联合温针灸肩三针治疗脑卒中后肩手综合征痰瘀阻络证的临床观察[J].中医药导报,2022,28(12):115-118,135.

    CHEN Y, ZHEN Y T, XU Z H, et al. Clinical observation on treatment of shoulder-hand syndrome after stroke of phlegm-stasis blocking collateral type with Huatan Tongluo decoction and Jiansanzhen acupoints[J].Guiding Journal of Traditional Chinese Medicine and Pharmacy,2022,28(12):115-118,135.
    [8]
    张雪妨,王丽,何欢,等.量化藕粉吞糊试验的流程化摄食训练联合肠内营养干预对急性脑梗死合并吞咽功能障碍患者的影响[J].齐鲁护理杂志,2023,29(3):37-40.

    ZHANG X F, WANG L, HE H, et al. The influence of process-oriented feeding training combined with enteral nutrition intervention in the quantitative lotus root starch porridge swallowing test on patients with acute cerebral infarction complicated with dysphagia[J].Journal of Qilu Nursing,2023,29(3):37-40.
    [9]
    中华医学会,中华医学会杂志社,中华医学会全科医学分会,等.缺血性卒中基层诊疗指南(2021年)[J].中华全科医师杂志,2021,20(9):927-946.

    Chinese Medical Association, Chinese Medical Journals Publishing House, Chinese Society of General Practice, et al. Guideline for primary care of ischemic stroke (2021)[J].Chinese Journal of General Practitioners,2021,20(9):927-946.
    [10]
    吴江,贾建平,崔丽英.神经病学[M].北京:人民卫生出版社,2005:18-19.

    WU J, JIA J P, CUI L Y. Neurology[M].Beijing: People's Medical Publishing House,2005:18-19.
    [11]
    国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:159.

    National Administration of Traditional Chinese Medicine. Diagnostic efficacy criteria for diseases and syndromes in traditional Chinese medicine[M].Nanjing: Nanjing University Press,1994:159.
    [12]
    国家中医药管理局.中药新药临床研究指导原则[S].北京: 中国医药科技出版社, 2002: 136.

    National Administration of Traditional Chinese Medicine. Guiding principles for clinical research of new traditional Chinese medicine drugs[S].Beijing: China Medical Science and Technology Press, 2002: 136.
    [13]
    李平,吴钟璇,张云如,等.中风病诊断与疗效评定标准(试行)[J].北京中医药大学学报,1996,19(1):55-56.

    LI P, WU Z X, ZHANG Y R, et al. Criterion of diagnosis and therapeutic effect of apoplexy[J].Journal of Beijing University of Traditional Chinese Medicine,1996,19(1):55-56.
    [14]
    蒋珠,陈维艳,陈嘉,等.改良营养路径管理对缺血性脑卒中吞咽困难患者的营养指标及洼田饮水试验分级的影响[J].中国医药导报,2022,19(35):165-168.

    JIANG Z, CHEN W Y, CHEN J, et al. Effects of improved nutritional pathway management on nutritional indexes and grade of kobuta water swallow test in patients with dysphagia after ischemic stroke[J].China Medical Herald,2022,19(35):165-168.
    [15]
    马利波,王健,曹雪,等.张卫华应用“开窍利咽四步针法”治疗脑卒中后吞咽障碍[J].针灸临床杂志,2024,40(2):98-101.

    MA L B, WANG J, CAO X, et al. Post-stroke dysphagia treated by ZHANG Weihua with ‘Four-Step Acupuncture Method of Opening Orifice and Benefiting Pharynx’[J]. Journal of Clinical Acupuncture and Moxibustion,2024,40(2):98-101.
    [16]
    佘雅琳,曾婧纯,韦永政,等.林国华分期论治卒中后吞咽功能障碍经验撷要[J].中国针灸,2022,42(1):79-82.

    SHE Y L, ZENG J C, WEI Y Z, et al. Professor LIN Guo-hua's clinical experience in staging treatment for post-stroke dysphagia[J].Chinese Acupuncture & Moxibustion,2022,42(1):79-82.
    [17]
    孔静渊,冯卫星,闫菲菲,等.化痰祛瘀方联合咽三针治疗脑卒中后吞咽功能障碍的临床效果观察[J].贵州医药,2022,46(4):620-621.

    KONG J Y, FENG W X, YAN F F, et al. Observation on the clinical effect of Huatan Quyu formula combined with three pharyngeal injections in the treatment of swallowing dysfunction after stroke[J].Guizhou Medical Journal,2022,46(4):620-621.
    [18]
    杨凌,雷鸣,陈群,等.维筋相交针刺法治疗缺血性脑卒中吞咽障碍的临床研究[J].实用临床医药杂志,2022,26(20):30-34.

    YANG L, LEI M, CHEN Q, et al. Clinical study on Weijin Xiangjiao acupuncture in the treatment of dysphagia afteRischemic stroke[J].Journal of Clinical Medicine in Practice,2022,26(20):30-34.
    [19]
    毛建昊,郑红建,雷兵,等.高频小脑rTMS联合呼吸肌训练用于脑卒中后吞咽障碍患者的效果分析[J].中华全科医学,2024,22(12):2057-2061. doi: 10.16766/j.cnki.issn.1674-4152.003797

    MAO J H, ZHENG H J, LEI B, et al. Effect analysis of high-frequency cerebellar rTMS combined with respiratory muscle training on post-stroke dysphagia patients[J].Chinese Journal of General Practice,2024,22(12):2057-2061. doi: 10.16766/j.cnki.issn.1674-4152.003797
    [20]
    SIMATS A, LIESZ A. Systemic inflammation after stroke: implications for post-stroke comorbidities[J].EMBO Mol Med,2022,14(9):e16269.DOI: 10.15252/emmm.202216269.
    [21]
    崔艳超,王艳,孙文军.化痰通络汤联合rTMS对AIS后吞咽障碍、炎症、神经功能的影响[J].分子诊断与治疗杂志,2025,17(5):835-838,843.

    CUI Y C, WANG Y, SUN W J. Effects of Huatan Tongluo Decoction combined with rTMS on dysphagia,inflammation and nerve function after AIS[J].Journal of Molecular Diagnostics and Therapy,2025,17(5):835-838,843.
    [22]
    任倩,蒋天裕,薛勇,等.项五针联合下颏抗阻力训练治疗脑卒中后吞咽障碍疗效研究[J].陕西中医,2025,46(3):398-402.

    REN Q, JIANG T Y, XUE Y, et al. Curative effect study on combination of nape five-acupoint acupuncture and chin tuck against training on post-stroke oropharyngeal dysphagia patients[J].Shaanxi Journal of Traditional Chinese Medicine,2025,46(3):398-402.
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