摘要目的：探讨寒湿药熨贴的制备工艺，观察寒湿药熨贴的疗效，为临床治疗寒湿型腰痛病提供参考。方法运用科学工艺制备寒湿药熨贴并考察其热效应，选择腰腿痛门诊收治的寒湿型腰痛患者120例，依就诊顺序分为观察组和对照组，治疗组63例以寒湿药熨贴外贴患处，对照组57例以坎离砂外贴患处。观察治疗1个疗程后的治疗效果。结果寒湿药熨贴热效应指标的起热时间为12 min，持热时间为10．8 h，最高温度为56．5℃，热平衡曲线平缓持久。两组药物的疗效在观察时间内作用明显，观察组总有效率90．5％（57／63），高于对照组的75．4％（43／57），差异有统计学意义（χ2＝4．87，P ＜0．05），治疗期间未发现局部皮肤出现水泡、红疹、发痒等低温灼伤与其他过敏反应。结论寒湿药熨贴工艺稳定，质量可控，热平衡曲线平缓持久，疗效确定，疗法创新，易为患者接受，在临床上值得推广。

abstractsObjective To investigate the preparation process of cold -dampness medicine iron stick and the curative effect of cold -dampness medicine iron stick,thus to provide reference for the clinical treatment of cold -dampness lumbago.Methods Using science and technology of preparation and the thermal effect of cold -dampness medicine iron stick was observed.1 20 cases with cold -dampness lumbago of dampness type with low back pain, according to the order of treatment were divided into the observation group and control group.63 cases of the treatment group were given cold -dampness medicine iron stick affixed to the surface of the skin,57 cases of the control group were given kanlisha affixed to the surface of the skin.The treatment effect after one course of treatment was observed. Results Cold -dampness medicine iron stick heat effect index of heat time was 1 2min,to thermal time was 1 0.8h, the highest temperature was 56.5℃,thermal equilibrium curve was gentle and lasting.The efficacy of the two groups of drugs within the observation time effect was obvious.The total effective rate of the observation group was 90.5%(57 /63),which was higher than 75.4%(43 /57)of the control group,the difference was statistically significant (χ2 =4.87,P <0.05).During the treatment,local skin blisters,rash,itching and other low temperature burns and other allergic reaction were not found.Conclusion Cold -dampness medicine iron stick process is stable and controllable in quality and heat balance curve slow long -lasting,determine the efficacy,innovative therapies,it is easily accepted by patients and worthy to be popularized in clinical practice.