【摘要】 目的 觀察循膀胱經(jīng)彈撥法干預(yù)亞健康狀態(tài)方案的療效及優(yōu)勢，并規(guī)范其技術(shù)標(biāo)準(zhǔn)，為臨床提供安全有效的治療技術(shù)范例。 方法 2009年3月-2010年8月，采用多中心、分層區(qū)組隨機(jī)、平行對照的臨床研究方法，選擇亞健康狀態(tài)受試者360例，隨機(jī)分為傳統(tǒng)組、彈撥組、復(fù)合組，每組120例。觀察受試者干預(yù)前后的臨床癥狀積分、血沉、血漿乳酸、全血黏度（切變率分別為1、5、30、200/s）的變化，及有效性和安全性。 結(jié)果 共305例完成試驗(yàn)，其中傳統(tǒng)組97例，彈撥組102例，復(fù)合組106例。彈撥組、復(fù)合組的總體療效與傳統(tǒng)組比較差異有統(tǒng)計學(xué)意義（Plt;0.05），彈撥組與復(fù)合組比較差異無統(tǒng)計學(xué)意義（Plt;0.05）。干預(yù)后彈撥組、復(fù)合組的臨床癥狀積分、血沉、血漿乳酸、全血黏度與傳統(tǒng)組比較差異有統(tǒng)計學(xué)意義（Plt;0.05）；彈撥組與復(fù)合組臨床癥狀積分、血液乳酸全血黏度（切變率分別為1、200/s）差異無統(tǒng)計學(xué)意義（Pgt;0.05），血沉、全血黏度（切變率分別為5、30/s）差異有統(tǒng)計學(xué)意義（Plt;0.05）。各組各指標(biāo)干預(yù)后前后自身比較差異均有統(tǒng)計學(xué)意義（Plt;0.05）?！〗Y(jié)論 推拿能有效地改善亞健康狀態(tài)，復(fù)合組療效最佳，彈撥組其次，傳統(tǒng)組較差。循膀胱經(jīng)彈撥法對亞健康狀態(tài)的干預(yù)有效性較傳統(tǒng)推拿更好?！続bstract】 Objective To observe the efficacy and advantages of flicking and poking along bladder channels in intervening sub-health state and regulate the technical standards for clinical treatment techniques, in order to provide safe and effective treatment criteria. Methods Multi-centered, stratified randomized and parallel controlled clinical research methods were adopted in this study. From March 2009 to August 2010, 360 subjects with sub-health status were randomly divided into traditional group, flicking and poking group, and combining group with 120 cases in each group. The changes of clinical symptoms, erythrocyte sedimentation rate, plasma lactate, and whole blood viscosity (shear rates of 1, 5, 30, 200/s) as well as the efficacy and safety were observed. Results A total of 305 patients completed the trial, including 97 in the traditional group, 102 in the flicking and poking group, and 106 in the combining group. The general efficacy for the flicking and poking group and the combining group was significantly different from that for the traditional group (Plt;0.05), while there was no significant difference between the flicking and poking group and the combining group. After the intervention, the clinical symptom score, erythrocyte sedimentation rate, plasma lactate, and whole blood viscosity of the flicking and poking group and the combining group were significantly different from those of the traditional group (Plt;0.05). The clinical symptom score, plasma lactate and whole blood viscosity (shear rates of 1, 200/s) of the flicking and poking group and the combining group were not significantly different (Pgt;0.05), while erythrocyte sedimentation rate, and whole blood viscosity (shear rates of 5, 30/s) between those two groups were significantly different (Plt;0.05). All the above mentioned indexes before and after intervention in each group were statistically different (Plt;0.05). Conclusion Massage can improve the sub-health state, and the combining method has the best efficacy followed by flicking and poking, while traditional method has a poor efficacy. Intervening sub-health state with flicking and poking along bladder channels has a better efficacy than the traditional method of massage.