| 摘要: |
| 目的 探讨肩井穴“扎跳”针法联合柴芍乳癖汤治疗肝郁痰凝型乳腺增生的临床效果。方法:选取2020 年1 月—2023 年1 月我院收治的肝郁痰凝型乳腺增生患者80 例，按随机数字表法分为对照组(n=40)和观察组( n=40)两组。对照组给予柴芍乳癖汤治疗，观察组在此基础上给予肩井穴“扎跳”针法治疗。两组患者在治疗结束予以临床疗效评价，对比两组治疗前后中医证候积分、性激素水平及肝肾功能指标的变化，比较治疗期间两组不良反应发生率。结果:观察组总有效率(92.50%)明显高于对照组(75.00%)(P<0.05)。治疗后观察组中医证候积分、雌二醇水平低于对照组(P<0.05)。观察组孕酮水平高于对照组(P<0.05)。治疗后两组肾功能指标及各项不良反应发生率对比，差异无统计学意义(P>0.05)。结论:柴芍乳癖汤联合肩井穴“扎跳”针法治疗乳腺增生的疗效显著，能减轻乳房肿块及疼痛，调节血清性激素水平，且不影响肝功能，安全性可靠。 |
| 关键词: 柴芍乳癖汤 肩井穴“扎跳”针法 肝郁痰凝型 乳腺增生 性激素 |
| DOI：10.3969/j.issn.1007-6948.2025.01.010 |
| 投稿时间：2024-02-09 |
| 基金项目:河北省中医药管理局科研计划项目(2020519) |
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| Clinical study of Chaishao Rupi decoction combined with“Zhatiao”acupuncture at Jianjing point in the treatment of liver stagnation and phlegm coagulation type breast hyperplasia |
| CHU Sheng-jie,SUN Yunxia |
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| Abstract: |
| Objective To explore the clinical effect of Chaishao Rupi decoction combined with“Zhatiao”acupuncture at Jianjing point in treating liver stagnation and phlegm coagulation type breast hyperplasia. Methods From January 2020 to January 2023, 80 patients with breast addiction due to liver stagnation andphlegm coagulation in our hospital were selected and divided into observation group (n=40) and study group (n=40).The grouping method was random number table.The observation group was treated with Chaishao Rupi decoction,and on this basis, the research group was treated with “Zhatiao”acupuncture at Jianjing point. The two groups were treated for clinical effect after of treatment. Before and after treatment, the changes of TCM syndrome score,sex hormone level and liver and kidney function indexes were compared. The incidence of adverse reactions between the two groups was counted. Results Regarding the total effective rate, compared with the observation group (75.00%), the observation group (92.50%) was significantly higher(P<0.05). After treatment, compared with the observation group, the Traditional Chinese medicine syndrome points in the observation group were significantly lower (P<0.05). After treatment, compared with the control group, the level of progesterone in the observation group was significantly lower and the level of estradiol in the observation group was significantly higher (P<0.05). After treatment, there was no significant difference in renal function index and incidence of adverse reactions between the two groups (P>0.05). Conclusion Chaishao Rupi decoction combined with“Zhatiao”acupuncture at Jianjing point is effective in treating breast hyperplasia. It can relieve breast lumps and pain, improve breast ultrasound parameters, regulate serum sex hormone level, and has no effect on liver function.It is safe and reliable. |
| Key words: Chaishao Rupi decoction “Zhatiao”acupuncture at Jianjing point liver stagnation and phlegm coagulation type hyperplasia sex hormone |
