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Clinical effect of acupuncture on Jueyin meridian combined with Xiaoyao Pills in the treatment of breast hyperplasia of liver depression and qi stagnation |
JIE Liyun1 LIN Qiufang1▲ WEI Yinmei2 ZHANG Sheng1 ZHANG Lingling1 |
1.Department of Acupuncture,Nanping People's Hospital,Fujian Province,Nanping 353000,China;
2.Department of Medicine,Xiamen Siming Rui Laichun Second Traditional Chinese Medicine Outpatient,Fujian Province,Xiamen 361000,China |
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Abstract Objective To investigate the clinical effect of acupuncture on Jueyin meridian combined with Xiaoyao Pills in the treatment of breast hyperplasia of liver depression and qi stagnation.Methods From July 2022 to June 2023,a total of 70 patients with breast hyperplasia of liver depression and qi stagnation in Nanping People's Hospital were selected as the research objects.According to the random number table method,they were divided into the control group (35 cases)and the experimental group(35 cases).The control group was treated with Xiaoyao Pills,and the experimental group was treated with acupuncture on Jueyin meridian+Xiaoyao Pills.The total effective rate,traditional Chinese medicine syndrome score,maximum diameter of mass,thickness of hyperplastic gland,visual analogue scale(VAS),breast mass,generic quality of life inventory-74(GQOLI-74)were compared between the two groups.Results The total effective rate of the experimental group(91.43%) was higher than that of the control group (71.43%),and the difference was statistically significant (P<0.05).Before treatment,there were no statistically significant differences in traditional Chinese medicine syndrome score,maximum diameter of tumor,thickness of hyperplastic gland,VAS,breast mass score,and GQOLI-74 score between the two groups (P>0.05).After treatment,all of the traditional Chinese medicine syndrome scores of the experimental group were lower than those of the control group,the maximum diameter of the tumor and the thickness of the hyperplasia gland of the experimental group were lower than those of the control group,the VAS and breast mass scores of the experimental group were lower than those of the control group,and the GQOLI-74 scores of the experimental group were higher than those of the control group,and the differences were statistically significant (P<0.05).Conclusion The effect of acupuncture on Jueyin meridian+Xiaoyao Pills is more ideal,which can promote the rapid disappearance of symptoms,reduce pain,promote the reduction of mass,and improve the quality of life of patients.
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[1] |
马菁菁,宋灿许,姚明,等.逍遥丸联合音乐疗法治疗肝郁气滞型乳腺增生的临床效果[J].临床医学研究与实践,2020,5(3):136-138.
|
[2] |
孙轶杰,王颖.逍遥丸联合枸橼酸他莫昔芬片治疗乳腺增生症的临床疗效及对血清血管内皮生长因子、碱性成纤维细胞生长因子的影响[J].河北中医,2022,44(5):797-800.
|
[3] |
张董晓,王慧,胡慧,等.针刺治疗肝郁痰凝型和冲任失调型乳腺增生症临床疗效[J].辽宁中医杂志,2022,49(6):184-188.
|
[4] |
全国《中成药治疗乳腺增生症临床应用指南》课题组.中成药治疗乳腺增生症临床应用指南(2021 年版)[J].中国中西医结合外科杂志,2022,28(2):149-157.
|
[5] |
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,1994:45-46.
|
[6] |
何海燕,张革萍,谭娟,等.柴瓜消结汤结合针刺乳癖三穴治疗乳腺增生症临床疗效及安全性研究[J].四川中医,2021,39(10):144-147.
|
[7] |
康汝光,梁亮,符海鸽,等.乳癖消颗粒配合针刺治疗乳腺增生疗效及对血清E2、P、PRL 的影响[J].现代中西医结合杂志,2021,30(5):523-527.
|
[8] |
陈红风.中医外科学[M].北京:中国中医药出版社,2016:111.
|
[9] |
张珊珊,方顺兰,李秋生.针刺联合推拿手法治疗乳腺增生的临床疗效观察[J].广州中医药大学学报,2020,37(7):1288-1292.
|
[10] |
宋少军,韩秀华,宋昕,等.开胸顺气针刺法治疗乳腺增生症102 例[J].云南中医中药杂志,2019,40(2):57-58.
|
[11] |
刘超男,武娜,赵锡蕾,等.针刺配合中药颗粒剂治疗乳腺增生症临床疗效[J].内蒙古中医药,2019,38(12):101-102.
|
[12] |
金佳佳,陈建华,季晓亮,等.揿针联合柴胡舒肝散治疗肝郁气滞型乳腺增生症40 例临床研究[J].江苏中医药,2020,52(11):73-76.
|
[13] |
唐小乔.乳宁颗粒治疗乳腺增生对外周血P53 蛋白、转化生长因子β1水平的影响[J].中国医药科学,2022,12(19):16-19.
|
[14] |
刘国斌.超微针刀联合甘麦大枣汤加减治疗非哺乳期乳腺增生的临床观察[J].中外医学研究,2023,21(7):43-47.
|
[15] |
王志超,徐枫.西黄胶囊联合他莫昔芬治疗乳腺增生症患者的临床效果及对性激素指标的影响[J].中国医学创新,2022,19(16):61-65.
|
[16] |
郑君,王煜.国医大师王自立教授运用归芍运脾汤治疗脾虚肝郁型乳腺增生经验[J].西部中医药,2022,35(11):82-85.
|
[17] |
蔡旻捷,伍紫炫,郭智涛.颊针治疗肝郁气滞型乳腺增生症30 例临床研究[J].江苏中医药,2020,52(12):68-70.
|
[18] |
李曰庆.中医外科学[M].北京:中国中医药出版社,2017:113.
|
[19] |
温静,王锐卿,刘敬萱,等.基于复杂网络分析针灸治疗乳腺增生症的腧穴配伍规律及核心腧穴刺灸法应用特点[J].针刺研究,2021,46(1):76-83.
|
[20] |
房涛,惠建荣.“通利枢机针法”结合逍遥丸治疗肝郁气滞型乳腺增生的临床研究[J].陕西中医药大学学报,2019,42(6):96-99,104.
|
[21] |
于川,张蕊.针刺治疗乳腺增生作用机制研究进展[J].中国医药导报,2023,20(33):52-55.
|
[22] |
刘堂明,宁静,王丽.柴芍乳癖合剂联合穴位针刺治疗肝郁痰凝型乳腺增生病的临床效果研究[J].宁夏医学杂志,2022,44(3):269-272.
|
[23] |
王进峰,王世文,杨为亚,等.乳癖散结胶囊联合西药治疗乳腺增生症有效性和安全性的Meta 分析[J].中国处方药,2023,21(2):47-52.
|
[24] |
王昭美子,张威.近五年针刺治疗乳腺增生症的临床概况[J/OL].实用中医内科杂志,1-5[2023-12-14]http://kns.cnki.net/kcms/detail/21.1187.R.20231213.1050.002.html.
|
[25] |
林耐球.针灸联合消癖汤治疗乳腺增生的临床效果[J].中外医学研究,2022,20(13):42-46.
|
[26] |
郭军萍.针刺联合逍遥丸治疗乳腺增生随机平行对照研究[J].实用中医内科杂志,2015,29(11):146-147.
|
|
|
|