少泽放血为主配合针刺治疗乳腺小叶增生临床观察

Clinical Observations on Shaoze Bloodletting plus Acupuncture for Treatment of Mammary Lobular Hyperplasia

目的观察少泽放血配合针刺治疗乳腺小叶增生的疗效。方法30例乳腺小叶增生患者接受双侧少泽放血配合针刺辨证治疗,为期6星期。观察临床疗效、症状、体征变化、治疗过程中患者的不适。结果少泽放血配合针刺治疗后,患者各类临床症状均有不同程度的改善。30例患者中,痊愈16例,总有效率为90.0%;有趋势表明,中度增生者疗效较好,情绪变化的改善较为显著,外上、下限包块疗效较好,肝气郁滞型疗效较好;针刺治疗过程中所有患者均未有特殊不适。结论少泽放血配合针刺治疗对乳腺小叶增生患者有很好的治疗作用,在改善情绪、经前乳房胀痛、胸部胀闷不舒等方面有一定优势。

Objective To investigate the clinical efficacy of Shaoze（SI1） bloodletting plus acupuncture in treating mammary lobular hyperplasia. Methods Thirty patients with mammary lobular hyperplasia were treated by bilateral points Shaoze bloodletting plus acupuncture for six weeks. The clinical therapeutic effect, changes in the symptoms and signs, and the patients＇ discomfort during treatment were investigated. Results Various clinical symptoms improved to different degrees in the patients with mammary lobular hyperplasia after treatment by Shaoze bloodletting plus acupuncture. Of the 30 patients with mammary lobular hyperplasia, clinical cure occurred in 16, with a total efficacy rate of 90.0%. The tendency showed that the improvement in emotion was more obvious and the therapeutic effect was better in the patients with moderate hyperplasia, with the mass in the superolateral or inferolaterat quadrant, or with liver qi stagnation. There was no special discomfort in all the patients during acupuncture treatment. Conclusion Shaoze bloodletting plus acupuncture has a good therapeutic effect on mammary lobular hyperplasia and is of a certain advantage in improving emotion and relieving premenstrual mammary distending pain and chest distress.