温和灸干预异体质女大学生乳腺增生疗效观察

Therapeutic Observation of Mild Moxibustion for Hyperplasia of Mammary Glands in Female College Students of Different Constitutions

目的采用"中医体质分类与判定"自评表,辨识女大学生乳腺增生患者中医体质类型,观察在何种体质背景下温和灸治疗乳腺增生疗效更佳。方法对118例患者实行温和灸,以肩井穴为主,针对9种中医体质(平和质、气虚质、血瘀质、痰湿质、气郁质、湿热质、阴虚质、阳虚质、特禀质),配以调整体质的穴位,遵循前后对照原则,观察易感体质,比较治疗前后乳房肿块、乳房疼痛、伴随症状情况。结果 9种体质乳房肿块前后变化不大(P>0.05);乳房疼痛评价和伴随症状中痰湿质、气虚质、血瘀质、气郁质、阳虚质有较好疗效(P<0.05),其他体质无统计学意义(P>0.05)。结论治疗后部分体质患者症状改善明显,但器质性病变短期内单纯艾灸手段难以逆转并具有局限性。

Objective To explore which body constitution responds the best in the treatment of hyperplasia of mammary glands with mild moxibustion,by differentiating the constitution following the self-rating scale for the Classification of Body Constitution of Traditional Chinese Medicine.Method Totally 118 patients were intervened by mild moxibustion,majorly at Jianjing（GB21）,but assisted by other points according to the nine constitution types（moderate,qi deficiency,blood stagnation,phlegm-dampness,qi stagnation,damp-heat,yin-deficiency,yang-deficiency,and specific constitutions）.The mammary lump,pain in breast,and complicated symptoms were observed before and after intervention by following the self-comparison rules.Result There were no significant changes in mammary lumps in the 9 constitution types（P〈0.05）;the phlegm-dampness,qi-deficiency,blood stagnation,qi stagnation,and yang-deficiency constitutions showed significant improvements in the evaluation of breast pain and complicated symptoms（P〈0.05）,while the changes in other constitutions were statistically insignificant（P〈0.05）.Conclusion Mild moxibustion can significantly improve the symptoms in some constitutions,but it seems that dry mild moxibustion is impossible to reverse the organic lesions and its efficacy is rather limited.