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辨证分期分型药物联合针灸治疗月经不调随机平行对照研究 被引量:11

Acupuncture and Chinese Medicine Treatment of Irregular Menstruation Randomized and Controlled Study
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摘要 [目的]观察辨证分期分型药物联合针灸治疗月经不调随疗效。[方法]使用随机平行对照方法,将140例门诊患者按就诊顺序编号随机分为两组。对照组70例辨证分期分型,①月经先期(实热型):黄柏、地骨皮各15g,丹皮、熟地、白芍各10g,茯苓、青蒿、黄连各6g;月经先期(虚热型):生地、元参各30g,白芍、麦冬、地骨皮各15g;月经先期(气虚型):黄芪30g,人参、茯苓、白术、熟地、阿胶各10g。②月经后期(血寒型):白芍、熟地各30g,川芎、白术各15g,续断、柴胡各9g,五味子3g;月经后期(血虚型):人参、当归、川芎、赤芍、山茱萸、枸杞各15g,甘草3g;月经后期(血瘀气滞型):当归、生地各15g,桃仁、红花、川芎、赤芍各10g,木香、木通、香附各9g,莪术、肉桂各5g。治疗组70例针灸治疗。①月经先期(实热型):关远、血海、太冲、曲池,泻法;月经先期(虚热型):关元、血海、三阴交,平补平泻法;月经先期(气虚型):脾俞、血海、关远、足三里,补法。②月经后期(血寒型):三阴交、气海、气穴,脾俞、膈俞、归来、天枢;月经后期(血虚型):三阴交、足三里,补法;月经后期(血瘀气滞型):关元、气海、三阴交、泻法。药物治疗同对照组。连续治疗4周为1疗程。观测临床症状、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组治愈51例,显效12例,有效4例,无效3例,总有效率95.70%;对照组治愈36例,显效15例,有效5例,无效14例,总有效率80.00%。治疗组疗效优于对照组(P<0.05)。[结论]采用辨证分期分型药物联合针灸效果显著。 [ Objective] Observe the efficacy of acupuncture and Chinese herbal medicine treatment of irregular menstruation.[ Methods] Using randomized controlled method,140 cases of outpatient treatment order numbers were randomly divided into two groups.Control group,70 cases of Chinese medicine syndrome differentiation,staging treatment.Differential treatment group 70 cases acupoints acupuncture.① menstruation(real hot type): Take off Guanyuan,Xuehai,Taichong,Quchi,a needle with diarrhea;menstruation(Hot type): Take off the Guanyuan,Xuehai,Sanyinjiao,reinforcingreducing practices;menstruation(deficiency): take the Pishu,Xuehai,Guanyuan,Zusanli,needle and fill method.② late menstruation(blood cold type): Take the needle Sanyinjiao,Qihai,Qixue,Pishu,Geshu,Guilai,Tianshu;late menstruation(deficiency type): Take the needle Sanyinjiao,Zusanli acupuncture with reinforcing method;late menstruation(blood stasis and qi stagnation): Needle take Guanyuan,Qihai,Sanyinjiao,needles with reducing method.Chinese medicine treatment with the control group.Continuous treatment for 4 weeks for a course of treatment.Observation of clinical symptoms and adverse reactions.2 courses of continuous treatment,to determine efficacy[.Results] The observation group 51 cases were cured,12 cases markedly effective in 4 cases,3 cases,the total efficiency of 95.70%.Control group,36 cases were cured,15 cases markedly effective in 5 cases,14 cases were ineffective,the total effective rate was 80.00%.The observation group than the control group(P <0.05)[.Conclusion] The use of acupuncture and Chinese herbal medicine treatment of irregular menstruation significant effect on the prevention of progression of the disease is important.
作者 李莉
出处 《实用中医内科杂志》 2013年第2S期135-136,共2页 Journal of Practical Traditional Chinese Internal Medicine
关键词 月经不调 辨证分型 实热型 虚热型 气虚型 血寒型 血虚型 中医药治疗 针灸 随机平行对照研究 Irregular menstruation Syndromes Heat Hot type Deficiency Cold blood type Deficiency type Chinese medicine treatment Acupuncture Randomized controlled study
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