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

Acupuncture and Chinese Medicine Treatment of Irregular Menstruation Randomized and Controlled Study

[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.