OBSERVATION ON THE THERAPEUTIC EFFECT OF ACUPUNCTURE THERAPY FOR SIMPLE OBESITY COMPLICATED WITH PREMENSTRUAL TENSION SYNDROME

Objective: To observe the therapeutic effect of acupuncture therapy in the treatment of simple obesity complicated with premenstrual tension syndrome. Methods: A total of 39 cases of simple obesity complicated with premenstrual tension were treated by combination of body acupuncture and otoacupuncture based on syndrome-differentiation of traditional Chinese medicine (TCM). Symptoms, physical signs, obesity indexes and cumulative scores of clinical disease-syndrome before and after treatment were analyzed and compared. Results: After one, two and three courses of treatment, the effective rates were 69.23%, 79.49% and 87.18% respectively. Conclusion: Acupuncture therapy works well in the treatment of simple obesity with concurrent premenstrual tension syndrome.

ACUPUNCTURE TREATMENT OF FEMALE OBESITY COMPLICATED WITH PREMENSTRUAL TENSION SYNDROME

Objective: To explore mechanisms of acupuncture for the treatment of obesity complicated with premenstrual tension syndrome （PTS）. Methods: By means of syndrome-differentiation, 45 female simple obese （SO） patients with PTS (SO+PTS group and 35 simple obesity patients （SO group） were treated with body acupuncture combined with ear acupuncture. Thirty-three normal women subjects were assigned to control group. Changes in symptoms, signs, obesity index, clinical indices of disease and syndrome, equilibrium index of the vegetative nervous system （Y value）, blood estradiol （E2）, progesterone （P）, aldosterone （Ald） and lipid levels were detected and compared before and after the treatment. Results: Before acupuncture treatment, the obesity index, clinical indices of disease and syndrome, Y value, E2/P ratio and Ald in these patients were obviously increased, and E2 and P levels decreased. After the treatment, the body weight of the patients was reduced, and the increased obesity index, clinical indices of diseases and syndromes, Y value, E2/P ratio and Ald were markedly lowered （P<0.05, or P<0.01）, and the decreased E2 and P levels elevated significantly （P<0.01）. Conclusion: Acupuncture exerts favorable regulative function on clinical indices of disease and syndrome, Y value, E2, P, Ald, lipid and E2/P in obese patients with PTS, which may be related to its resultant improvement of the functions of the hypothalamo-pituitary-gonadal axis, hypothalamo-pituitary-adrenal axis and the vegetative nervous system.

黄帝内针治疗经行头痛急性发作的临床疗效观察

目的总结经行头痛急性发作期患者舌象、脉象及头痛发作特点,并评估黄帝内针对经行头痛急性发作的治疗效果。方法29例经行头痛急性发作患者,均行黄帝内针针刺治疗。分析患者舌象、脉象、头痛发作特点,比较针刺治疗前后头痛视觉模拟评分法(VAS)评分,评估疗效。结果29例患者中,舌形正常23例,占比79.31%;舌形胖大5例,占比17.24%;舌形瘦1例,占比3.45%。暗红舌18例,占比62.07%;淡红舌11例,占比37.93%。薄白苔24例,占比82.76%;少苔3例,占比10.34%;薄黄苔、白厚苔各1例,占比3.45%。脉象均为细脉,其中脉细弦26例,占比89.66%;脉细缓2例,占比6.90%;脉细数1例,占比3.45%。16例胀痛,占比55.17%;4例隐痛,占比13.79%;3例跳痛,占比10.34%;3例刺痛,占比10.34%;2例沉重疼痛,占比6.90%;1例抽扯样疼痛,占比3.45%。颞侧部位疼痛(少阳头痛)24例,前额部位疼痛(阳明头痛)22例,枕部头痛(太阳头痛)21例,巅顶部位疼痛(厥阴头痛)3例。患者头痛部位多为>2个部位,多涉及少阳经、阳明经、太阳经,厥阴经较少。针刺完成时(3 min内),患者头痛VAS评分(1.19±0.53)分低于针刺治疗前的(4.17±1.31)分,差异具有统计学意义(P<0.05);针刺治疗结束时(留针45 min),患者头痛VAS评分(1.25±0.45)分低于针刺治疗前的(4.17±1.31)分,差异具有统计学意义(P<0.05)。29例患者针刺治疗后,痊愈7例,显效15例,有效7例,无效0例,治疗总有效率为100.00%(29/29)。结论经行头痛急性发作时患者舌象、脉象、疼痛特点具有一定的规律可循,多表现为气滞、血瘀、血虚;黄帝内针疗法取穴精简,易于掌握,可快速缓解经行头痛急性发作症状,此针法值得临床推广应用。

针灸治疗单纯性肥胖症并发经前期紧张综合征疗效观察

目的:观察针灸治疗单纯性肥胖症并发经前期紧张综合征的疗效及相关因素对疗效的影响。方法:将单纯性肥胖症132例和单纯性肥胖症并发经前期紧张综合征131例患者依据辨证分型采用耳体针结合施治,观察针灸治疗前、后患者的症状、体征、肥胖指标、经前期紧张综合征症状积分的变化及影响其变化的相关因素。结果:针灸治疗3个月后,单纯性肥胖症并发经前期紧张综合征组总有效率为87.8%,显愈率62.6%,与单纯性肥胖症对比,有效率P>0.05,显愈率P<0.05。结论:针灸对单纯性肥胖症和单纯性肥胖症并发经前期紧张综合征均有良好的疗效(P>0.05)。但单纯性肥胖症的近期临床痊愈和显效优于单纯性肥胖症并发经前期紧张综合征。

针灸治疗单纯性肥胖症并发经前期紧张综合征131例

目的:观察针灸治疗单纯性肥胖症并发经前期紧张综合征的疗效及其相关因素。方法:将131例单纯性肥胖症并发经前期紧张综合征患者依据辨证分型采用耳体针结合施治,观察针灸治疗前及治疗3个月后患者的症状、体征、肥胖指标、经前期紧张综合征症状积分的变化及影响其变化的相关因素。结果:针灸治疗3个月后,总有效率为87.8%。针灸对单纯性肥胖症并发经前期紧张综合征具有良好的疗效,轻度肥胖、中度肥胖疗效优于重度肥胖;年龄轻者优于长者;病程短者优于病程长者。结论:针灸对单纯性肥胖症并发经前期紧张综合征具有良好的治疗效果,同时具有减肥和改善经前期紧张综合征症状的效果,其效果与肥胖度、年龄和病程有关。

逍遥散加味治疗经前期紧张综合征45例

目的：探讨逍遥散加味治疗肝郁化热型经前期紧张综合征的机理。方法：自拟逍遥散加味治疗肝郁化热型经前期紧张综合征４５例，并与西药对照组进行疗效比较。结果：治疗组治愈３２例，显效６例，有效４例，总有效率９３．３％，明显优于对照组的５３．３％，Ｐ＜０．０１；在改善临床症状方面也优于对照组；并且能提高血清孕酮／雌二醇比值达正常范围等。结论：逍遥散加味调节内分泌、消除经前期紧张综合征。

疏肝清热法治疗经前期紧张综合征肝经郁热型100例

目的观察疏肝清热法治疗经前期紧张综合征患者的疗效。方法将经前期紧张综合征患者180例分为两组:治疗组100例,采用丹栀逍遥散加减治疗;对照组80例,采用复方维生素B胶囊口服。观察患者用药前后临床症状、激素水平、基础体温等的变化。结果治疗组总有效率为98%,对照组为61.1%,两组比较差异显著(P<0.01);治疗组催乳素水平下降,低于对照组(P<0.01):治疗组治疗后高温相时间延长、高温相波动减少及排卵时的升温幅度提高。结论疏肝清热法是治疗经前期紧张综合征肝经郁热型的有效方法。