Pathologic analysis on hyperplasia of mammary gland with different syndromes based on infrared radiation temperature of acupoints

OBJECTIVE:To explore the pathologic characteristics of hyperplasia of the mammary gland(HMG) by observing differences in infrared radiation temperature of points of HMG in patients with different syndromes compared with healthy controls.METHODS:AFLIRSystems Therma CAM P30 infrared thermal camera was used to detect the infrared temperature of Shanzhong(CV 17),Qimen(LR 14),Zhongwan(CV 12),Qihai(CV 6),Guanyuan(CV 4),Taixi(KI 3),and Taichong(LR 3) in 113 patients with HMG.Of these patients,71 were placed in the Liver Qi stagnation group,34 were placed in the Dysfunction of conception and thoroughfare vessels group,and 8 were placed in the Phlegm and blood stasis in combination group.The infrared radiation temperature of each point in the patients was compared with that of healthy controls,and the differences in the infrared radiation temperatures of the points in the patients were analyzed.RESULTS:Overall,the bilateral corresponding point in both the controls and patients exhibited no significant difference in infrared radiation temperature.In all cases,the infrared radiation temperature of the points from proximal to distal tended to decrease.In a comparison of the patients and controls,the infrared radiation temperature of the trunk points Shanzhong(CV 17),Qimen(LR 14),Zhongwan(CV12),Qihai(CV6),and Guanyuan(CV 4) of the patients was higher than that of the controls,while the infrared radiation temperature of the lower extremity points Taixi(KI 3) and Taichong(LR 3) was lower than that of the controls.Of these points,Shanzhong(CV 17)(P=0.0368),Zhongwan(CV 12)(P=0.0028),Qihai(CV 6)(P=0.0085),and Guanyuan(CV4)(P=0.0018) showed significant differences.In a comparison of the corresponding point on the same side in the Liver Qi stagnation group and controls,the infrared radiation temperature of Shanzhong(CV17)(P=0.0089),right-side Qimen(LR 14)(P=0.0382),Zhongwan(CV 12)(P= 0.0000),Qihai(CV 6)(P=0.0011),and Guanyuan(CV 4)(P=0.0000) of the patients was significantly higher than that of the controls,while the differences in the infrared radiation temperature of the other points were not statistically significant(P= 0.0833-0.8397).In a comparison of the corresponding point on the same side in the Dysfunction of conception and thoroughfare vessels group and controls,the infrared radiation temperature of left-side Taichong(LR 3)(P=0.0048),right-side Taichong(LR 3)(P=0.0329),left-side Taixi(KI 3)(P= 0.0171),and right-side Taixi(KI 3)(t=0.544,P= 0.0165) of the patients was significantly lower than that of the controls,while the differences in the infrared radiation temperature of the other points were not statistically significant(P=0.3793-0.9197).In a comparison of the corresponding point on the same side in the Phlegm and blood stasis in combination group and controls,the infrared radiation temperature of Shanzhong(CV 17),Qimen(LR 14),Qihai(CV 6),Guanyuan(CV 4),Taixi(KI 3),Taichong(LR 3),and Zhongwan(CV 12) tended to increase,but without statistical significance(P=0.175-.759).CONCLUSION:The corresponding points of HMG patients with different syndromes are in different deficiency/excess states.Changes in the infrared radiation temperature of the trunk points Shanzhong(CV 17),Qimen(LR 14),Zhongwan(CV 12),Qihai(CV 6),and Guanyuan(CV 4) are closely related to the pathological characteristics of the Liver Qi stagnation syndrome of HMG patients,while changes in the infrared radiation temperature of the lower extremity points Taixi(KI 3) and Taichong(LR 3) are closely related to the pathological characteristics of the Dysfunction of conception and thoroughfare vessels syndrome of HMG patients.On the whole,HMG patients with Liver Qi stagnation syndrome are characterized by "upper excess," and those with Dysfunction of conception and thoroughfare vessels syndrome are characterized by"lowerdeficiency."

Efficacy of moxibustion by stimulating acupoints of Danzhong(CV 17) and Ganshu(BL 18) on hyperplasia of mammary gland in rats

OBJECTIVE: To evaluate the efficacy of moxibustion, through stimulating acupoints of Danzhong(CV 17) and Ganshu(BL 18) in rats with hyperplasia of mammary gland(HMG) which induced by estrogen and progestogen.METHODS: Thirty female Sprague-Dawley rats were randomly divided into saline control group,HMG model group, and HMG moxibustion group with 10 in each group. Saline control was the group injected by saline. HMG model were created by injection of estrogen and progestogen. Moxibustion group was also injected of estrogen and progesto-gen with moxibustion at the same time. The Changes of nipple diameter and height were measured.The rats' skin temperature was recorded by an infrared thermal camera at the nipples, mammary areas,Danzhong(CV 17) and Ganshu(BL 18). Pathological changes of mammary gland in rats were also observed under light microscope.RESULTS: The diameter and height of the nipples in model group were prominently bigger and higher than that in control group(P < 0.01). The diameter and height in moxibustion group were prominently smaller and lower than that in model group(P < 0.01), and there was no significant difference between moxibustion group and control group.Compared with control group, skin temperature of the nipples, mammary area, and acupoints Danzhong(CV 17) and Ganshu(BL 18) decreased prominently in model group(P < 0.01-0.05). Compared with model group, skin temperature of that in moxibustion group increased prominently(P <0.05).CONCLUSION: Treatment with moxibustion can effectively decrease the HMG rats' nipple diameter and height, and increase the skin temperature in HMG model rats at the nipples, mammary areas,Danzhong(CV 17) and Ganshu(BL 18). This study convinces the therapeutic effect of moxibustion on mammary gland hyperplasia.

Effectiveness of external Sanjierupi Gao on mastalgia caused by mammary gland hyperplasia: a placebo controlled trial

OBJECTIVE:To evaluate the curative effect of external application of the Chinese drug,Sanjierupi Gao,on mastalgia caused by mammary gland hyperplasia.METHODS:This randomized,double-blinded,and placebo controlled study enrolled 260 patients with mammary gland hyperplasia from five hospitals.Patients were randomly and equally divided in-to a Sanjierupi Gao treatment group and a placebo control group.An adhesive plaster was applied to the most painful area on either breast for 7 h a day.Treatment lasted for two menstrual cycles without application during menstruation.Mastalgia was used as the main index of curative effect.The change before and after treatment in days of mastalgia,the time to alleviate pain,pain extent,and severe pain scores were observed.RESULTS:Compared to the control group,the treatment group had significantly fewer days of mastalgia(P<0.01),a significantly lower severe pain score(P<0.01),and significantly less subjective pain and tenderness(P<0.05 and P<0.01,respectively).Three days before the follow-up visit,the pain score in the treatment group was significantly lower than that in the control group(P<0.05).A non-parametric test was used to compare the time to alleviate mastalgia between the two groups and found no statistical difference(Z=0.313,P=0.754).CONCLUSION:Application of Sanjierupi Gao can decrease mastalgia duration in patients with mammary gland hyperplasia during menstruation and alleviate the extent of mastalgia.The time to alleviate pain is psychologically influenced.