尚永强

doi：10.3969/j.issn.1007-614x.2014.14.50

摘 要 目的：观察香瓜慈姑丸配合针刺治疗乳腺增生症的疗效。方法：将360例乳腺增生患者随机分为治疗组200例和对照组160例，治疗组采用香瓜慈姑丸配合针刺治疗；对照组采用乳癖消丸治疗。两组均5个疗程后观察疗效（7天1个疗程）。结果：治疗组治愈81例，显效111例，无效8例，总有效率96.00%；对照组治愈80例，显效40例，无效40例，总有效率75.00%。结论：香瓜慈姑丸配合针灸治疗乳腺增生症疗效较好。

关键词 香瓜慈姑丸 针刺 乳腺增生 临床观察

Clinical observation of Muskmelon arrowhead pill combined with acupuncture for treatment of hyperplasia of mammary glands

Shang Yongqiang

ChengGuan Community Health Centre of Jingning County in Gansu Province，743400

Abstract Objective：To explore the curative effect of Muskmelon arrowhead pill combined with acupuncture for treatment of hyperplasia of mammary glands.Methods：We selected 360 cases of patients with hyperplasia of mammary glands.These patients were randomly divided into the treatment group with 200 cases and the control group with 160 cases.The treatment group were treated with acupuncture and muskmelon arrowhead pill.The control group was treated with Rupixiao pills.Curative effect of the two groups was observed after 5 courses（1 course of treatment was seven days）.Results：In the treatment group，81 cases were cured，111 cases were markedly effective，18 cases were ineffective，and the total efficiency was 96%.In the control group，80 cases were cured，40 cases were markedly effective，40 cases were ineffective，and the total efficiency was 75%.Conclusion：The curative effect of Muskmelon arrowhead pill combined with acupuncture for treatment of hyperplasia of mammary glands is better.

Key words Muskmelon arrowhead pill；Acupuncture；Hyperplasia of mammary glands；Clinical observation

资料与方法

2008年8月-2013年8月收治乳腺增生患者360例，≤18岁2例；19～30岁28例；31～40岁270例；41～50岁44例；>50岁16例。年龄15～72岁，病程2个月～9年。

治疗方法：①治疗组（200例）：香瓜慈姑丸口服，3次/日，每次用量10～15g。7天1个疗程。在此基础上对患者并用针刺治疗。方法如下：以膻中、屋翳、合谷，足三里为主穴，以1～1.5寸毫针在膻中穴、屋翳穴向患者乳根部斜刺，其余穴以直刺为主，膻中与屋翳两穴接电针仪，采用疏密波；余穴10分钟行针1次，每次留针20分钟，7次1个疗程，疗程间隔3～7天；月经期治疗暂停。②对照组（160例）：乳癖消丸治疗，口服，1袋/次，3次/日，7天1个疗程，5个疗程后观察疗效。

处方与制备：①处方：香附12g，瓜蒌15g，山慈姑20g，鳖甲15g，穿山甲（炮）15g，柴胡20g，丹参15g，鹿衔草15g，夏枯草15g，蒲公英15g，土茯苓20g，海藻15g，昆布15g，黄芩6g。②制备：按上方量取诸药，低温烘干、粉碎、过筛（100目）、混匀、起模（水泛丸）、成型、干燥、盖面、包衣、打光、称量、包装（每瓶120g）、标签，药检合格后备用。

疗效判定标准[1]：①临床治愈：乳腺肿块及乳痛消失，乳腺红外线扫描正常，停药后3个月不复发；②好转：乳腺肿块缩小、变软，乳痛消失或减轻，乳腺红外线扫描较服药前好转；……