中华针灸电子杂志 ›› 2025, Vol. 14 ›› Issue (02) : 50 -53. doi: 10.3877/cma.j.issn.2095-3240.2025.02.002 × 扫一扫
论著
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Enhui Chang1, Lanlan Li1, Hongxia Liu1, Haoran Chu2,†, Fangfang Chen3
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昌恩惠, 李兰兰, 刘红霞, 储浩然, 陈芳芳. 董氏奇穴治疗肝郁痰凝型乳癖病的疗效观察[J/OL]. 中华针灸电子杂志, 2025, 14(02): 50-53.
Enhui Chang, Lanlan Li, Hongxia Liu, Haoran Chu, Fangfang Chen. Clinical observation of the effect of Dong′s Extraordinary Acupoints in treating liver stagnation and phlegm-condensation type mammary hyperplasia[J/OL]. Chinese Journal of Acupuncture and Moxibustion(Electronic Edition), 2025, 14(02): 50-53.
目的
观察董氏奇穴治疗肝郁痰凝型乳癖病的临床疗效。
方法
选取2021年2月至2023年2月铜陵市中医医院妇科门诊收治的肝郁痰凝型乳癖病患者60 例，按照随机数字表法将患者分为治疗组和对照组，每组30 例。 治疗组选用双侧外三重穴（董氏奇穴）及双侧足三里、丰隆、三阴交、合谷、太冲予以针刺治疗，月经结束后第1 天开始针刺，1 次/d，月经期间停止针刺；对照组采用中成药红金消结胶囊口服治疗，月经结束后第1 天开始服用，4 粒/次，3 次/d，月经期间停药。 2 组均治疗3 个月。 观察2 组患者治疗前后乳房疼痛积分、乳房肿块直径的变化，并评定2 组临床疗效及安全性。
结果
对照组总有效率73.3%（22/30），治疗组总有效率93.3%（28/30），2 组患者疗效比较，差异具有统计学意义（χ2 ＝4.320，P＜0.05）。 治疗后，2 组患者乳房疼痛积分、乳房肿块直径均较治疗前降低（t＝9.175、7.413、6.637、3.452，P＜0.05），2 组患者乳房疼痛积分、乳房肿块直径比较，差异均无统计学意义（t＝-1.470、-1.924，P＞0.05）。
结论
董氏奇穴针刺法和红金消结胶囊均可减轻乳房疼痛、缩小乳房肿块，提高治疗后总有效率，两种治疗方法疗效相当。
Objective
This study aimed to evaluate the clinical efficacy of Dong′s Extraordinary Acupoints in treating mammary hyperplasia caused by liver stagnation and phlegm congealing.
Methods
A total of 60 patients diagnosed with this condition at the Gynecology Outpatient Department of Tongling Hospital of Traditional Chinese Medicine from February 2021 to February 2023 were randomly assigned into a treatment group （n＝30） and a control group （n ＝30）. The treatment group underwent acupuncture at bilateral Outer Sanjiao （Dong′s Extraordinary Acupoints），Zusanli （ST 36），Fenglong （ST 40），Sanyinjiao （SP 6），Hegu（LI 4），and Taichong （LR 3）. Acupuncture was performed once daily from the first day after menstruation until the next menstrual cycle，with treatment paused during menstruation. The control group received oral Hongjin Xiaojie Capsules （4 capsules per dose，three times daily，excluding menstrual periods）. Both groups were treated for three months. Changes in breast pain scores and breast mass diameters before and after treatment were assessed. The clinical efficacy and safety of the interventions were also evaluated.
Results
The total effective rate in the treatment group was 93.3% （28/30），significantly higher than 73.3% （22/30） in the control group （χ2 ＝4.320， P＜0.05）. After treatment，both groups showed significant reductions in breast pain scores and breast mass diameters compared to baseline（t＝9.175，7.413，6.637，3.452， P＜0.05）. However，no statistically significant differences were found between the two groups after treatment （t ＝-1.470，-1.924， P＞0.05）.
Conclusion
Both Dong′s Extraordinary Acupoint Acupuncture Method and Hongjin Xiaojie Capsules effectively relieve breast pain，reduce breast lumps，and improve treatment outcomes. The therapeutic efficacy of these two approaches is comparable，offering viable treatment options for mammary hyperplasia due to liver stagnation and phlegm congealing.