疏肝散结法治疗附件区囊性包块的临床研究
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摘要
盆腔附件区囊性包块性疾病是妇女常见病,主要包括卵巢囊肿和附件区非赘生性包块,发病率较高,多发生在生育期妇女,且容易复发,严重影响患者的身心健康和生活、工作质量,对于本病的防治工作一直困饶广大医务工作者。
近年来随着中医药研究的不断深入,笔者随师查阅大量古今文献,对本类疾病的相类病——癥瘕、积聚、肠覃的病因病机,以及古今医家治疗方法和认识进行了系统阐述。并根据导师的疏肝散结法对83例附件区囊肿患者进行临床研究,治疗组给予妇炎汤,对照组给予桂枝茯苓汤,同时治疗三个疗程,观察临床症状、体征及超声下囊肿大小变化情况,进行自身前后和组间比较。结果表明:疏肝散结法是治疗附件区囊肿的有效方法,能明显改善患者的临床症状和体征,并能使超声观察下囊肿在短期内消失或明显缩小,疗效明显优于对照组。
The disease of cystosarcoma in pelvic attachment is a normal disease among women. It can be mainly divided into two types, ovarian cyst and non-superfluous cystosarcoma in pelvic attachment, both of them are seriously developed and easily relapsed among women in child-bearing period. The disease constantly troubles medical staff and impacts patients' healthy both physically and mentally, and has a bad effect on their life and occupation.
With the constantly intensive research of traditional Chinese medicine, a large amount of literatures in ancient and present stated the cause and mechanism of mass in the abdomen, and medical professors both ancient and present systematically explained the therapy and cognition of the disease. After intensively reading all the literatures, we treated 83 patients who has cystosarcoma in pelvic attachment according to my supervisor's therapy of dispersing the depressed liver-energy and eliminating stagnation for clinical investigation. Among all the patients, patients in the treated group were cured by Fu Yan Soup, and patients in control group were treated by Gui Zhi Fuling capsules. In the tris-time of therapy, we searched all patients' clinical signs and symptoms and compared the size of cystosarcoma by ultrasonography with both themselves and in different groups. The consequence stated that the therapy of dispersing the depressed liver-energy and eliminateing stagnation can effectively cure the cystosarcoma in pelvic attachment, and can dominantly improve the patients' clinical signs and symptomos comparing with control group, and can deflate or even eliminate the cystosarcoma under ultrasonograph in a short period of time.
近年来随着中医药研究的不断深入,笔者随师查阅大量古今文献,对本类疾病的相类病——癥瘕、积聚、肠覃的病因病机,以及古今医家治疗方法和认识进行了系统阐述。并根据导师的疏肝散结法对83例附件区囊肿患者进行临床研究,治疗组给予妇炎汤,对照组给予桂枝茯苓汤,同时治疗三个疗程,观察临床症状、体征及超声下囊肿大小变化情况,进行自身前后和组间比较。结果表明:疏肝散结法是治疗附件区囊肿的有效方法,能明显改善患者的临床症状和体征,并能使超声观察下囊肿在短期内消失或明显缩小,疗效明显优于对照组。
The disease of cystosarcoma in pelvic attachment is a normal disease among women. It can be mainly divided into two types, ovarian cyst and non-superfluous cystosarcoma in pelvic attachment, both of them are seriously developed and easily relapsed among women in child-bearing period. The disease constantly troubles medical staff and impacts patients' healthy both physically and mentally, and has a bad effect on their life and occupation.
With the constantly intensive research of traditional Chinese medicine, a large amount of literatures in ancient and present stated the cause and mechanism of mass in the abdomen, and medical professors both ancient and present systematically explained the therapy and cognition of the disease. After intensively reading all the literatures, we treated 83 patients who has cystosarcoma in pelvic attachment according to my supervisor's therapy of dispersing the depressed liver-energy and eliminating stagnation for clinical investigation. Among all the patients, patients in the treated group were cured by Fu Yan Soup, and patients in control group were treated by Gui Zhi Fuling capsules. In the tris-time of therapy, we searched all patients' clinical signs and symptoms and compared the size of cystosarcoma by ultrasonography with both themselves and in different groups. The consequence stated that the therapy of dispersing the depressed liver-energy and eliminateing stagnation can effectively cure the cystosarcoma in pelvic attachment, and can dominantly improve the patients' clinical signs and symptomos comparing with control group, and can deflate or even eliminate the cystosarcoma under ultrasonograph in a short period of time.
引文
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[3]邓德强,马骏.马德孚教授治疗癥瘕经验.河北中医,2004,26(4):248
[4]何任.癥瘕说略.浙江中医药大学学报,2006,30(6):605
[5]王悦.邵亨元辨证论治子宮肌瘤经验举隅.江苏中医药,2006,27(12):13-14
[6]石显方,傅文录.石景亮治疗子宫肌瘤的经验.辽宁中医杂志,2006,33(9):1077
[7]张大英.破瘀消癥法治疗子宫内膜异位囊肿248例.辽宁中医杂志,2006,33(9):1138
[8]沈玉莲,金季玲.活血化淤法分期治疗子宫腺肌病27例临床观察.时珍国医国药,2006,17(9):2038
[9]董德刚.桂枝茯苓丸治疗女性生殖器官肿瘤述评.中华中医药学刊,2007,25(3):448
[10]中医大辞典编辑委员会.简明中医词典.第二版.人民卫生出版社,1986:467
[11]中医大辞典编辑委员会.中医大辞典(内科分册)人民卫生出版社,1987:187
[12]黄兆强.沈仲理治疗卵巢囊肿的经验.中医杂志,1989,(06):15
[13]李祥云.附件肿块的治疗经验.辽宁中医杂志,1985,(11):3
[14]哈孝贤.内经妇科辑文集义.中国医药科技出版社,1992:144
[15]贺秀莲,戴朝寿.薏苡附子败酱散治疗输卵管积水52例.国医论坛,1996,11(5):12
[16]李经纬,邓铁涛等主编.中医大辞典.人民卫生出版社,1995:794
[17]国家技术监督局.中医临床诊疗术语·疾病部分.中国标准出版社,1997:37
[18]郭晋明.中药滴注灌肠治疗石瘕肠覃143例.湖南中医杂志,2001,17(1):45
[19]胡瀞月.养血健脾、化瘀消痰法治疗卵巢囊肿的理论和临床研究.北京中医药大学博士研究生学位论文,2004:40-41
[20]温晓军.桂枝茯苓胶囊治疗卵巢囊肿30例.辽宁中医杂志,2007,34(1):98
[21]孟炜.丁岩桂枝茯苓胶囊治疗女性盆腔包块的临床研究.新疆医科大学学报,2006,29(1):43
[22]李丽娟,李广明.桂枝茯苓汤加味治疗子宫附件囊肿.辽宁中医杂志,2002,29(2):94
[23]刘涛,翟淑敏.当归芍药散加减治疗卵巢囊肿20例.内蒙古中医药,2007,(2):26
[24]潘红燕.当归芍药散加味治疗输卵管积水129例。江西中医药,2007,(5):44
[25]祝云.桂枝茯苓丸合当归芍药散治疗卵巢囊肿80例[J].中国中医药信息杂志,2001,9(8):80
[26]高景丽.苓桂术甘汤加味治疗卵巢囊肿的体会.辽宁中医杂志,2003,30(6):506
[27]于晓妹.妇科肠覃病90例临床观察.北京中医,1997,(6):35
[28]刘敏如,谭万信.中医妇产科学.人民卫生出版社,2001:972-976.
[29]靳三元.辨病辨证治疗盆腔囊性包块80例.四川中医,2006,24(8):83
[30]王冰洁,陈桂莲,李艳.血府逐瘀汤保留灌肠治疗卵巢囊肿68例临床观察[J].广东药学院学报,2002,18(6):164-165
[31]杨聪亮,任引亭.归芎散外用治疗囊肿183例.陕西中医,2004,25(3):25
[32]姜小英.芒针加温针疗法治疗卵巢囊肿15例.新中医,2000,32(7):32
[33]赵志儒,陈亚斌,闵强等.速效疗法治疗卵巢囊肿60例临床研究.中医外治杂志,2003,12(2):14-15
[34]王祚邦,周晓荣,周晓爱等.火针治疗卵巢囊肿的针刺深度研究.中国针灸,2004,24(7):483-484
[35]朱鲁闽,裘惠萍.中蓟内服配合灌肠治疗盆腔囊肿61例。河北中医,2001,23(10):749
[36]苏洁,翟风霞,张金仙.综合疗法治疗附件囊肿51例.中国民间疗法,2003,11(10):30
[37]焦少辉,朱崇华,吕新正.中西医结合治疗输卵管积水及卵巢囊肿76例.国医论坛,2006,21(4):39
[38]张利群.乌鸡白凤丸治疗卵巢囊肿的B超疗效观察.江西医药,2002,37(6):447
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