针刺配合月经周期治疗女性单纯性肥胖病的临床探究.pdfVIP

提 要 单纯性肥胖病是当今社会的多发病、常见病，中医治疗本病具有确切的疗效和明 显的优势。 目的：观察针刺配合月经周期对女性单纯性肥胖病的临床疗效，并探讨其作用机 制，从而为治疗女性单纯性肥胖病，改善患者临床症状，提高生活质量，减少临床并 发症的发生提供方法和依据。 方法：选择 80 例月经周期规律的女性单纯性肥胖病患者，随机分为治疗组和对 照组。其中治疗组在阳明五行针刺法常规用穴的基础上，根据月经周期从肝脾肾论治， 加用不同的穴位进行针刺；对照组则按常规阳明五行针刺法治疗。两组在治疗前均给 予火罐治疗。 结果：治疗组总有效率为 92.50％，对照组总有效率为 82.50％，治疗组优于对 照组 （p0.05）。中医证候疗效：治疗组总有效率为85.00％，对照组总有效率为70.00 ％，治疗组优于对照组（p0.05）。 结论：针刺、火罐配合月经周期是临床治疗女性单纯性肥胖病的有效方法之一。 以脾、胃、肝、肾等脏腑的生理特点及功能为出发点，遵循清胃热、祛湿邪、健脾补 肾、调肝疏肝的治疗原则，采用阳明五行针刺法配合月经周期调节法。该治疗方法对 患者体重指数、脂肪百分率、腰臀比的下降及中医证候的改善均具有较好的疗效，且 对女性月经无不良影响。 关键词 针刺；月经周期；女性单纯性肥胖病；临床研究 Clinical Research on Acupuncture according to Female Menstrual Cycle on Treatment of Female Simple Obesity Speciality：Internal Medicine of Traditional Chinese Medicine Author ：Xu Jing Tutor：Professor Ma Qijiang Abstract Simple obesity, as one of the frequently-occurring and common diseases may lead to other diseases. During these years, more and more medical researchers are beginning to dedicate to the study of this disease. Objectives: To observe the clinical effect of acupuncture according to female menstrual cycle on treating female simple obesity, and then to research the more effective way to simple obesity. Methods: Choose 80 simple obesity patients with regular menstrual cycle and then divide them into two groups randomly. One will be studied with acupuncture according to female menstrual cycle; another will be studied with acupuncture. The significance will be studied from the two groups. Both of them adopt cupping therapy first. The level of Qi-xue and Yin-yang is different during all the female menstrual cycle. In this research, we make the analysis of the physiological characteristics of liver, spleen and kidney. And then we choose