割耳敷药法治疗黄褐斑40例临床观察.docVIP

割耳敷药法治疗黄褐斑40例临床观察(中国民航总医院中医科,北京100025) [摘要]目的:用割耳敷药的方法治疗黄褐斑40例。 方法:利用耳穴理论,辨证选穴,用刀片在相应穴位上划刺出 血,然后敷以活血化瘀的中药粉末,起到物理和化学双重刺激的作用。 结果:临床观察治疗黄褐斑的效果较满意。? [主题词]穴位,耳针;穴位贴敷法;黄褐斑/治疗;割治法? Clinical Observation on 40 Cases of Chloasma Treated with Cutting Ear and Application of Drug?Zhao Yu(Section of TCM,China Civil Aviation General Hospital,Beijing 100025) [Abstract]PurposeTo observe therapeutic effect of cutting ear and application of drug. MethodsAccording to theory of auricular acupoint and selection of acupoint based on differentiation of symptoms and signs,40 cases of chloasma were treated with cutting ear by a blade for bleeding and then application of powder of Chinese drug for activating blood circulation and removing stasis,which can play both physical and chemical stim ulative actions.Results9 cases were cured,accounting for 22.5%,18 cases were rema rkedly effective,accounting for 45.0%,6 cases were effective,accounting for 15.0%,7 cases were ineffective,the total effective rate being 82.5%.Conclusion〓This therapy has a satisfactory therapeutic effect on chloasma.? [Key words]Points,Auricular Acupuncture;Acupoint Sticking Therapy;Chloasma/ther;Excision Therapy? 笔者于1999年9月～2000年6月间开展割耳敷药法辨证治疗黄褐斑40例获得满意疗效。介绍如下。? 1临床资料? 1.1一般资料? 本组40例均系门诊病人,均为女性。发病年龄最小为25岁,最大为48岁,25～30岁5例,31～40岁23例,41～48岁12例。病程1年以内10例,1～3年21例,3?+～5年7例,5年以上2例。病变多发于面颊额头,口唇周围或鼻两侧。斑块小如黄豆,散在多发;大如面罩,遍及颜面。颜色多为黄褐色、、浅灰色等,其中以黄褐色居多。多数患者服用过中西药、外用药,效果均不明显。? 1.2临床分型? (1)?肝气郁滞型(12例)主症:本证可见颜面、鼻周、额头深浅散在斑块或蝶翼状褐斑,境界相对清晰,伴有两胁胀痛,心烦易怒,月经先后不定期,经量少,经期腹痛,经色暗,舌红苔黄,脉弦数。 (2)?脾胃湿热型(15例)主症:此型多见前额、口周、鼻部、眉间等处,边界不清,向心性逐步加深之斑块,伴有身重易疲倦,胸闷,渴而不饮,月经先期,经期延长,量多,有血块,苔黄腻,脉滑数。? (3)?阴虚火旺型(13例)主症:色斑以鼻额、两颧、唇周较集中,大小不等,边界不清,点状或片状散在,色斑较灰暗,伴有头晕,耳鸣,消瘦,五心烦热,口干,月经不调,量少,脉沉细,舌红少苔。? 2治疗方法? 2.1取穴? 神门、内分泌、三焦、皮质下、子宫、肾上腺、缘中(脑点)。肝气郁滞型加肝、胆、肾;脾胃湿热型加脾、胃、艇中、大肠;阴虚火旺型加心、肾、小肠。? 2.2操作方法? 经严格常规消毒后,用15号刀片(每人换1个)的刀尖,在应取的耳穴上,用刺、划、挑等手法,使其局部皮肤少量渗血或出血,敷以沾有药粉的干棉球,塞于耳腔起到止血消炎活血化瘀的作用,然后用胶布固定,保持24小时。每周2次,10次为