乳腺增生病不同证型关元穴红外辐射光谱探讨

目的:比较乳腺增生病患者不同证型任脉经穴关元穴体表红外辐射光谱特性。方法:采用高灵敏度PHE201体表红外光谱仪,观察了60例乳腺增生病患者不同证型关元穴1.5～16μm波段体表红外辐射光谱的差异。结果:乳腺增生病肝郁痰凝型患者与冲任失调型患者比较,两组关元穴体表红外辐射强度存在显著性差异。具有统计学意义差异的波段为:1.5～2.25μm,2.75μm,3μm,3.5μm,3.75～5μm,6～6.5μm,7μm,7.75μm,10.5～14μm,(P<0.05)。结论:关元穴红外辐射强度的差异可能与乳腺增生病不同证型有关。     

乳腺增生患者不同月经状态下肿块体表红外辐射光谱比较

目的:比较乳腺增生患者不同月经状态下肿块体表红外辐射光谱特性。方法:采用高灵敏度PHE201体表红外光谱仪,观察了52例乳腺增生病患者在月经前和月经后,及月经规则和月经不规则患者乳腺增生肿块体表1.5~16μm波段的红外辐射光谱的差异。结果:月经前及月经后患者肿块体表红外辐射光谱,在检测的59个波长中,除3个(5.08%)波长点(2.75、5.75、16.0μm),56个(94.92%)波长检测点红外辐射强度比较无显著差异(P>0.05);月经规则与月经不规则患者乳腺增生肿块体表红外辐射光谱,在检测的59个波长检测点中,除1个(1.69%)波长点(3.75μm),58个(98.31%)波长检测点红外辐射强度比较无显著差异(P>0.05)。结论:体表红外辐射光谱诊断乳腺增生病具有良好的稳定性。     

乳腺增生患者膻中穴体表红外辐射光谱探讨

目的：比较乳腺增生病患者膻中穴与非穴对照点体表红外辐射光谱的差异。方法：采用高灵敏度PHE201体表红外光谱仪，检测68例乳腺增生病患者膻中穴与非穴对照点体表1．5～16．0μm波段的红外辐射光谱。结果：乳腺增生病患者膻中穴与非穴对照点红外辐射光谱形态相似，但辐射强度减低，在检测的59个波长点中有13个波长检测点（6．75～8．25μm、9．00μm、9．25μm、9．75μm、13．25～13．75μm），膻中穴与非穴对照点的红外辐射强度比较差异有显著性意义（P〈0．05）。结论：膻中穴红外辐射强度降低。结合期门穴红外辐射强度等研究，提示乳腺增生病在病理状态下，不同的经脉系统处于不同的虚实状态。     

乳腺增生患者期门穴与非穴位对照点红外辐射光谱比较

目的:比较乳腺增生病患者双侧期门穴与非穴位对照点体表红外辐射光谱的差异。方法:采用高灵敏度PHE201体表红外光谱仪,检测68名乳腺增生病患者左、右期门穴与非穴位对照点体表1.5~16μm波段的红外辐射光谱。结果:乳腺增生病患者左期门穴在检测的59个波长点中有49个点(3.50、4.00、4.50~16.00μm)红外辐射强度明显高于与非穴对照点(P<0.05);右期门穴在检测的59个波长检测点中有48个点(1.75、3.50、4.00、4.50~6.50、7.00、7.50~16.00μm)红外辐射强度明显高于与非穴对照点(P<0.05)。结论:期门穴红外辐射强度增高,一定程度上反映了乳腺增生病肝气郁滞的病理本质。     

乳腺增生肿块与期门穴体表红外辐射光谱比较

目的：比较乳腺增生病患者增生肿块与期门穴体表红外辐射光谱的差异。方法：采用高灵敏度PHE201体表红外光谱仪，检测68名乳腺增生病患者乳腺增生肿块1．5～16}xm波段的体表红外辐射光谱并与自身左右期门穴对照。结果：乳腺增生病患者乳腺增生肿块与左右期门穴的体表红外辐射光谱形态基本一致，但左右期门穴红外辐射强度均高于增生肿块，在检测的59个波长中，分别有48个和49个波长有显著性差异（P=0．000～0．037）。结论：乳腺增生患者期门穴红外辐射强度高于增生肿块，可能与形成乳腺增生的病理相关。     

寸口脉太渊穴红外辐射光谱病理信息探测

目的 探测寸口脉太渊穴红外辐射光谱中的病理信息。方法 采用高灵敏度PHE201体表红外光谱仪检测50例冠心病患者和47例健康成年人太渊穴1．5～16μm红外辐射光谱，并对两者比较分析。结果患者与正常人太渊穴红外辐射光谱形态基本相似；在某些波长，患者与正常人太渊穴的红外辐射强度比较有显著差异（P〈0．05）；正常人左太渊穴红外辐射强度与非穴对照点比较有显著差异的波长数明显多于患者左太渊穴红外辐射强度与非穴对照点比较有显著差异的波长数（P〈0．05）。结论 寸口脉太渊穴红外辐射光谱中的某些波长的红外辐射强度变化承载特异性病理信息。     

Infrared radiation temperature comparison on body surface of points between healthy people and patients with hyperplasia of mammary glands

目的：比较乳腺增生病患者与正常人穴位体表红外辐射温度的差异。方法：采用ThermaCAMTMP30红外热像仪，检测74名乳腺增生病患者和63名身体健康，无乳腺增生病的正常人四条经脉八个穴位的体表红外辐射温度。结果：乳腺增生病患者右幽门穴的体表红外辐射温度显著高于正常人的右幽门穴的体表红外辐射温度（P=0．009）.左幽门穴及所测其余各穴的红外辐射温度患者与正常人无明显差异（P〉0.05）.结论：乳腺增生病患者与正常人右幽门穴的红外辐射温度有显著差异，这种差异可能与乳腺增生病的病才暇幽门穴的特异性有关。     

冠心病患者劳宫穴红外辐射光谱研究

采用自制高灵敏度PHE201体表红外光谱仪检测47名健康成年人和51名冠心病患者左侧劳宫穴红外辐射光谱.结果:劳宫穴红外辐射强度个体差异较大,但光谱形态相似;在1.5～6.5μm、10.9～11.7μm、13.5μm、和14.3～15.9μm共40个检测波长处,正常人和冠心病患者左侧劳宫穴红外辐射强度有显著性差异.     

趺阳脉冲阳穴红外辐射光谱病理信息探测

目的：探测趺阳脉冲阳穴红外辐射光谱中的病理信息。方法：采用高灵敏度PHE201体表红外光谱仪检测29名溃疡性结肠炎患者和29名健康成年人冲阳穴1．5～16μm红外辐射光谱,并对两者比较分析。结果：患者与正常人冲阳穴红外辐射光谱形态基本相似；在某些波长,患者与正常人冲阳穴的红外辐射强度比较有显著差异(P＜0．05)；患者左右冲阳穴红外辐射失衡性明显高于正常人(P＜0．01)。结论：趺阳脉冲阳穴红外辐射光谱中的某些波长的红外辐射强度变化承载特异性病理信息。     

冠心病患者大陵穴红外辐射光谱病理信息研究

目的:研究冠心病心肌缺血缺氧病理状态下大陵穴红外辐射特性的变化.方法:对47名正常人和50名冠心病患者左右侧大陵穴在1.5～16μm宽谱范围内的红外辐射进行检测,通过光谱形态分析和点值比较的方法对红外辐射光谱进行研究.结果:正常人和冠心病患者大陵穴的红外辐射光谱形态基本一致;在10.1μm最强辐射峰及能量最为集中的7～14.7μm光谱范围内,正常人两侧大陵穴红外辐射强度比较均无显著性差异(P＞0.05),但冠心病患者两侧大陵穴相比在绝大部分波长处有显著性差异(P＜0.05);冠心病患者两侧同名穴红外辐射强度差值与正常人两侧同名穴红外辐射强度差值比较均无显著性差异(P＞0.05).结论:冠心病心肌缺血缺氧病理状态时,两侧大陵穴红外辐射在一些特征性波长处显著失衡,大陵穴与心有密切的经穴脏腑相关性.     

乳腺增生患者膻中穴体表红外辐射光谱探讨

OBJECTIVE: To compare differences of surface infrared radiation spectrums between Danzhong (CV 17) A high-sensitive PHE and non-acupoint control point in the patient of hyperplasia of mammary glands. METHODS: 201 surface infrared spectrograph was used to detect infrared radiation spectrums of Danzhong (CV 17) and non-acupoint control point at 1.5-16.0 microm wave band in the patient of hyperplasia of mammary glands. RESULTS: The shape of the infrared spectrums of Danzhong (CV 17) was similar to that of the non-acupoint control point, but with lower radiation intensity. Of the 59 wavelength spots detected, 13 (6.75-8.25 microm, 9.00 microm, 9.25 microm, 9.75 microm, 13.25-13.75 microm) had significant differences in infrared radiation intensity between Danzhong (CV 17) and non-acupoint control point (P<0.05). CONCLUSION: The intensity of infrared radition of Danzhong (CV 17) is lower and Qimen (LR 14) is higher than that of the non-acupoint control point in the patient with hyperplasia of mammary glands, showing that different channels are at different states of deficiency and excess under pathological condition of hyperplasia of mammary glands.     

穴位贴敷法治疗乳腺增生病疗效观察

目的观察穴位贴敷法与中药治疗乳腺增生病的疗效差异.方法将63例女性患者随机分为穴贴组(33例)、药物组(30例).穴贴组用穴位贴敷法(将三棱、莪术、制南星、冰片制成薄片,敷于气海、关元及乳房局部阿是穴);药物组口服乳癖消.结果经过3个疗程治疗,穴贴组总有效率为97.0%,药物组总有效率为83.3%,穴贴组疗效优于药物组(P＜0.05).穴贴组乳房疼痛改善积分为(13.82±5.90)分,药物组为(7.00±3.89)分,2组比较差异有非常显著性意义(P＜0.01).结论穴位贴敷法治疗乳腺增生病的疗效肯定.     

乳腺增生病患者中医体质特点研究

目的:探讨乳腺增生病患者中医体质特点及其与证候的相关性。方法:2013年10月—2014年4月,选取绵阳市中医医院体检中心的女性志愿者98例,作为对照组,另选取绵阳市中医医院乳腺病科门诊和住院治疗的乳腺增生病患者105例,作为观察组。采用病例对照研究方法,运用中医体质量表进行中医体质调查,对观察组的中医体质类型和中医证候进行相关性分析。结果:乳腺增生患者中医体质类型多为气郁质、气虚质;观察组和对照组之间平和质和偏颇质差异有统计学意义(P0.05);气郁质与肝气郁结型、痰瘀互结型呈正相关(P0.05);气虚质与冲任失调型呈正相关(P0.05)。结论:运用中医体质学说防治乳腺增生病具有重要的意义。     

808nm激光穴位照射联合保列治治疗良性前列腺增生症临床观察

目的:观察808nm激光穴位照射联合保列治治疗良性前列腺增生症的临床疗效。方法:将60例肾阳虚型患者随机分为治疗组和对照组各30例,治疗组在808nm激光治疗仪照射会阴、关元、肾俞等穴位基础上加服西药保列治治疗,对照组单纯给予保列治治疗。2组均治疗3月。观察临床疗效及治疗前后国际前列腺症状评分(I-PSS)、生活质量指数(L指数)和前列腺体积的变化。结果:临床疗效总有效率治疗组为100%,对照组为66.67%,2组比较,差异有非常显著性意义(P<0.01);治疗后2组I-PSS、L指数和前列腺体积均有改善,与治疗前比较,差异均有显著性意义(P<0.05);治疗后2组I-PSS、L指数和前列腺体积比较,差异均有显著性意义(P<0.05);2组治疗前后肝功能、肾功能、心电图均未见异常。结论:808nm激光穴位照射联合保列治是临床治疗良性前列腺增生症的有效方法之一。     

唐汉钧教授治疗乳房病经验

唐汉钧教授对乳房病的治疗,主要介绍对乳腺增生病、乳腺纤维腺瘤、乳腺癌术后调治的经验,总以平补肝肾、调摄冲任和健固脾胃、培补后天为治则,依辨病辨证不同加活血调经、培元解毒的原则,体现了唐汉钧教授“治病求本”的指导思想     

Pathologic analysis on hyperplasia of mammary gland with different syndromes based on infrared radiation temperature of acupoints

Objective

To explore the pathologic characteristics of hyperplasia of the mammary gland (HMG) by observing differences in infrared radiation temperature of points of HMG in patients with different syndromes compared with healthy controls.

Methods

A FLIR Systems Therma CAM™ P30 infrared thermal camera was used to detect the infrared temperature of Shanzhong (CV 17), Qimen (LR 14), Zhongwan (CV 12), Qihai (CV 6), Guanyuan (CV 4), Taixi (KI 3), and Taichong (LR 3) in 113 patients with HMG. Of these patients, 71 were placed in the Liver Qi stagnation group, 34 were placed in the Dysfunction of conception and thoroughfare vessels group, and 8 were placed in the Phlegm and blood stasis in combination group. The infrared radiation temperature of each point in the patients was compared with that of healthy controls, and the differences in the infrared radiation temperatures of the points in the patients were analyzed.

Results

Overall, the bilateral corresponding point in both the controls and patients exhibited no significant difference in infrared radiation temperature. In all cases, the infrared radiation temperature of the points from proximal to distal tended to decrease. In a comparison of the patients and controls, the infrared radiation temperature of the trunk points Shanzhong (CV 17), Qimen (LR 14), Zhongwan (CV 12), Qihai (CV 6), and Guanyuan (CV 4) of the patients was higher than that of the controls, while the infrared radiation temperature of the lower extremity points Taixi (KI 3) and Taichong (LR 3) was lower than that of the controls. Of these points, Shanzhong (CV 17) (P=0.0368), Zhongwan (CV 12) (P=0.0028), Qihai (CV 6) (P=0.0085), and Guanyuan (CV 4) (P=0.0018) showed significant differences. In a comparison of the corresponding point on the same side in the Liver Qi stagnation group and controls, the infrared radiation temperature of Shanzhong (CV 17) (P=0.0089), right-side Qimen (LR 14) (P=0.0382), Zhongwan (CV 12) (P= 0.0000), Qihai (CV 6) (P=0.0011), and Guanyuan (CV 4) (P=0.0000) of the patients was significantly higher than that of the controls, while the differences in the infrared radiation temperature of the other points were not statistically significant (P= 0.0833–0.8397). In a comparison of the corresponding point on the same side in the Dysfunction of conception and thoroughfare vessels group and controls, the infrared radiation temperature of left-side Taichong (LR 3) (P=0.0048), right-side Taichong (LR 3) (P=0.0329), left-side Taixi (KI 3) (P= 0.0171), and right-side Taixi (KI 3) (t=0.544, P= 0.0165) of the patients was significantly lower than that of the controls, while the differences in the infrared radiation temperature of the other points were not statistically significant (P=0.3793–0.9197). In a comparison of the corresponding point on the same side in the Phlegm and blood stasis in combination group and controls, the infrared radiation temperature of Shanzhong (CV 17), Qimen (LR 14), Qihai (CV 6), Guanyuan (CV 4), Taixi (KI 3), Taichong (LR 3), and Zhongwan (CV 12) tended to increase, but without statistical significance (P=0.175-.759).

Conclusion

The corresponding points of HMG patients with different syndromes are in different deficiency/excess states. Changes in the infrared radiation temperature of the trunk points Shanzhong (CV 17), Qimen (LR 14), Zhongwan (CV 12), Qihai (CV 6), and Guanyuan (CV 4) are closely related to the pathological characteristics of the Liver Qi stagnation syndrome of HMG patients, while changes in the infrared radiation temperature of the lower extremity points Taixi (KI 3) and Taichong (LR 3) are closely related to the pathological characteristics of the Dysfunction of conception and thoroughfare vessels syndrome of HMG patients. On the whole, HMG patients with Liver Qi stagnation syndrome are characterized by “upper excess,” and those with Dysfunction of conception and thoroughfare vessels syndrome are characterized by “lower deficiency.”     

曲骨关元针刺配艾盒灸治疗良性前列腺增生症疗效及对炎症因子和激素的影响

目的探究曲骨关元针刺配艾盒灸治疗良性前列腺增生症患者疗效及对患者炎症因子和激素的影响。方法选取2016年11月—2019年5月医院泌尿外科治疗的患者共100例。采用随机数表法将其随机分成对照组和治疗组,每组50例。对照组患者予以非那雄胺片0.5 mg 1次·d-1联合盐酸坦索罗辛缓释胶囊0.2 mg 1次·d-1口服。治疗组患者在对照组的治疗基础上分别取患者曲骨、关元穴,利用无菌毫针采用平补平泻的针刺手法进行针刺治疗,得气后每穴留针20~25 min。起针后置艾盒于曲骨穴及关元穴上,每次治疗20 min,每2 d治疗1次,分别对两组患者进行为期90 d的进行性治疗。观察两组患者治疗前后中医证候积分(主症)、C反应蛋白(C-Reactive Protein,CRP)、肿瘤坏死因子α(Tumor Necrosis Factorα,TNF-α)、血清睾酮(T)、雌二醇(E2)及临床有效率情况。结果两组的中医证候主症评分、CRP、TNF-α、T、E2含量较治疗前均有所改善,且治疗后治疗组明显优于对照组,差异具有统计学意义(P<0.05)。治疗后对照组临床总有效率为76%(38/50),治疗组临床总有效率为90%(45/50)。两组临床有效率比较χ²=9.54,差异具有统计学意义(P<0.05)。结论在西药基础上联合曲骨关元针刺配艾盒灸治疗肾阳虚衰型良性前列腺增生症可促进尿道括约肌收缩和舒张、加快血液运行、改善血管痉挛、修复细胞损伤、抑制炎性反应的发生,改善尿频、尿急、小便困难、小便淋漓不尽等症状,提高临床有效率。