基于疏肝理气治法的针灸治疗乳痛症的应用研究

Research on the Application of Acupuncture and Moxibustion in the Treatment of Breast Pain Based on the Therapeutic Method of Soothing the Liver and Regulating Qi

摘要: 本文旨在观察基于疏肝理气治法的针灸治疗乳痛症的临床疗效。研究选取2024年8月至2025年8月浙江省龙游县中医医院门诊收治的60例肝郁气滞型乳痛症患者，随机分为传统针刺组与疏肝理气法针刺组，每组30例。传统针刺组选取阿是穴、乳根、膻中、屋翳、肩井等穴；疏肝理气组在此基础上加用太冲、行间、期门、阳陵泉。两组均每周治疗2次，治疗周期为8周。疗效观察采用视觉模拟量表(VAS)评分和简式McGill疼痛询问量表(SF-MPQ)评分，分别于治疗4周、8周后进行评估。结果显示，疏肝理气法针刺组在改善乳房疼痛、减轻相关症状方面优于传统针刺组，表明基于疏肝理气治法的针灸能有效缓解肝郁气滞型乳痛症的疼痛程度，提升临床疗效，值得进一步推广应用。

Abstract: This article aims to observe the clinical efficacy of acupuncture and moxibustion based on the therapeutic method of soothing the liver and regulating qi in the treatment of breast pain. The study selected 60 patients with breast pain of liver-qi stagnation type who were admitted to the outpatient department of Longyou County Hospital of Traditional Chinese Medicine in Zhejiang Province from August 2024 to August 2025. They were randomly divided into a traditional acupuncture group and an acupuncture group using the method of soothing the liver and regulating qi, with 30 patients in each group. The traditional acupuncture group selected acupoints such as Ashi points, Rugen (ST 34), Danzhong (CV 12), Wuyi (EX-B 2), and Jianjing (LI 15); the acupuncture group using the method of soothing the liver and regulating qi added Taichong (LR 3), Xingjian (LR 12), Qimen (LR 15), and Yanglingquan (GB 34) to the treatment. Both groups received treatment twice a week for an 8-week period. The efficacy was observed using Visual Analogue Scale (VAS) scores and Short Form McGill Pain Questionnaire (SF-MPQ) scores, which were assessed after 4 weeks and 8 weeks of treatment, respectively. The results showed that the acupuncture group using the method of soothing the liver and regulating qi was superior to the traditional acupuncture group in improving breast pain and reducing related symptoms, indicating that acupuncture based on the therapeutic method of soothing the liver and regulating qi can effectively alleviate the pain level of breast pain of liver-qi stagnation type and enhance clinical efficacy, making it worthy of further promotion and application.