CAJ | 학술논문

目的：观察针灸联合萆薢分清饮治疗良性前列腺增生患者症状改善的效果。方法良性前列腺增生53例，口服萆薢分清饮联合针灸治疗。针刺选穴：以中极、关元、水道、归来、三阴交、次髎为主穴。肾气虚者加肾俞、气海和太溪；肝胆湿热者加太冲和行间；血瘀加血海。采用IPSS评分标准，治疗2个疗程判定疗效（10 d为1个疗程）。结果治疗2个疗程后，患者排尿不尽感、尿频、排尿中断、尿急、尿细线、排尿费力症状明显缓解，夜尿次数明显减少。显效20例，有效28例，无效5例，总有效率90.57%（48/53）。结论针灸联合中药治疗良性前列腺增生能明显改善患者的症状，临床疗效满意。
목적：관찰침구연합비해분청음치료량성전렬선증생환자증상개선적효과。방법량성전렬선증생53례，구복비해분청음연합침구치료。침자선혈：이중겁、관원、수도、귀래、삼음교、차료위주혈。신기허자가신유、기해화태계；간담습열자가태충화행간；혈어가혈해。채용IPSS평분표준，치료2개료정판정료효（10 d위1개료정）。결과치료2개료정후，환자배뇨불진감、뇨빈、배뇨중단、뇨급、뇨세선、배뇨비력증상명현완해，야뇨차수명현감소。현효20례，유효28례，무효5례，총유효솔90.57%（48/53）。결론침구연합중약치료량성전렬선증생능명현개선환자적증상，림상료효만의。
Objective To observe the clinical efficacy of acupuncture and moxibustion combined with bixiefenqing decoction for patients with benign prostatic hyperplasia(BPH). Methods Fifty-three BPH patients were treated by acupuncture and moxibustion combined with bixiefenqing decoction for 2 course,10 times a course,once daily,totally 20 times. Zhongji(RN 3),Guanyuan(RN 4),Shuidao(ST 28), Guilai(ST 29),Sanyinjiao(SP 6) and Ciliao(BL 32) were selected for acupuncture and moxibustion. On the basis of these acupoints,Shenshu(BL 23),Qihai(RN 6) and Taixi(KI 3) were used for patients with deficiency of Kidney-Qi;Taichong(LR 3) and Xingjian(LR 2) were used for patients with Dampness-Heat in Liver and Gall Bladder;Xuehai(SP 10) was used for patients with blood stasis. Therapeutic effects were evaluated by international prostate symptom score(IPSS). Results After two courses of treatment,there was significant symptom relief in BPH patients including the feeling of incomplete bladder emptying, frequent urination , interrupted urine flow , urinary urgency , thin urinary stream and voiding difficulty and nocturia decreased significantly. The total effective rate was 90.57%(48/53),in which 20 cases showed effective results,28 cases showed excellent result and 5 cases showed ineffective results. Conclusion Acupuncture and moxibustion combined with bixiefenqing decoction showed significant effect in patients with BPH.