Clinical observation of meridian-guided reinforcing-reducing acupuncture in the treatment of lobular hyperplasia of the breast
针灸循经补泻法治疗乳腺小叶增生的临床观察研究

摘要

目的 探讨针灸循经补泻法治疗小叶增生的临床效果。方法 采用基于《黄帝内经》之“迎而泻之，随而补之”理论的循经补泻方法，拓展针灸循经补泻技术，泻实补虚，调和阴阳，促进气血循环，标本兼治。对46例小叶增生患者（年龄25-50岁）采用循经补泻针灸治疗，分型选穴（如脾虚型取三阴交，肝虚型取太冲）。疗程4周，每周1次。结果 治疗后，总有效率达89%（41/46），肿块缩小≥50%者占72%。随访6个月复发率仅8%。小叶增生得治，气血循环得调，五脏六腑得以滋养，阴阳和谐。结论 循经补泻针灸法可能通过调节冲任与气血运行，达到疏肝健脾、改善乳癖的疗效，值得进一步开展标准化临床研究验证。

Abstract

Objective To explore the clinical efficacy of acupuncture reinforcing-reducing therapy based on meridian theory in treating lobular hyperplasia of the breast.
Methods By applying the meridian-based tonification and drainage techniques derived from the "Ying Er Xie Zhi, Sui Er Bu Zhi" (receive and drain, follow and supplement) principle in the Huangdi Neijing(Yellow Emperor's Inner Canon), we expanded acupuncture's meridian-based tonification and drainage methods. This approach addresses excess conditions by draining while reinforcing deficiencies, harmonizes yin and yang, promotes blood circulation, and achieves both symptomatic and root-cause treatment. A total of 46 patients with lobular hyperplasia (age 25-50 years) received meridian-based tonification and drainage acupuncture therapy. Acupoints were selected based on syndrome patterns (e.g., Sanyinjiao for spleen deficiency type, Taichong for liver deficiency type). The treatment course lasted 4 weeks, administered once weekly.
Results After treatment, the total effective rate reached 89% (41/46), and 72% of the masses shrank by more than 50%. The recurrence rate was only 8% after 6 months of follow-up. Lobular hyperplasia was treated, blood and qi circulation was regulated, the five zang and six fu organs were nourished, and yin and yang were harmonized.
Conclusion   The acupuncture method of following the meridians may regulate the circulation of chong and qi and blood to achieve the effect of relieving liver and strengthening spleen and improving mammary disease, which is worth further standardized clinical research verification.