Clinical Study On The Treatment Of Luteinized Unruptured Follicle Syndrome With Kidney Deficiency And Liver Depression By Acupuncture And Medicine

Objective Under the guidance of the tutor Professor Li Juan Jiang’s "He Chang" thought,this topic observes the clinical efficacy of abdominal acupuncture combined with Wenshen Shugan Cupai Decoction in treating unruptured follicles with kidney deficiency and liver depression,with improvement of related symptoms,changes in LH hormone levels,and dynamic ultrasound Inspection is an indicator,which provides a theoretical basis for the treatment of this disease by Chinese medicine orally and externally.Methods Sixty-four patients with luteinization of renal insufficiency ruptured follicles and kidney deficiency and liver depression were enrolled.They were randomly divided into a treatment group(abdominal acupuncture + Wenshen Shugan Promoting Decoction)and a control group(intramuscular injection of human chorionic gonadotropin)32 cases.For 3 courses,observe the improvement of clinical symptoms in the treatment group and the control group,monitor the strong positive status of urine LH by ovulation test paper,and monitor the discharge of follicles by B-ultrasound.After statistical analysis,evaluate its clinical efficacy and conduct safety observation.Results1.Comparison of clinical symptom scores: Two groups of TCM main syndromes(waist and knees,dizziness,dark complexion,listlessness,breast tenderness,swelling of the breasts,swelling of the chest and thighs,mood).Concurrent syndromes(fatigue,loss of libido,chest distress,emotional irritability,emotional depression)and tongue and pulse conditions after treatment were lower than those before treatment,(P<0.05)was statistically significant;comparison between the two groups after treatment In the treatment group,the symptoms of waist and knee weakness,emotional depression(P<0.05),dizziness,swelling in the chest and flanks(P<0.01),the clinical improvement effects were better than those of the control group;the two groups were effective in improving the complexion,listlessness,and depression.Breast swelling and pain,Taixi,mental fatigue,loss of libido,mood irritability,tongue and pulse symptoms had the same curative effect,and the difference was not statistically significant(P>0.05).2.Comparison of curative effect of TCM symptoms: In the treatment group,3 cases were ineffective,15 cases were effective,14 cases were markedly effective,and 0 cases were cured;in the control group,10 cases were ineffective,18 cases were effective,4cases were markedly effective,and 0 cases were cured.The effective rate of the treatment group was 90.0% and that of the control group was 68.7%;between the two groups,the effective rate of the treatment group was higher than that of the control group(P <0.01).3.Comparison of monitoring indicators of urinary LH hormone levels: After treatment,the strong positive rate of urine LH monitoring in the treatment group was71.9%.The control group was 62.5%;there was no statistical difference between the groups(P>0.05),indicating that the treatment group had the same effect as the control group.4.Comparison of dynamic B-ultrasound examination indicators: the ovulation rate of the treatment group by dynamic B-ultrasound monitoring was 68.8%;the ovulation rate of the control group was 56.3% after treatment,and there was no difference between the groups(P>0.05),indicating that the treatment group and the The control group had similar efficacy.5.Safety indicators: During the clinical study,there were no abnormal safety indicators in the two groups of patients.Conclusion1.Based on the therapeutic principles of warming the kidney and promoting blood circulation,promoting Qi and soothing the liver,combined with Professor "harmony thinking",aiming at the characteristics of Luteinized Unruptured Follicle Syndrome with kidney deficiency and liver depression,the characteristics of heavy yin and yang are transformed by abdominal acupuncture combined with Wenshen Shugan Cu Pai Decoction for homeopathy Changyang is essential,and it has a significant effect on improving the clinical symptoms of patients.It can balance the body’s yin and yang,harmonize qi and blood,and heal the disease.2.Directly stimulate the abdomen meridians through abdominal acupuncture to improve the circulation of qi and blood in the viscera,and warm the kidney,sooth the liver and promote the decoction to warm the kidney yang,relieve the liver qi,make the body "qi and blood" and "channels and collaterals smooth",and regulate women as a whole Reproductive function significantly improves the patient’s ovulation rate.3.Abdominal acupuncture combined with Wenshen Shugan Cu Pai Decoction for the treatment of kidney deficiency and liver depression type Luteinized Unruptured Follicle Syndrome is significantly better than intramuscular injection of human chorionic gonadotropin in improving the clinical symptoms of patients,and the effect of improving ovulation rate and intramuscular injection of human chorionic gonadotropin quite.4.The treatment of this disease with abdominal acupuncture combined with Wenshen Shugan Cu Pai Decoction based on the "harmony thought" has significant clinical effects and is worthy of clinical application.