[1]黄文娟,刘超,张丹,等.催乳汤联合子午流注开穴刺激治疗产后缺乳患者临床研究[J].陕西中医,2026,(3):411-414.[doi:DOI:10.3969/j.issn.1000-7369.2026.03.024]
　HUANG Wenjuan,LIU Chao,ZHANG Dan,et al.Observation on the clinical efficacy of lactation-promoting soup combined with meridian opening point stimulation of Zi-Wu Liu-Zhu in the treatment of postpartum hypogalactia patients[J].,2026,(3):411-414.[doi:DOI:10.3969/j.issn.1000-7369.2026.03.024]
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催乳汤联合子午流注开穴刺激治疗产后缺乳患者临床研究

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2026年3期
页码:
411-414
栏目:
针灸经络
出版日期:
2026-03-05

文章信息/Info

Title:
Observation on the clinical efficacy of lactation-promoting soup combined with meridian opening point stimulation of Zi-Wu Liu-Zhu in the treatment of postpartum hypogalactia patients
作者:
黄文娟1; 刘超1; 张丹2; 刘敬1
（1.衡水市中医医院妇产科,河北 衡水 053000；2.衡水市妇幼保健院功能科，河北 衡水 053000）
Author(s):
HUANG Wenjuan1; LIU Chao1; ZHANG Dan2; LIU Jing1
（1.Department of Obstetrics and Gynecology,Hengshui Traditional Chinese Medicine Hospital,Hengshui 053000，China；2.Functional Department, Hengshui Maternal and Child Health Hospital,Hengshui 053000,China）
关键词:
催乳汤; 子午流注; 开穴刺激; 产后缺乳; 心理状况; 性激素; 乳腺炎
Keywords:
Lactation-promoting decoction; Zi-Wu Liu-Zhu; Meridian opening point stimulation; Postpartum hypogalactia; Psychological status; Sex hormones; Mastitis
分类号:
R 271.43
DOI:
DOI:10.3969/j.issn.1000-7369.2026.03.024
文献标志码:
A
摘要:
目的：观察催乳汤联合子午流注开穴刺激治疗产后缺乳患者的临床疗效及安全性。方法：选取产后缺乳患者110例，按照随机数字表1∶1分成常规组和中医组。常规组给予常规疗法干预，中医组在常规组基础上给予催乳汤联合子午流注开穴刺激治疗。检测两组泌乳素（PRL）、孕酮（P）、雌二醇（E2）水平，评估两组中医症状评分、心理状况评分差异，统计两组配方奶粉补充量、总有效率、42 d纯母乳喂养率、乳汁淤积率、乳腺炎率差异。结果：两组治疗后PRL均较前升高，且中医组高于常规组（均P<0.05）；两组治疗后P、E2均较前降低，且中医组低于常规组（均P<0.05）。两组治疗后泌乳量评分、乳房充盈度评分、乳汁黏稠度评分、心悸气短评分、面色少华评分、神疲食少评分、四肢冷麻评分均较前降低，且中医组低于常规组（均P<0.05）。两组治疗后心理状况评分、配方奶粉补充量均较前降低，且中医组低于常规组（均P<0.05）。中医组总有效率94.55%高于常规组72.73%，42 d纯母乳喂养率96.36%高于常规组的83.64%，乳腺炎率1.82%低于常规组的12.73%（7/55），乳汁淤积率3.64%与常规组的10.91%比较差异无统计学意义（P>0.05）。结论：催乳汤联合子午流注开穴刺激治疗产后缺乳可调节激素水平，促进泌乳，改善心理状况，减少乳腺炎率，提高42 d纯母乳喂养率。
Abstract:
Objective:To observe the clinical efficacy and safety of lactation-promoting decoction combined with meridian opening point stimulation based on the theory of Zi-Wu Liu-Zhu in the treatment of postpartum hypogalactia.Methods:A total of 110 postpartum women with lactation insufficiency were enrolled and randomly assigned in a 1∶1 ratio to either the conventional therapy group or the traditional Chinese medicine (TCM) group.The conventional therapy group received standard medical interventions,while the TCM group additionally received lactation-promoting decoction combined with meridian acupoint stimulation therapy.Prolactin (PRL),progesterone (P),and estradiol (E2) levels were measured in both groups.Differences in TCM symptom scores and psychological status scores were evaluated.Statistical analysis compared formula supplementation volume,overall efficacy rate,42-day exclusive breastfeeding rate,milk stasis rate,and mastitis incidence between groups.Results:After treatment,PRL levels increased in both groups compared to baseline,with the TCM group showing higher levels than the conventional group (both P<0.05).After treatment,both P and E2 decreased in both groups compared to baseline,with the TCM group showing lower levels than the conventional group (both P<0.05).After treatment,both groups showed decreased scores for milk production,breast fullness,milk viscosity,palpitations and shortness of breath,dull complexion,fatigue and poor appetite,and cold limbs with numbness compared to baseline,with the TCM group scoring lower than the conventional group (all P<0.05).After treatment,both groups showed reduced scores for psychological status and formula supplementation compared to baseline,with the TCM group scoring lower than the conventional group (both P<0.05).The total effective rate in the TCM group (94.55%) was higher than that in the conventional group (72.73%).The exclusive breastfeeding rate at 42 days was 96.36%in the TCM group versus 83.64%in the conventional group.The mastitis rate of 1.82% was lower than the conventional group’s 12.73%.The milk stasis rate of 3.64% showed no statistically significant difference compared to the conventional group’s 10.91% (P>0.05).Conclusion:Lactation-promoting decoction combined with meridian opening point stimulation based on the theory of Zi-Wu Liu-Zhu can regulate hormone levels,promote lactation,improve psychological status,reduce the rate of mastitis,and increase the 42-day exclusive breastfeeding rate in the treatment of postpartum hypogalactia.

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备注/Memo

备注/Memo:
河北省中医药管理局科研计划项目（2020536）；河北省衡水市重点研发计划项目（2022014043Z）
更新日期/Last Update: 2026-03-05