首页|基于月相理论探讨多囊卵巢综合征的发病机制及针刺治疗思路

基于月相理论探讨多囊卵巢综合征的发病机制及针刺治疗思路

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多囊卵巢综合征常发于经后期与经间期,经后期由于肾阴亏虚,精血乏源,机体内的阴阳不能达到"重阴至阳"的转化,以致水火不济,上下失调,阴阳消长失衡.故针刺治疗需要以协调机体阴阳关系为着眼点.月相之下弦月至月末晦日时,对应女性月经周期的经后期,应着重蓄养阴精,选用太溪、肾俞以滋阴补肾;取三阴交、气海、足三里以益气养血;取关元、中极培元固本、温肾壮阳,以杜肾阴转化失败加重痰湿;局部取穴子宫、归来,以上各穴选用针刺捻转补法,使阴长达重;再取内关、太渊、神门等腧穴贴以揿针刺激局部,发挥滋养心阴、潜降心火之功.经间期,所应月相为月末晦日,此时月黑无光,阴气最盛,阳气最弱,因而机体抵抗力最弱,当顺应"月郭空无治",故不宜针刺.经前期,顺应天时变化,温肾助阳,温暖子宫,促进化湿排浊,取关元、肾俞、中极、次髎施以温针灸,补肾暖阳;取丰隆、足三里、阴陵泉、三阴交针刺,以助化痰排浊;经前期的前半期,阳长过于迅速,所以不能忽视滋阴,取三阴交、太溪、照海滋阴,以促阳长.行经期,所应月相为满月至下弦月,满月之时,阳长至极,针刺治疗要义以疏泄为主导,取肝俞、太冲、血海、三阴交、气海针刺,予以捻转泻法;若患者月经量偏少,常规针刺后,取次髎穴刺络放血,祛瘀生新、活血调经.
Pathogenesis and Acupuncture Treatment Thinking of Polycystic Ovary Syndrome Based on Moon Phase Theory
Polycystic ovary syndrome often occurs in the late menstrual period and the intermenstrual period.In the late menstrual period,due to the deficiency of Kidney Yin and the lack of source of Essence and blood,the Yin and Yang in the body cannot achieve the trans-formation of"Extremity Yin to Yang,"resulting in the lack of Water and Fire communication,the disorders between the upper and low-er part of body,and an imbalance of Yin and Yang in growth and decline.Therefore,acupuncture treatment needs to focus on harmoni-zing the relationship between Yin and Yang in the body.Lunar phase of the lower waning moon to the end of the month,corresponding to the end of the female menstrual cycle.Acupuncture,which focuses on the storage of Yin Essence,on Taixi and Shenshu to nourish Yin and tonify the Kidney;Acupuncture on Sanyinjiao,Qihai,Zuanli can benefit Qi and nourish blood;Acupuncture on Guanyuan and Zhongji can cultivate the Yuan Qi to strengthen the foundation of body and to warm the Kidney Yang,in order to prevent the transforma-tion failure of Kidney Yin and the aggravation of the Phlegm and Dampness;acupuncture on Zigong and Guilai with twisting tonic meth-od to improve Kidney Yin;Acupuncture on Neiguan,Taiyuan and Shenmen with thumbtack needling to nourish the Heart Yin and sub-due the Heart Fire.During the intermenstrual period,the phase of the moon corresponds to the end of the month.when the moon is dark and lightless,the Yin is the most prevalent and the Yang is the weakest,thus the body's resistance is the weakest,so it is not suitable for acupuncture when following the principle of"when there is no moon there is no cure".In the pre-menstrual period,in accordance with the changes of heaven and earth,warming the Kidney Yang,warming the uterus,and promoting the elimination of Dampness and Turbid-ity,acupunturing on Guanyuan,Shenshu,Zhongji,and Ciliao to with warm acupuncture method to tonify the Kidney Yang;Acupunctu-ring on Fenglong,Zusanli,Yinlingquan and Sanyinjiao to help eliminate Phlegm and Turbidity;In the first half of the pre-menstrual pe-riod,Yang grows rapidly,so we should not neglect nourishing Yin.Acupuncture on Sanyinjiao,Taixi,and Zhaohai to nourish Yin and to promote the growth of Yang.During the menstrual period,the corresponding lunar phase is from the full moon to the waning moon.At the time of the full moon,Yang grows to the extreme,so the acupuncture treatment should be dominated by dredging and draining,by taking Ganshu,Taichong,Xuehai,Sanyinjiao,and Qihai in acupuncture,with twisting and diarrhea method;if the patient's menstruation volume is low,after the routine acupuncture,take the acupoint of Ciliao in acupuncture and bloodletting,to dispel stasis and produce new blood and eventually promote blood circulation to regulate the menstruation.

polycystic ovary syndromemoon phase theoryacupuncturemenstrual cyclechronomedicine

白冰心、魏丹丹、郑雪、高聪、余金泽、王庆波

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河南中医药大学,河南郑州 450046

河南中医药大学第一附属医院,河南郑州 450000

中国人民解放军联勤保障部队第九八九医院,河南洛阳 471032

华北水利水电大学,河南郑州 450045

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多囊卵巢综合征 月相理论 针刺 月经周期 时间医学

2025

中医学报
河南中医药大学,中华中医药学会

中医学报

影响因子:1.264
ISSN:1674-8999
年,卷(期):2025.40(1)