首页|"通督脉、补脾肾、化痰瘀"治疗多囊卵巢综合征的针灸理论探讨

"通督脉、补脾肾、化痰瘀"治疗多囊卵巢综合征的针灸理论探讨

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"脾肾亏虚、累及督脉、痰湿瘀阻"是多囊卵巢综合征(PCOS)的主要病因病机,故以通补督脉、补益脾肾以治其本,化痰行瘀以治其标.督脉取穴百会、命门、腰阳关,脾、肾相关取穴关元、气海、脾俞、肾俞、三阴交、太溪,通督扶阳、补益脾肾;配合化痰瘀之法,标本兼顾,取足三里、血海、丰隆3穴健脾通腑、养血活血、祛湿化痰行瘀.并运用督脉灸温通阳气、激发经气、化瘀通络、总调全身;或于命门、腰阳关、三阴交、太溪、丰隆等行艾盒灸或温针灸,直接作用于病变部位及脏腑、经络,温助阳气、疏通经络,使痰瘀得化,则气机调畅,气血津液充足,胞宫受气血不断滋养而发挥其正常的生理作用.
Discussion on acupuncture theory of treating polycystic ovary syndrome with dredging governor vessel,tonifying spleen and kidney and eliminating phlegm and blood stasis
The main etiology and pathogenesis of polycystic ovary syndrome(PCOS)are the deficiency of spleen and kidney,the involvement of governor vessel and the obstruction of phlegm and dampness.Therefore,dredging governor ves-sel and tonifying spleen and kidney are used to treat the root cause of the disease,and eliminating phlegm and blood stasis is used to treat the manifestation of the disease.Baihui,Mingmen and Yaoyangguan along the governor vessel are selected.Acupoints of Guanyuan,Qihai,Pishu,Shenshu,Sanyinjiao and Taixi along the spleen meridian and kidney meridian are selected.This can dredge the governor vessel and support Yang,tonify spleen and kidney.Eliminating phlegm and blood stasis is combined to treat both manifestation and root cause.Zusanli,Xuehai and Fenglong acupoints can strengthen the spleen and unblock the fu-organs,nourish blood and promote blood circulation,dispel dampness and eliminate phlegm and blood stasis.Moxibustion on governor vessel is applied to warm Yang-Qi,stimulate meridians Qi,remove blood stasis and dredge collaterals,and regulate the whole body.Moxa box moxibustion or warm acupuncture can be performed at Mingmen,Yaoyangguan,Sanyinjiao,Taixi,Fenglong,etc.,which directly acts on the diseased parts,viscera and meridians,to warm and help Yang-Qi,dredge meridians,eliminate phlegm and blood stasis.Then Qi activity is smooth,and Qi,blood and body fluids are sufficient.The uterus is continuously nourished by Qi and blood and plays its normal physiological role.

PCOSdredging governor vesseltonifying spleen and kidneyeliminating phlegm and blood stasis

刘淑如、萨喆燕、朱小香、黄倩茹、许金森

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福建省中医药科学院/福建省经络感传重点实验室,福建 福州 350003

多囊卵巢综合征 通督脉 补脾肾 化痰瘀

福建省科技厅省属公益类科研院所基本科研专项项目

2022R1003005

2024

山西中医药大学学报

山西中医药大学学报

ISSN:
年,卷(期):2024.25(5)
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