针灸治疗多囊卵巢综合征临床选穴组方规律  

Clinical rules for acupoint selection and prescription composition in treatment of polycystic ovary syndrome with acupuncture

作　　者：金春兰[1,2] 庞然[3] 徐立鹏[1] 吴中朝[2] 赵吉平[4] 

机构地区：[1]北京中医药大学,北京100029 [2]中国中医科学院针灸医院,北京100700 [3]中国中医科学院广安门医院 [4]北京中医药大学东直门医院,北京100700

出　　处：《中国针灸》2015年第6期625-630,共6页Chinese Acupuncture & Moxibustion

基　　金：中国中医科学院自主选题研究项目:ZZ03087

摘　　要：目的：总结分析针灸治疗多囊卵巢综合征（PCOS）临床研究文献中的选穴与组方规律。方法：检索中国医院知识总库（CHKD）期刊全文数据库、中文科技期刊全文数据库（VIP）及万方数据库，将纳入研究的临床文献资料进行整理，对常用主穴、主穴归经、主穴分部、特定穴应用及组方规律等进行描述性统计分析。结果：纳入文献共52篇，常用主穴55个，累计使用频次375次。针灸治疗PCOS最常用的5个主穴为三阴交、关元、子宫、中板、气海；主穴归属经脉主要为任脉、足太阴脾经和足阳明胃经；主穴的分部以下腹部、下肢与背部为主；特定穴以募穴、五输穴与背俞穴的使用频次较高；治疗处方多由5～7个腧穴组成，用穴数量平均为（6．9±3．6）个。结论：现代针灸医家治疗PCOS，以三阴交、关元、子宫、中极、气海穴最为常用，选穴以经络及脏腑理论为重要依据，以辨病取穴、循经取穴为主，采用近部（病位）加远道（病机）选穴法。Objective To summarize and analyze rules for acupoint selection and prescription composition in clinical literature regarding acupuncture for polycystic ovary syndrome（PCOS）.Methods CHKD,VIP and Wanfang databases were retrieved.The clinical literature data included in the study was collected.The descriptive statistical analysis was conducted on the main acupoints,main meridians of main acupoints,distribution of main acupoints,application of special points and rules for acupoint composition.Results Fifty-two articles were included,involving 55 main acupoints with a total frequency of 375.The most frequent acupoints of acupuncture for PCOS were Sanyinjiao（SP 6）,Guanyuan（CV 4）,Zigong（EX-CA 1）,Zhongji（CV 3）and Qihai（CV 6）.The meri-dians of main acupoitns were conception vessel,spleen meridian of foot-taiyinand stomach meridian of foot-yangming.The main acupoints were distributed in the lower abdomen,lower limbs and back.In the special points,the use of front-mupoints,five-shupoints and back-shupoints was more frequent.The prescription was usually consisted of 5 to 7acupoints,（6.9±3.6）acupoints in average.Conclusion In the modern treatment of acupuncture for PCOS,Sanyinjiao（SP 6）,Guanyuan（CV 4）,Zigong（EX-CA 1）,Zhongji（CV 3）and Qihai（CV 6）are most used.With the theories of meridian and zangfuas essential references,the acupoint selection is based on disease differentiation and meridian circulation.Additionally,the methods for selecting the adjacent points and the distant points are adopted.

关 键 词：多囊卵巢综合征 针灸 取穴规律 组方规律 文献研究 

分 类 号：R246.3[医药卫生—针灸推拿学]