基于“腹气有街”理论浅谈针刺治疗多囊卵巢综合征的临床思路  

The clinical thinking of acupuncture in the treatment of polycystic ovary syndrome based on abdominal-qijie theory

作　　者：王新茹 侯学思 张重阳 张佳佳 马莉 祁晓晗 潘婷 孟言 白鹏 WANG Xinru;HOU Xuesi;ZHANG Chongyang;ZHANG Jiajia;MA Li;QI Xiaohan;PAN Ting;MENG Yan;BAI Peng(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China)

机构地区：[1]北京中医药大学东直门医院针灸科,100700 [2]首都医科大学附属北京中医医院针灸科 [3]北京中医药大学第三附属医院针灸科

出　　处：《环球中医药》2022年第4期600-605,共6页Global Traditional Chinese Medicine

基　　金：全国中医药创新骨干人才培训项目(国中医药人教函[2019]128号)。

摘　　要：多囊卵巢综合征多责之肾虚、肝郁、脾虚,而腹气街紧邻肾、肝、脾,具有横向联络脏腑经脉的功能,为调节脏腑、经脉之气的极佳路径。本文基于《内经》“腹气有街”理论,从脏腑、经脉和营卫之气三个维度,分析了腹气街与多囊卵巢综合征病机的联系,即腹气街关联的肝脾肾功能失调、冲带脉阻滞不通以及营卫之气涩滞,均与多囊卵巢综合征的临床表现密切相关。基于此,笔者提出了基于“腹气有街”理论针刺治疗多囊卵巢综合征的新思路,即先通过腹部取穴和俞募配穴疏通腹气街局部气血,使腹气街的代偿功能最大化,继而发挥腹气街的调节作用,补肾、疏肝、健脾,解除冲脉、带脉等经络本身的壅塞,同时注重调营和卫,促使脏腑经脉功能复常。Polycystic ovary syndrome is related to kidney deficiency,liver depression,and spleen deficiency.While abdominal-qijie is not only close to the kidney,liver and spleen,but also connects to the zangfu-organs and meridians horizontally,so it is an excellent pathway to regulate the qi of zangfu-organs and meridians.Based on the abdominal-qijie theory of Huangdi’s Canon of Medicine,this paper analyzes the relationship between abdominal-qijie and the pathogenesis of polycystic ovary syndrome from the three aspects of zangfu-organs,meridians,and nutrient qi and defensive qi.That is,the dysfunction of the liver,spleen,and kidney,the obstruction of thoroughfare vessel and belt vessel,and the stagnation of nutrient qi and defensive qi,which are all associated with abdominal-qijie,are closely related to the clinical manifestations of polycystic ovary syndrome.Then,we put forward a new idea of acupuncture in the treatment of polycystic ovary syndrome based on the abdominal-qijie theory.Specifically,the local acupoints on the abdomen and the Front-Mu with Back-Shu acupoints are used to dredge the local qi and blood of the abdominal-qijie to maximize its compensatory function at first.Then,with the guidance of abdominal-qijie’s regulating effects,we could not only nourish the kidney,soothe the liver,and strengthen the spleen,but also relieve the blockage of meridians like the thoroughfare vessel and belt vessel.Meanwhile,more attention should be paid to regulating nutrient qi and defensive qi,so that the function of zangfu-organs and meridians can return to normal.

关 键 词：多囊卵巢综合征 气街理论 腹气街 针灸 临床思路 理论探讨 

分 类 号：R711.75[医药卫生—妇产科学]