从“肾-天癸-冲任-胞宫”生殖轴及“玄府理论”论卵巢早衰的针刺治疗  

Discussion on acupuncture treatment of premature ovarian insufficiency from"kidney-tiangui-chongren-uterus"reproductive axis and"xuanfu theory"

作　　者：夏心瑀 梁艳 董莉[1] 姚栩靖 XIA Xinyu;LIANG Yan;DONG Li;YAO Xujing(Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China;Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院,上海200437 [2]上海中医药大学附属龙华医院,上海200032

出　　处：《上海中医药大学学报》2024年第4期87-91,共5页Academic Journal of Shanghai University of Traditional Chinese Medicine

基　　金：国家自然科学基金资助项目(81403473);上海市浦东新区中医药传承创新发展示范试点项目“高水平研究型中医医院建设”(YC-2023-0901);上海市虹口区名中医专家丁邦友凉城社区工作站建设项目(HKGYQYXM-2022-37)。

摘　　要：卵巢早衰(POI)是指40岁之前妇女卵巢功能减退甚至丧失导致的临床综合征,其发病率不断上升。目前尚无治疗POI根治性药物,激素替代疗法存在停药后易复发,且存在一定的副作用。针刺疗法在治疗POI具有独特优势,且不良反应少。“肾-天癸-冲任-胞宫”生殖轴、玄府理论在妇科疾病防治中起到关键性作用。从中医妇科基础理论出发,以生殖轴为主线,基于玄府理论,治疗上重视调理脏腑功能、开郁玄府,以期为针刺治疗POI提供新颖的辨证思路。Premature ovarian insufficiency(POI)is a clinical syndrome caused by the decline or even loss of ovarian function in women before the age of 40,and its incidence is rising.At present,there are no curative drugs for treating POI,and hormone replacement therapy is prone to relapse after drug withdrawal and has certain side effects.Acupuncture therapy has unique advantages in treating POI with less adverse reactions.The"kidney-tiangui-chongren-uterus"reproductive axis and xuanfu theory play a key role in the prevention and treatment of gynecological diseases.Starting from the basic theory of traditional Chinese medicine gynecology,taking the reproductive axis as the main line and basing on the xuanfu theory,the treatment attaches attention to regulating the functions of the organs and opening the depression of xuanfu,in order to provide a novel thinking of syndrome differentiation for acupuncture in the treatment of POI.

关 键 词：卵巢早衰 肾-天癸-冲任-胞宫 玄府理论 针刺 

分 类 号：R246.3[医药卫生—针灸推拿学]