基于络病理论探讨针灸治疗子宫内膜异位症的思路  

The idea of treating endometriosis by acupuncture and moxibustion based on the collateral disease theory

作　　者：肖小文 金庆雷 王伟平 XIAO Xiaowen

机构地区：[1]苏州市吴中区中医医院,江苏苏州215107 [2]苏州市中西医结合医院士材学派传承工作室,江苏苏州215107

出　　处：《中医临床研究》2024年第35期19-22,共4页Clinical Journal Of Chinese Medicine

基　　金：苏州市吴中区科技计划项目(医疗卫生领域)(2021);士材学派研究专项科研基金项目(2023年)。

摘　　要：子宫内膜异位症是临床常见的妇科疾病,发病率高,可提高不孕率,严重影响患者的生活质量。目前子宫内膜异位症的治疗方法以口服药物及手术为主,但无法治愈,且复发率高。在中医中,本病可归属于“痛经”“不孕”“癥瘕”范畴。本研究基于络病理论探讨子宫内膜异位症的病机,并提出络气郁滞是本病发病的始动因素,寒、痰、瘀搏结阻络是关键病机,毒损络脉、正气虚耗是恶变的重要因素。临床以“络病理论”为指导,理气解郁、化瘀通络、补虚解毒为主要治则治疗子宫内膜异位症,为针灸治疗子宫内膜异位症提供理论指导及临床参考。Endometriosis is a common clinical gynecological disease with a high incidence,can improve the infertility rate,and seriously affect the quality of life of patients.At present,the main treatment methods for endometriosis are oral drugs and surgery,but there is no cure,and the recurrence rate is high.In traditional Chinese medicine,this disease can be classified as dysmenorrhea,infertility,and mass.This study explores the pathogenesis of endometriosis based on the collaterals disease theory,and proposes that collaterals stagnation is the initial factor of the disease,that the collaterals blockage due to cold,phlegm,and blood stasis accumulation is the key pathogenesis,and that toxin damage to the veins and exhaustion of healthy Qi(气)are the important factors of malignant transformation.In clinical practice,the collateral disease theory is used as the guidance,and the main treatment principles of regulating Qi to relieve depression,removing blood stasis to dredge collaterals,and tonifying and detoxing are used to treat the disease,which provides theoretical guidance and clinical reference for the treatment of endometriosis by acupuncture and moxibustion.

关 键 词：子宫内膜异位症 络病理论 针灸 

分 类 号：R271.1[医药卫生—中医妇科学]