从冲任理论探讨卵巢功能衰退性疾病的针灸诊疗思路  

Exploration on diagnosis and treatment of acupuncture and moxibustion for the diseases with ovarian function decline from the theory of Chong-ren

作　　者：苏晨晨 许焕芳[1] 杨莉[1] 李佳珊 杨会生 刘思雨 丰逸轩 勾明会 肖奇蔚 黎蔚欣 范素 房繄恭[1] SU Chenchen;XU Huanfang;YANG Li;LI Jiashan;YANG Huisheng;LIU Siyu;FENG Yixuan;GOU Minghui;XIAO Qiwei;LI Weixin;FAN Su;FANG Yigong(The Institute of Acupuncture and Moxibustion,China Academy of Chinese Medical Sciences,Beijing 100700,China;Shenzhen Maternity and Child Healthcare Hospital,South Medical University,Shenzhen 518000,China)

机构地区：[1]中国中医科学院针灸研究所,北京100700 [2]南方医科大学附属深圳妇幼保健院,深圳518000

出　　处：《中华中医药杂志》2025年第1期128-132,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：“十四五”国家重点研发计划(No.2022YFC3500504);中国中医科学院科技创新工程(No.CI2021A03502)。

摘　　要：冲任理论是中医生殖理论的重要组成部分。在生理方面,冲任是生殖之经,冲任相资方可“经行有度、絪媪在侯”。在病理方面,结合当前社会环境及女性生活行为习惯,笔者认为卵巢功能衰退性疾病多由冲任失调所致,冲任二脉损伤、脏腑功能失常与神机紊乱是其关键病机。针灸临床诊疗应以辨病为先,立足调理冲任的治法治则,取任脉经穴(关元、气海)及冲脉与任脉、足少阴、足阳明之交会穴(阴交、大赫、肓俞、气冲)通补经脉,补养冲任;取足少阴、足太阴/足阳明、足厥阴、手少阴等经穴平衡脏腑,调和冲任;同时应注重调神,安神定志。并结合冲任夹杂之病邪及临床兼证(症),随证(症)治之。Chong-ren theory is an important part of the reproductive theory of traditional Chinese medicine.In terms of physiology,Chong and Ren meridians are the main reproductive meridians.‘Chong-ren-xiang-zi' is a necessary condition for ‘Jing-xing-you-du,and yin-ao-zai-hou'.In terms of pathology,combined with the current social environment and women's behavior habits,we believe that Chong-ren disorder results in the diseases with ovarian function decline.The injury of Chong and Ren meridians,dysfunction of viscera,and disturbance of divine mechanism are the key pathogenesis.In clinical practice,we should first identify diseases and be based on the therapeutic principle and methods of regulating Chong-ren.Take acupoints of Ren meridian [Guanyuan(RN 4),Qihai(RN 6)] and the intersection acupoints of Chong meridian and Ren meridian,Chong meridian and Foot-Shaoyin meridian,Chong meridian and Foot-Yangming meridian [i.e.Yinjiao(CV 7),Dahe(KI 12),Huangshu(KI 16),Qichong(ST 30)] to dredge and tonify meridian,supplement Chong-ren.Take the meridian points of Foot-Shaoyin,Foot-Taiyin/Foot-Yangming,Foot-Jueyin,Hand-Shaoyin meridians to balance viscera,reconcile Chong-ren.At the same time,we should focus on regulating mentality to tranquilize and sedate the mind.Combined with the pathogenic factors and clinical syndromes(symptoms) of the Chong-ren,it is treated with syndrome(symptoms).

关 键 词：卵巢功能衰退性疾病 冲任理论 生殖 针灸疗法 穴位 

分 类 号：R246.3[医药卫生—针灸推拿学]