古代文献中针灸治疗不孕症选穴规律研究

Study on Acupoint Selection Rules of Treating Infertility in Ancient Literature

  • 摘要: 目的 探讨古代文献中针灸治疗不孕症的选穴规律。方法 采用《中华医典》光盘(第5版)对建国前历代古籍进行检索,收集有关针灸治疗不孕症的条文,对数据进行归纳与整理,利用文献计量学的方法进行统计与分析。结果 检索得到针灸治疗不孕症条文301条,涉及41个腧穴,共计358穴次。分析发现,历代针灸治疗不孕症多选用任脉和足少阴肾经上的穴位,其中以任脉的中极、关元穴使用频次最高;取穴部位偏重下腹部和下肢部;选穴以特定穴为主,其中任、冲脉的交会穴为治疗关键。结论 临床在治疗不孕症时可选取古代文献中出现频次最高的中极、关元、照海、涌泉为基础方,针灸联合应用,再结合患者的具体症状辨证加减。尚有文献记载石门、阴交、血海、至阳等穴位有绝孕的风险,临床运用应慎重。

     

    Abstract: OBJECTIVE To explore of acupoint selection rules of treating infertility recorded in ancient literature. METHODS Chinese Medical Classics (5th Edition) was used to search and collate the records of treating infertility in the books written before the founding of the People's Republic of China. Based on the database, the authors made statistical analysis. RESULTS 301 clauses of acupuncture and moxibustion treatment on infertility were retrieved, referred to 41 points for 358 times. It has been found that acupoints on Ren channel and Kidney meridian were often used to treat infertility, among which Zhongji (RN3) and Guanyuan (RN4) were the most frequent. The points were mostly selected from the lower abdomen and lower limbs and most of them are specific. The convergent acupoint of Ren Channel and Chong Channel were key to the treatment. CONCLUSION In the treatment of infertility, we can select the most frequent prescribed acupoints in ancient literature as a basic prescription for acupuncture, such as Zhongji(RN3), Guanyuan (RN4), Zhaohai (KI6) and Yongquan (KI1), combined with moxibustion and syndrome differentiation. In addition, it was recorded that acupuncture at Shimen (CV5), Sanyinjiao (SP6), Xuehai (SP10), Zhiyang (GV9) might lead to worse condition, so acupoint selection to treat infertility should be deliberate.

     

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