Treatment ideas of acupuncture and moxibustion for adenomyosis based on "etiology, location, nature and development of disease"

XIA Xinyu; LIANG Yan; CAO Shijie; YAO Xujing

doi:10.13703/j.0255-2930.20230726-k0001

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Treatment ideas of acupuncture and moxibustion for adenomyosis based on "etiology, location, nature and development of disease"

Thought and Method | 更新时间：2024-06-03

- Treatment ideas of acupuncture and moxibustion for adenomyosis based on "etiology, location, nature and development of disease"
- Chinese Acupuncture & Moxibustion Vol. 44, Issue 4, Pages: 455-459(2024)
- 作者机构：
  
  1.上海中医药大学附属岳阳中西医结合医院针灸一科，上海 200437
  2.上海中医药大学附属龙华医院针灸科，上海 200032
  3.上海市黄浦区打浦桥街道社区卫生服务中心中医科
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20230726-k0001
  CLC：
- Received：26 July 2023，
  
  Online First：30 January 2024，
  
  Published：12 April 2024
- 稿件说明：
移动端阅览
夏心瑀,梁艳,曹世杰,等.基于“病因、病位、病性、病势”浅析子宫腺肌症的针灸治疗思路[J].中国针灸,2024,44(4):455-459.

XIA Xinyu,LIANG Yan,CAO Shijie,et al.Treatment ideas of acupuncture and moxibustion for adenomyosis based on "etiology, location, nature and development of disease"[J].Chinese Acupuncture & Moxibustion,2024,44(04):455-459.
夏心瑀,梁艳,曹世杰,等.基于“病因、病位、病性、病势”浅析子宫腺肌症的针灸治疗思路[J].中国针灸,2024,44(4):455-459. DOI： 10.13703/j.0255-2930.20230726-k0001.

XIA Xinyu,LIANG Yan,CAO Shijie,et al.Treatment ideas of acupuncture and moxibustion for adenomyosis based on "etiology, location, nature and development of disease"[J].Chinese Acupuncture & Moxibustion,2024,44(04):455-459. DOI： 10.13703/j.0255-2930.20230726-k0001.

摘要

以辨证论治为核心，辨明子宫腺肌症的病因、病位、病性、病势，探讨针灸治疗子宫腺肌症的诊疗思路。将脏腑辨证和经络辨证相结合，顺应月经周期，遵循“急则治其标，缓则治其本”的原则，月经期以止痛、祛瘀为主，非月经期以调整脏腑虚实为主。重视冲任二脉调理，并予健脾、调肾、疏肝之法。以足太阴脾经、足少阴肾经、任脉穴为主，经期可取次髎、十七椎、子宫、地机、四关穴；经后期主取足三里、三阴交、太溪；经间期以关元、卵巢、气海为主；经前期可取关元、气海、神阙，配伍公孙、内关、间使。根据病情动态演变，配合适宜的针灸补泻手法。

Abstract

Focusing on the syndrome/pattern differentiation to determine treatment

the approaches to the diagnosis and treatment of acupuncture and moxibustion for adenomyosis are explored by identifying the etiology

location

nature and development of disease. The syndromes/patterns of adenomyosis are differentiated in view of both

zangfu

and meridian theories. The treatment is delivered complying with the menstrual cycle and the basic rule of treatment

"treating the symptoms in the acute stage

while the root causes in the recovery stage". During menstrual period

stopping pain and eliminating stasis are dominant; while during the other days of menstrual cycle

regulating

zangfu

dysfunction (excess or deficiency) is emphasized. In general

the functions of the thoroughfare vessel and the conception vessel should be specially considered and adjusted

and the principles of treatment include strengthening the spleen

regulating the kidney and soothing the liver. Acupoints are selected mainly from the spleen meridian of foot-

taiyin

the kidney meridian of foot-

shaoyin

and the conception vessel. Ciliao (BL 32)

Shiqizhui (EX-B 8)

Zigong (EX-CA 1)

Diji (SP 8) and four-gate points (bilateral Hegu [LI 4

]

and Taichong [LR 3

]

) are used in menstrual period; Zusanli (ST 36)

Sanyinjiao (SP 6) and Taixi (KI 3) in postmenstrual phase; Guanyuan (CV 4)

Luanchao (Ovary

Extra) and Qihai (CV 6) in intermenstrua

l phase; while

Guanyuan (CV 4)

Qihai (CV 6) and Shenque (CV 8)

combined with Gongsun (SP 4)

Neiguan (PC 6) and Jianshi (PC 5) in premenstrual phase. According to the dynamic development of patient's conditions

the reinforcing or reducing techniques of acupuncture and moxibustion are feasibly applied in treatment of adenomyosis.

关键词

Keywords

references

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