[关键词]
[摘要]
目的:总结剖析近年来针刺疗法治疗原发性痛经的取穴规律,以指导临床针刺取穴及配伍。方法:首先检索并浏览中国知网期刊全文数据库近年来相关文献,然后对文献中涉及的针刺处方进行总结并整合录入数据,最后运用SPSS软件对其针刺处方中的选穴数据进行分析并得出结论。结果:针刺治疗原发性痛经在经脉循行上主要选取任脉、足太阴脾经,一般多选用三阴交、关元、地机等穴位,采用多穴配伍治疗。结论:虽然针刺治疗原发性痛经优势突出、其发病机制主要与肝、脾、肾三脏有关均得到了大多数医家的认可,但是无论在穴位配伍还是取穴规律等方面上仍然存在较大的差异,可见对于本病的针刺治疗方面尚无一个统一、科学且规范化的诊疗标准,需进一步探讨以指导临床。
[Key word]
[Abstract]
This study was aimed to summarize and analyze acupoint selection rule of acupuncture in the treatment of primary dysmenorrhea in recent years, and to guide acupoint selection and compatibility in clinical practice. Relevant literatures in recent years were retrieved from the China National Knowledge Infrastructure (CNKI) full-text database.And then, literatures involving acupuncture prescriptions were summarized. Data were integrated and input. Finally, the SPSS software was combined to analyze the data of acupoint selection in the acupuncture prescription to achieve the conclusion. The results showed that in the acupuncture treatment of primary dysmenorrhea, the main meridian selections were the Ren Meridian and the Spleen Meridian of Foot Taiyin. The generally used acupoints were SP6-Sanyinjiao, RN4- Guanyuan, SP8-Diji, and etc. The multi-point compatibility therapy was used. It was concluded that although theadvantages of acupuncture in the treatment of primary dysmenorrhea are prominent, the pathogenesis is mainly related to the liver, spleen and kidney, which are recognized by most physicians. However, there are still large differences in acupoint compatibility and acupoint selection. Hence, there are still no unified, scientific and standardized diagnosis and treatment standards. Further exploration should be made to guide clinical practice.
[中图分类号]
[基金项目]
国家中医药管理局中医药行业科研专项(201407001-7):慢性疼痛中医止痛康复技术评价与推广研究,负责人:吕晓东。