赖新生教授“通元针法”结合中药治疗卵巢早衰临床经验

Professor LAI Xinsheng's clinical experience in the treatment of premature ovarian failure with tongyuan acupuncture technique and Chinese herbal medicine

赖新生教授治疗卵巢早衰时注重审证求因,结合经络辨证与脏腑辨证,认为以经闭、不孕等为主要症状的卵巢早衰,其病位在肾,兼与肝、脾、心功能失于协调有关,由寒闭、气滞、血瘀、血虚、阴虚等病理因素的影响导致冲任受损,经水不行。四诊合参详辨患者证型,归纳出卵巢早衰常见的气血两虚、气滞血瘀、肝肾亏虚、脾肾阳虚4种证型。"通元针法"是赖新生教授以阴阳学说为基础建立起来的科学有效的针灸循经取穴方法,取背部通督调神的腧穴主要作用在脑,用于通督脉阳气,通过五脏背俞穴来调节内脏功能,腹部及任脉穴位引气归元用于改善生殖功能。治疗时在"通元针法"指导下选穴组方、潜方用药,针药结合改善卵巢功能,调节月经周期,可收到满意的治疗效果。

In the treatment of premature ovarian failure（POF）,professor LAI Xinshengfocuses on the determination of syndrome to seek for etiology,associating with the differentiation of meridian and collateral and that of zangfuorgans.Professor LAI believes that POF is mainly manifested as amenorrhea and infertility,localized in the kidney,with the dysfunction of liver,spleen and heart.It is impacted by many pathological factors,such as cold blockage,qi stagnation,blood stagnation,blood deficiency,yindeficiency,etc.,which leads to the damage of the thoroughfare vessel and the conception vessel and the blockage of menstrual flow.On the basis of four diagnostic methods and syndrome differentiation,there are four common syndromes of POF,named qi and blood deficiency,qi and blood stagnation,liver and kidney deficiency and yangdeficiency of spleen and kidney.Tongyuan acupuncture technique is summarized by Professor LAI Xinshengon the basis of yinyangtheory.It is an effective and scientific method for acupoint selection along the meridians.The acupoints on the back,communicating with the governor vessel and mind regulation,acting on the brain are selected to promote yang qi of the governor vessel.The back-shupoints of five zangorgans are selected to regulate the functions of internal organs.The acupoints on the abdomen and the conception vessel are selected to conduce qi to the primary so as to improve reproductive function.In the guidance of tongyuanacupuncture technique,the acupoint prescription is formed and the Chinese herbal medicines are selected in combination to improve ovarian function and regulate menstruation.Hence,the satisfactory therapeutic effects have been achieved.