灸法在治疗卵巢早衰中的应用浅析

Brief analysis on moxibustion in treating premature ovarian failure

目的整理古今文献中灸法治疗卵巢早衰(POF)的应用情况,为临床提供参考依据。方法现代文献通过计算机检索,知网全文数据库(CNKI)、万方数据库、维普数据库、PubMed数据库,古籍文献检索范围以《中国中医古籍总目录》《中医文献学》推荐妇科相关文献及针灸文献为主,从用穴归经、灸法等方面进行分析。结果最终获得现代文献23篇,古籍11部。灸疗部位现代文献主要集中在腰骶、背部、下腹部以及下肢,古籍文献主要集中在全腹部,下肢、骶部、上肢;涉及到的经脉现代文献主要在任脉、督脉、足太阳、足阳明、足太阴,古籍中文献中有足三阴经、足三阳、任脉、督脉、手少阴、手阳明,研究发现现代文献用穴范围明显少于古代,且现代取穴阳经偏多,而古籍中阴经反而偏多。结论灸法合并其他治疗POF疗效显著,但艾灸在其中的作用机制不明,缺少作为单一干预的临床研究证据,基础研究有限。

Objective To summarize the application of moxibustion in the treatment of premature ovarian failure(POF)in ancient and modern literatures,and to provide reference for clinical practice.Methods Through retrieving CNKI,China Info,VIP and PubMed,modern literature on cupuncture for POF was collected,and through retrieving ancient books is mainly based on General Catalogue of Ancient Chinese Medicine Books,gynecological literature and acupuncture literature recommended by Chinese Medicine Philology regarding the rule of acupoint selection to meridian and moxibustion,etc.Results Finally obtained 23 modern literature,11 ancient books.Modern literature on moxibustion treatment sites mainly focused on lumbosacral,back,lower abdomen and lower extremities,while ancient literature mainly focused on the whole abdomen,lower limbs,sacral and upper extremities.Involves the meridians of the modern literature mainly in Ren meridian,Du meridian,foot-TaiYang and foot-TaiYin,ancient literature has the three Yin meridian of foot,three Yang meridians of foot,Ren meridian,Du meridian,hand ShaoYin and hand-Yang Ming,the modern literature with significantly less than the ancient cave range,and modern find Yang meridians,and instead of Yin meridians bullish in ancient books.Conclusion Other therapies combined with moxibustion in the treatment of premature ovarian failure(POF)have certain clinical efficacy,but the research on its mechanism of action is limited,and there is a lack of multi-center and multi-study large-scale clinical studies.