足三阴经经络腧穴诊察在妇科病症针灸诊疗中的应用

Application of meridian and acupoint diagnosis of three yin meridians of foot in the treatment for gynecological diseases with acupuncture and moxibustion

以3种代表性的妇科病症(痛经、盆腔炎、多囊卵巢综合征)为例,探讨经络腧穴诊察在妇科病症针灸诊疗中的应用方法。临床诊疗时,在患者足三阴经小腿段的循行部位进行循按诊察,探求经络腧穴的阳性反应(颜色、形态、皮温变化及感觉异常等),于此阳性反应处进行针灸治疗可以提高临床疗效。经络腧穴诊察可为经络辨证提供依据,从而指导选穴处方;有助于明确病性之虚实寒热,指导刺灸方法的选择;辅助判断疾病的预后和转归。

With three representative types of gynecological diseases(dysmenorrhea,pelvic inflammation,polycystic ovary syndrome)as examples,the application methods of meridian and acupoint diagnosis for gynecological diseases treated with acupuncture and moxibustion are discussed.During clinical diagnosis and treatment,it is recommended to examine the patient's leg segment along the three yin meridians of foot,aiming to explore the positive reactions of the meridians and acupoints(color,shape,skin temperature,sensory abnormalities,etc.).Acupuncture and moxibustion treatment at this positive reaction place can improve the clinical efficacy.Meridian and acupoint diagnosis could provide basis for meridian syndrome differentiation,thus guiding the selection of acupoint prescriptions;it is also helpful to clarify the deficiency,excess,cold and heat of the disease nature,thus guiding the selection of acupuncture and moxibustion methods.In addition,it is an auxiliary method to estimate the prognosis and outcome of the disease.