从“肾-天癸-冲任-胞宫”生殖轴及“玄府理论”论卵巢早衰的针刺治疗

Discussion on acupuncture treatment of premature ovarian insufficiency from"kidney-tiangui-chongren-uterus"reproductive axis and"xuanfu theory"

卵巢早衰(POI)是指40岁之前妇女卵巢功能减退甚至丧失导致的临床综合征,其发病率不断上升。目前尚无治疗POI根治性药物,激素替代疗法存在停药后易复发,且存在一定的副作用。针刺疗法在治疗POI具有独特优势,且不良反应少。“肾-天癸-冲任-胞宫”生殖轴、玄府理论在妇科疾病防治中起到关键性作用。从中医妇科基础理论出发,以生殖轴为主线,基于玄府理论,治疗上重视调理脏腑功能、开郁玄府,以期为针刺治疗POI提供新颖的辨证思路。

Premature ovarian insufficiency(POI)is a clinical syndrome caused by the decline or even loss of ovarian function in women before the age of 40,and its incidence is rising.At present,there are no curative drugs for treating POI,and hormone replacement therapy is prone to relapse after drug withdrawal and has certain side effects.Acupuncture therapy has unique advantages in treating POI with less adverse reactions.The"kidney-tiangui-chongren-uterus"reproductive axis and xuanfu theory play a key role in the prevention and treatment of gynecological diseases.Starting from the basic theory of traditional Chinese medicine gynecology,taking the reproductive axis as the main line and basing on the xuanfu theory,the treatment attaches attention to regulating the functions of the organs and opening the depression of xuanfu,in order to provide a novel thinking of syndrome differentiation for acupuncture in the treatment of POI.