摘要
总结施茵教授运用针灸从脾肾论治肥胖型多囊卵巢综合征(PCOS)伴不孕症的临床经验。施教授认为育龄期PCOS患者以肥胖型居多,且常伴不孕,病位多在肾、脾,病机以脾肾亏虚为本,痰(湿)瘀阻络为标,临证取冲脉、任脉、肾经、脾(胃)经穴为主,循证施治,方穴术相应,以达补肾健脾益气、化痰祛湿行瘀、活血调经助孕之效。其提出的"辨证为根本,穴性同药性,选穴如组方,手法定补泻"的理论不仅充分体现了中医"辨证论治"思想,更将穴位及针灸手法的治疗作用充分发挥,值得临床借鉴。
Professor SHI Yin’s clinical experience in treatment of obese polycystic ovary syndrome(PCOS)accompained with infertility with acupuncture and moxibustion in view of spleen and kidney functions is summarized.Professor SHI believes PCOS is commonly seen in obese women of childbearing age,accompained with infertility,with kidney and spleen involved in terms of the disorder location.In pathogenesis,spleen and kidney deficiency is the primary and obstruction of phlegm(damp)in collateral is the secondary.According to clinical differentiation,the main acupoints are selected from the thoroughfare and conception vessels,the kidney meridian and the spleen/stomach meridian and the corresponding acupoint prescriptions and techniques are used individually,aiming at tonifying kidney,strengthening spleen,benefiting qi,resolving phlegm,eliminating damp,resolving stasis,activating blood circulating and regulating menstruation for successful pregnancy.Professor SHI proposes the theory as"taking syndrome/pattern differentiation as the root,equal consideration of the property of acupoints and that of herbal medicine,similarity of acupoint selection with herbal prescription,as well as determination of reinforcing and reducing techniques of acupuncture and moxibustion".It fully embodies the idea of TCM as"syndrome/pattern differentiation and treatment determination"and displays the curative effect of acupoints and the techniques of acupuncture and moxibustion,being worthy of clinical reference.
作者
郭森
胡晓颖
高艳玲
GUO Sen;HU Xiao-ying;GAO Yan-ling(Yueyang Clinic Medical College,Shanghai University of TCM,Shanghai 201203,China;Shanghai Hongkou District Jiangwan Hospital,Shanghai 200434)
出处
《中国针灸》
CAS
CSCD
北大核心
2021年第4期429-432,共4页
Chinese Acupuncture & Moxibustion
基金
上海市虹口区临床医学优秀青年人才培养计划项目:HKYQ2018-15
上海市卫生和计划生育委员会科研课题项目:201840307。
关键词
多囊卵巢综合征
不孕症
脾肾论治
名医经验
施菌
polycystic ovary syndrome
infertility
treatment in view of spleen and kidney functions
famous doctor’s experience
SHI Yin
