摘要
原发性痛经(PD)作为常见的妇科疾病,具有患病率高、周期性发作的特点,对患者的正常工作和生活质量产生不同程度的影响,严重者甚至会出现心理不适,导致抑郁、焦虑和睡眠质量低下。疼痛的原定义强调组织损伤是疼痛的先决条件,对疼痛的定义修订后则重视情绪、情感体验,并将疼痛分为痛感觉、痛情绪、痛认知3个维度。通过分析中、西医学理论对PD的认识,运用调神定痛法治疗PD,选用百会、神庭、神门调神定志,直接调节痛情绪、痛认知;三阴交、地机、子宫调和气血、疏通经络,直接减轻痛感觉。在针刺前进行鍉针点按,转移机体的注意力,将“神”从疼痛部位转移、聚集到远端的刺激点上,之后对所选穴位进行针刺,最终调节痛感觉、痛情绪、痛认知。调神定痛法弥补以往治疗PD对精神、情志、心理等因素的忽视,希望可以为临床治疗PD提供参考。
Primary dysmenorrhea(PD),as a common gynecological disease,has the characteristics of high incidence and cyclical attacks,which has different degrees of impact on patients′normal work and quality of life.In severe cases,psychological discomfort may even occur,leading to depression,anxiety and poor sleep quality.The original definition of pain emphasized tissue damage as the prerequisite for pain,while the revised definition of pain focuses on emotion and emotional experience,and divides pain into three dimensions:pain sensation,pain emotion and pain cognition.By analyzing the understanding of PD in Chinese and western medicine theory,we use Tiaoshen Dingtong Method to treat PD.The acupoints of Baihui,Shenting and Shenmen are selected to regulate the spirit and stabilize the emotions to directly regulate the pain emotion and pain cognition;the acupoints of Sanyinjiao,Diji,Zigong are selected to harmonize Qi and blood and unblock meridians to directly reduce pain sensation.By performing the spoon-needle point pressure before acuputure,the focus of the human is shifted,and“Shen”is transferred from the painful area and concentrated on the distant stimulation point.After that,acupuncture is applied to the selected acupoints to finally regulate the pain sensation,pain emotion and pain cognition.Tiaoshen Dingtong Method makes up for the neglect of spiritual,emotional and psychological factors in the previous treatment of PD,aiming to provide reference for clinical treatment of PD.
作者
刘懿凤
张思渊
胡洋
徐伟杰
武峻艳
Liu Yifeng;Zhang Siyuan;Hu Yang;Xu Weijie;Wu Junyan(Shanxi University of Chinese Medicine,Jinzhong Shanxi 030619)
出处
《山西中医药大学学报》
2025年第2期222-226,共5页
Journal of Shanxi University of Chinese Medicine
基金
山西中医药大学博士科研启动基金资助(2023BK46)。
关键词
原发性痛经
调神定痛
针刺
鍉针
PD
Tiaoshen Dingtong Method
acupuncture
spoon-needle
