摘要
目的通过对健康人与卵巢储备功能减退患者任脉腹部穴位或诊察点以及部分足阳明胃经、足太阴脾经腹部穴位、奇穴疼痛阈值的检测,观察卵巢储备功能减退患者任脉痛敏化现象并总结规律,为针灸治疗卵巢储备功能减退提供选经、选穴依据。方法纳入34例卵巢储备功能减退患者作为研究组,38例健康志愿者作为对照组,对任脉23个诊察点、足阳明胃经10个诊察点、足太阴脾经6个诊察点和经外奇穴4个诊察点进行痛阈采集,观察两组痛阈差异。结果与对照组比较,研究组气海、脐下0.5寸、关元、中极、脐下4.5寸、石门6个诊察点痛阈值明显降低(P<0.01);脐下3.5寸、脐下2.5寸、子宫左(left,L)、卵巢右(right,R)、天枢L、卵巢L、府舍R、天枢R、腹结R、归来L、大横R 11个诊察点痛阈值降低(P<0.05)。研究组痛阈值显著降低的诊察点中,关元、卵巢L、石门、气海、脐下2.5寸5个诊察点痛阈值平均变化率≥30%。结论卵巢储备功能减退患者下腹部诊察点存在明显的痛敏化现象,任脉的下腹部诊察点变化更为明显,可为“任主胞胎”理论提供依据。
Objective To observe the pain sensitization phenomenon in the Conception Vessel among patients with diminished ovarian reserve(DOR)and summarize the rules by detecting pain thresholds at the abdominal points or inspection points along the Conception Vessel,a part of the Stomach Meridian of Foot Yangming and Spleen Meridian of Foot Taiyin points,and extra points in healthy volunteers and DOR patients,thus to provide evidence for selecting meridians and points in treating DOR.Method Thirty-four DOR patients were taken as a research group,and 38 healthy volunteers were enrolled as a control group to collect their pain thresholds at 23 inspection points along the Conception Vessel,10 inspection points along the Stomach Meridian of Foot Yangming,6 inspection points along the Spleen Meridian of Foot Taiyin,and 4 extra points and observe the between-group difference in the pain threshold.Result Compared to the control group,the research group had significantly lower pain thresholds at 6 inspection points,i.e.,Qihai(CV6),0.5 Cun below the umbilicus,Guanyuan(CV4),Zhongji(CV3),4.5 Cun below the umbilicus,and Shimen(CV5)(P<0.01)and demonstrated decreases in the pain threshold at 11 inspection points,i.e.,3.5 Cun below the umbilicus,2.5 Cun below the umbilicus,left-sided Zigong(EX-CA1),right-sided Luanchao(Extra),left-sided Tianshu(ST25),left-sided Luanchao,right-sided Fushe(SP13),right-sided Tianshu(ST25),right-sided Fujie(SP14),left-sided Guilai(ST29),and right-sided Daheng(SP15)(P<0.05).Among the inspection points demonstrating a significantly decreased pain threshold in the research group,5 points had an average variation rate of pain threshold≥30%,including Guanyuan,left-sided Luanchao,Shimen,Qihai,and 2.5 Cun below the umbilicus.Conclusion DOR patients present notable pain sensitization at the lower abdominal inspection points,particularly those along the Conception Vessel,which can provide evidence supporting the theory of“Conception Vessel governing gestation and fetal nourishment”.
作者
董志斌
李继晖
杜冬青
张娜
李春静
牟梓君
孙浩
张荣琦
马玉侠
DONG Zhibin;LI Jihui;DU Dongqing;ZHANG Na;LI Chunjing;MOU Zijun;SUN Hao;ZHANG Rongqi;MA Yuxia(Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Weifang Maternal and Child Health Hospital,Weifang 261011,China)
出处
《上海针灸杂志》
2025年第9期1129-1135,共7页
Shanghai Journal of Acupuncture and Moxibustion
基金
国家重点研发计划项目(2022YFC3500403)
国家中医药管理局高水平中医药重点学科(zyyzdxk-2023116)。
关键词
卵巢储备功能减退
痛敏化
腧穴
任脉
任主胞胎
Diminished ovarian reserve
Pain sensitization
Conception Vessel
Conception Vessel governs gestation and fetal nourishment
