摘要
围绝经期综合征为妇科常见疾病。西医针对其病因采用激素补充治疗,起效迅速,但因为其具有药物不良反应,以及医生、患者自身原因,限制了西药的使用。而中医外治法治疗围绝经期综合征具有不良反应小、多靶点调节、方法多样、绿色健康等优势,因此更容易为患者接受。文章综合近5年中医外治法治疗围绝经期综合征相关文献,从无创中医外治法和针灸疗法两方面进行综述。研究发现围绝经期综合征的中医外治法从是否对皮肤造成创伤可以分为无创中医外治法和针灸疗法,无创中医外治法包括足浴、推拿、拔罐、刮痧、穴位敷贴等,针灸疗法有针刺(毫针、腹针、耳针、电针)和灸法、穴位埋线等,气海穴、关元穴、三阴交穴、肝俞穴、肾俞穴、子宫穴等穴位能有效改善围绝经期综合征症状。其中,无创中医外治法对患者刺激适度,且药物能避过首过效应,直接通过皮肤吸收发挥作用,与传统针刺艾灸等有创疗法相比更具优势。大量古代中医文献以及现代临床研究的发表,为中医外治法治疗围绝经期综合征提供理论基础的同时,也拓宽了临床对该疾病的治疗思路,表现出中医外治法显著的优越性以及发展潜力。同时,文章对接下来深入研究中医外治法治疗围绝经期综合征疗效以及具体机制提出相关建议。
Perimenopausal syndrome is a common gynecological disease.Western medicine uses hormone supplement therapy targetting its cause,which has rapid effects,but because of its adverse reactions,as well as doctors and patients’own reasons,the use of Western medicine is limited.Traditional Chinese medicine external treatment of perimenopausal syndrome has the advantages of small adverse reactions,multi-target regulation,diverse methods,being green and healthy,so it is easier to be accepted by patients.Based on the literature about the treatment of perimenopausal syndrome by external treatment of traditional Chinese medicine in recent 5 years,this paper reviews the non-invasive external treatment of traditional Chinese medicine and acupuncture.The study has found that the external treatment of perimenopausal syndrome can be divided into non-invasive external treatment of traditional Chinese medicine and acupuncture treatment from whether it causes skin trauma.Non-invasive external treatment of traditional Chinese medicine includes foot bath,massage,cupping,scraping,acupoint application,etc.Acupuncture treatment includes acupuncture(filiform acupuncture,abdominal acupuncture,ear acupuncture,electric acupuncture),moxibustion,acupoint burying,etc.Qihai(RN6),Guanyuan(RN4),Sanyinjiao(SP6),Ganshu(BL18),Shenshu(BL23),Zigong(EX-CA1)and other acupoints can effectively relieve the symptoms of perimenopausal syndrome.Among them,the non-invasive external treatment of traditional Chinese medicine has moderate stimulation for patients,and the drug can avoid the first-pass effect and directly play a role through skin absorption,which has more advantages than traditional acupuncture and moxibustion and other invasive therapies.The publication of a large number of ancient TCM literature and modern clinical studies not only provides a theoretical basis for the treatment of perimenopausal syndrome by external treatment of TCM,but also broadens the clinical treatment of this disease,showing the obvious superiority and development potential of external treatment of TCM.At the same time,relevant suggestions are put forward to further study the curative effect and specific mechanism of external TCM treatment of perimenopausal syndrome.
作者
袁山政
张增
翟亚悦
张燕雨
徐慧军
YUAN Shanzheng;ZHANG Zeng;ZHAI Yayue;ZHANG Yanyu;XU Huijun
出处
《中医临床研究》
2023年第27期136-140,共5页
Clinical Journal Of Chinese Medicine
基金
青岛市2020年度医药科研指导计划(2020-WJZD040)。
关键词
中医外治法
围绝经期综合征
综述
无创
External treatment of traditional Chinese medicine
Perimenopausal syndrome
Review
Non-invasive
