Hou Xuesi, Zhou Qingchen, Wang Lei, Cheng Lu, Zhao Jiping
Department of Acupuncture and Moxibustion, Dongzhimen Hospital of Beijing University of CM, Beijing 100700, China.
Zhongguo Zhen Jiu. 2017 Oct 12;37(10):1108-12. doi: 10.13703/j.0255-2930.2017.10.022.
To discuss the acupuncture and moxibustion thoughts of diagnosis and treatment for secondary dysmenorrhea of adenomyosis on the basis of disease location and pathogenesis. In clinic, we take the "principle, method, prescription, acupoint and technic" as the outline, paying attention to identify disease location and establishing the method of "promoting blood to remove stasis, regulating thoroughfare vessel and conception vessel" on the basis of the pathogenesis of "stasis obstructing uterus, disharmony of thoroughfare vessel and conception vessel". The prescription combines "dredging" with "conditioning", and the emphasis should be different in different periods. In menstrual period, we put emphasis on activating the circulation of and blood as well as clearing meridians to relieve pain and choose the acupoints on the spleen meridian of foot- and experimental points, such as Diji (SP 8), Sanyinjiao (SP 6), Ciliao (BL 32), Shiqizhui (EX-B 8). In the intermenstrual period, we regulate the and blood of thoroughfare vessel and conception vessel, and the function of viscera. The acupoints for the disease root are mainly at spleen meridian of foot- and conception vessel, such as Sanyinjiao (SP 6), Guanyuan (CV 4), Zigong (EX-CA 1), Zusanli (ST 36). And the reinforcing and reducing technic are applied accordingly.
基于疾病部位及发病机制探讨子宫腺肌病继发性痛经的针灸诊疗思路。临床以“理、法、方、穴、术”为纲,注重辨明病位,在“瘀阻子宫,冲任失调”病机基础上确立“活血化瘀,调冲任”之法。方中“通”与“调”相结合,不同时期侧重点不同。经期重在活血通经止痛,选取足太阴脾经及经验穴,如地机(SP 8)、三阴交(SP 6)、次髎(BL 32)、十七椎(EX - B 8)。经间期调冲任气血及脏腑功能,治本穴位主要在足太阴脾经及任脉,如三阴交(SP 6)、关元(CV 4)、子宫(EX - CA 1)、足三里(ST 36),并相应运用补泻手法。