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Management of heavy menstrual bleeding in Australian general practice: An analysis of BEACH data.澳大利亚全科医疗中重度月经过多的管理：BEACH 数据分析。
Aust J Gen Pract. 2021 Aug;50(8):573-579. doi: 10.31128/AJGP-08-20-5570.
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The Treatment with Complementary and Alternative Traditional Chinese Medicine for Menstrual Disorders with Polycystic Ovary Syndrome.中医补充和替代疗法治疗多囊卵巢综合征所致月经失调
Evid Based Complement Alternat Med. 2021 May 17;2021:6678398. doi: 10.1155/2021/6678398. eCollection 2021.
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Effectiveness of acupuncture in polycystic ovary syndrome: A systematic review and meta-analysis of randomized controlled trials.针刺疗法对多囊卵巢综合征的有效性：一项随机对照试验的系统评价和荟萃分析
Medicine (Baltimore). 2020 May 29;99(22):e20441. doi: 10.1097/MD.0000000000020441.
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Acupuncture for polycystic ovarian syndrome.针刺治疗多囊卵巢综合征
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Treating the patient not the symptoms: Acupuncture to improve overall health - Evidence, acceptance and strategies.治疗患者而非症状：针灸改善整体健康——证据、接受度与策略
Integr Med Res. 2019 Mar;8(1):33-41. doi: 10.1016/j.imr.2018.07.005. Epub 2018 Jul 31.
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Acupuncture treatment for dysfunctional uterine bleeding in an adolescent.青少年功能失调性子宫出血的针灸治疗
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The efficacy and safety of acupuncture in women with primary dysmenorrhea: A systematic review and meta-analysis.针刺治疗原发性痛经女性的疗效与安全性：一项系统评价和荟萃分析。
Medicine (Baltimore). 2018 Jun;97(23):e11007. doi: 10.1097/MD.0000000000011007.
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True and sham acupuncture produced similar frequency of ovulation and improved LH to FSH ratios in women with polycystic ovary syndrome.真针刺和假针刺在多囊卵巢综合征妇女中产生相似的排卵频率，并改善 LH/FSH 比值。
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Acupuncture to treat primary dysmenorrhea in women: a randomized controlled trial.针刺治疗女性原发性痛经的随机对照试验。
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探索针灸作为青春期月经过多辅助治疗方法：一例报告

Exploring Acupuncture as an Adjunctive Therapy for Puberty Menorrhagia: A Case Report.

作者信息

Prabu Narasimman, M R Monicaasun, K Kanimozhi, K Mahesh Kumar

机构信息

Department of Acupuncture and Energy Medicine, International Institute of Yoga and Naturopathy Medical Sciences and Hospital, Chengalpattu, India.

Government Yoga and Naturopathy Medical College and Hospital, Chennai, India.

出版信息

Med Acupunct. 2024 Dec 17;36(6):367-370. doi: 10.1089/acu.2024.0053. eCollection 2024 Dec.

DOI:10.1089/acu.2024.0053
PMID:39712516
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11659458/
Abstract

BACKGROUND

Puberty menorrhagia, characterized by prolonged and excessive menstrual bleeding between menarche and 19 years of age, presents clinical challenges at adolescents and it is attributed to an immature hypothalamo-pituitary-ovarian axis, leading to sustained high estrogen levels and anovulation. This case report explores the efficacy of acupuncture as an adjunctive therapy for pubertal menorrhagia of a 16-year-old female with a history of irregular menstrual cycles and excessive bleeding for 41 days.

METHODOLOGY

Based on Traditional Chinese Medicine (TCM) tongue and pulse diagnostics of the patient, acupuncture needling at SP4 (Gongsun), PC 6 (Neiguan), KI 14 (Siman), SP 10 (Xuehai), LR 1 (Dadun), CV 6 (Qihai) was given once in a day for a month, each session lasting 20 min targeting to alleviate Liver blood stasis.

RESULT

Following 6 days of treatment, bleeding ceased completely, and subsequent ultrasound assessments after a month revealed reductions in uterine, ovarian size, and complete resolution of endometrial thickening. Onset of next menstruation was on time after a month of acupuncture treatment.

CONCLUSION

These outcomes show acupuncture based on TCM diagnosis has promising effect as an adjunctive therapy for pubertal menorrhagia, regulating the menstrual cycle by improving reproductive health. Further research is warranted to assess the long-term treatment effect.

摘要

背景

青春期月经过多的特征是初潮至19岁之间月经持续时间延长且出血量过多，给青少年带来了临床挑战，其原因是下丘脑 - 垂体 - 卵巢轴不成熟，导致雌激素水平持续升高和无排卵。本病例报告探讨了针刺作为辅助疗法对一名16岁女性青春期月经过多的疗效，该女性有月经周期不规律和出血41天的病史。

方法

根据患者的中医舌诊和脉诊，针刺公孙（SP4）、内关（PC6）、四满（KI14）、血海（SP10）、大敦（LR1）、气海（CV6），每天一次，持续一个月，每次治疗持续20分钟，旨在缓解肝血瘀滞。

结果

治疗6天后出血完全停止，一个月后的后续超声评估显示子宫、卵巢大小减小，子宫内膜增厚完全消退。针刺治疗一个月后下次月经按时来潮。

结论

这些结果表明，基于中医诊断的针刺作为青春期月经过多的辅助疗法具有显著效果，可通过改善生殖健康来调节月经周期。有必要进行进一步研究以评估长期治疗效果。