本文選題：不孕 + 任脈�。� 參考：《廣州中醫(yī)藥大學(xué)》2017年博士論文

【摘要】：不孕癥已成為一種復(fù)雜的病癥,其發(fā)病率呈顯著上升的趨勢并且致病因素諸多且復(fù)雜。08年世界衛(wèi)生組織指出不孕癥的臨床定義:一對具有正常性生活的夫妻,并且在一年內(nèi)性生活和諧及未采取避孕措施的情況下,妻子仍然未孕;或者曾經(jīng)孕育過,未避孕超過一年而未再懷孕者。據(jù)WHO調(diào)查統(tǒng)計(jì)全世界不孕癥患者接近9千萬,其中發(fā)達(dá)國家不孕癥的發(fā)病率為5.5%左右,而我國其發(fā)病率約為6%-15%。本文通過探討臨床針灸治療不孕癥的研究,分析統(tǒng)計(jì)任脈交會穴的治療功效以及治療規(guī)律,為治療不孕癥提供參考。目的隨著研究的不斷深入,利用針灸治療不孕癥的報(bào)道越來越多,其中已經(jīng)成為臨床上治療不孕癥的主要經(jīng)絡(luò)被廣泛使用,但其作用機(jī)理及使用規(guī)律無明確分析。通過搜集國內(nèi)臨床上運(yùn)用任脈腧穴作為主穴治療不孕癥的文章,從統(tǒng)計(jì)學(xué)角度上討論以及分析,歸納特點(diǎn),研究文章的特點(diǎn),來總結(jié)運(yùn)用規(guī)律,為臨床實(shí)踐和科學(xué)研究提供依據(jù)方法收集相關(guān)信息,并錄入電子表格中,按照本論文的研究范圍進(jìn)行分類統(tǒng)計(jì),以頻數(shù)與頻率等指標(biāo)作為計(jì)算指標(biāo),通過SPSS21.0軟件進(jìn)行數(shù)據(jù)的分析和統(tǒng)計(jì),得出對應(yīng)的分析結(jié)果。再結(jié)合中醫(yī)及現(xiàn)代科學(xué)理論的指導(dǎo)下,對其統(tǒng)計(jì)結(jié)果進(jìn)行描述與闡釋。結(jié)果1.初步收集了 318篇有關(guān)任脈腧穴治療不孕的文獻(xiàn)。初步篩除重復(fù)文獻(xiàn)117篇、未找到摘要文獻(xiàn)11篇、單純以中藥治療文獻(xiàn)36、名師臨床經(jīng)驗(yàn)總結(jié)文獻(xiàn)5篇、動物實(shí)驗(yàn)文獻(xiàn)9篇。第二輪篩除11篇綜述類文獻(xiàn)和5篇未標(biāo)明選用穴位治療文獻(xiàn),最終納入統(tǒng)計(jì)124篇臨床文獻(xiàn)。2.任脈腧穴使用規(guī)律:在針灸治療不孕癥的臨床實(shí)踐中,任脈選用的腧穴主要集中在腹部,有關(guān)元、中極、氣海、神闕、中脘、曲骨及石門穴。頻次依次為105、82、43、13、4、3、2。關(guān)元穴與中極穴較為常用,關(guān)元穴頻率為12.44%,而中極穴頻率為9.71%。且關(guān)元穴與中極穴常聯(lián)合使用,以治療不孕癥。兩穴合用的頻次為63次,使用頻率為50.8%。依次為關(guān)元穴單用(頻次為37次,使用頻率為29.84%)、中極穴單用(頻次為18次,使用頻率為14.52%)與未使用兩穴(頻次為6次,使用頻率為4.84%)。3.在針灸治療不孕癥以任脈腧穴為主穴的臨床研究中,電針療法使用率最高。其次為艾灸療法、溫針灸、穴位埋線、穴位敷貼、穴位注射、梅花針。出現(xiàn)頻此依次為 107、7、6、1、1、1。4.使用周期規(guī)律研究中得出,針灸治療不孕癥的臨床研究中,整個月經(jīng)周期都可取用任脈腧穴。本研究中有105篇文章治療周期為全經(jīng)期,頻率達(dá)84.68%。第二以排卵期治療為多,出現(xiàn)頻次為10,占8.06%。繼而為經(jīng)前期,治療的頻率為6次,頻率百分比為4。經(jīng)后期治療頻次為3,其頻率為2.42%。但行經(jīng)期治療的頻率為0。結(jié)論在針灸治療不孕癥時,常常選用的是腹部任脈腧穴,有關(guān)元、中極、氣海、神闕、中脘、曲骨及石門。而關(guān)元穴與中極穴為選用首位。因兩穴皆為交會穴。兩穴皆能既治療任脈的疾病,又可同時調(diào)節(jié)足三陰經(jīng)絡(luò)一條或者多條的疾病,功效巨大。且臨床上多以兩穴相配而治療不孕癥。同時,在臨床治療中,常常選取關(guān)元穴與中極穴相配合,增加調(diào)理沖任,補(bǔ)腎健脾,活血調(diào)經(jīng)的功效。治療的月經(jīng)周期不受限制,月經(jīng)前期、月經(jīng)期、月經(jīng)后期、月經(jīng)間期皆可使用任脈腧穴治療不孕。研究中各種針灸療法不相同,統(tǒng)計(jì)結(jié)果為:足太陰脾經(jīng)、足陽明胃經(jīng)、足太陽膀胱經(jīng)、足少陰腎經(jīng)、督脈、足厥陰肝經(jīng)、手陽明大腸經(jīng)、手厥陰心包經(jīng)、足少陽膽經(jīng)、手太陰肺經(jīng)為常搭配經(jīng)脈。出現(xiàn)頻率最高的前十位經(jīng)穴中屬足陽明胃經(jīng)(3穴)、足太陰脾經(jīng)(2穴)、足少陰腎經(jīng)(1穴)、足太陽膀胱經(jīng)(1穴)以及足厥陰肝經(jīng)(1穴)。由此可見,任脈在臨床治療當(dāng)中常常搭配可調(diào)整脾、腎、肝三臟的經(jīng)絡(luò)。
[Abstract]:Infertility has become a complex disease with a rising incidence and a number of pathogenic factors and complex.08 years. The WHO points out the clinical definition of infertility: a couple with normal sexual life, and the wife is still unpregnant in a year of sexual harmony and no contraception; or According to the WHO survey, the incidence of infertility in the developed countries was about 5.5%, and the incidence of the disease was about 5.5% in the developed countries. The incidence of the disease was about 6%-15%. in China, and the study of clinical acupuncture and moxibustion treatment of infertility was analyzed and the therapeutic efficacy of rendezvous acupoints was analyzed and analyzed. In order to provide reference for the treatment of infertility. Objective with the continuous deepening of research, more and more reports on the use of acupuncture and moxibustion for infertility have been reported, and the main meridians in clinical treatment of infertility have been widely used, but the mechanism and rules of their use are not clearly divided. The main points in the treatment of infertility, from a statistical point of view and analysis, the characteristics of the study, the characteristics of the article, to summarize the use of laws, for clinical practice and scientific research to provide a basis for the collection of relevant information, and enter the electronic form, according to the scope of this paper to classify statistics, frequency and frequency and other indicators. As a calculation index, the analysis and statistics of data were carried out by SPSS21.0 software, and the corresponding results were obtained. Under the guidance of traditional Chinese medicine and modern scientific theory, the results were described and explained. Results 1. 318 papers on the treatment of infertility were preliminarily collected. 117 papers were not found. Abstract 11 articles, pure Chinese medicine treatment literature 36, clinical experience summary of famous teachers 5 articles, animal experiment literature 9 articles, second rounds of screening 11 summary literature and 5 unlabeled acupoint treatment literature, finally included in the statistics 124 clinical literature.2. Ren pulse acupoint use law: in the clinical practice of acupuncture treatment of infertility, Ren pulse selection The acupoints used mainly concentrated in the abdomen, related to the yuan, middle pole, Qi sea, Shen que, Zhongwan, Qu Gu and Shimen point. The frequency of 105,82,43,13,4,3,2. Guanyuan acupoint and Zhongji point is more frequently used, the frequency of Guanyuan acupoint is 12.44%, the frequency of the Guanyuan point is 9.71%. and the Guanyuan acupoint and Zhongji acupoint are often combined to treat infertility. The frequency of the two acupoints combined is 63 times. The use frequency of 50.8%. (frequency is 37 times, frequency is 29.84%), middle polar point single use (frequency 18 times, frequency 14.52%) and unused two points (frequency 6 times, use frequency 4.84%).3. in acupuncture treatment of infertility with the main point of the Ren pulse acupoints, the use rate of electroacupuncture is the highest. Secondly, the use rate is the highest. Moxibustion, acupuncture and moxibustion, acupoint catgut embedding, acupoint application, acupoint application, acupoint injection, and plum blossom needle. In the study of the periodic law of 107,7,6,1,1,1.4. use, in the clinical study of acupuncture treatment of infertility, the whole menstrual cycle is advisable to use the appointment of the appointment of the vein and acupoint. In this study, 105 articles have the period of the whole menstrual period and the frequency of 84.68%. is the first period. Two in the period of ovulation, the frequency is 10, and the frequency of 8.06%. is 10. The frequency of treatment is 6 times, the frequency percentage is 4., the frequency is 3, the frequency is 2.42%., but the frequency of menstrual therapy is 0. conclusion in the acupuncture treatment of infertility, it is often used in the abdominal appointment and acupoints, related yuan, middle pole, Qi sea, Shen que, Central Wan, Qu Gu and Shimen. The Guanyuan acupoint and the Zhongji point are the first choice. The two points are all rendezvous points. The two points can both treat the disease of the Ren vein and adjust one or more diseases of the three yin meridians and collaterals at the same time, and the efficacy is great. And the clinical treatment is often treated with two points to treat infertility. The treatment of the menstrual cycle is not restricted, the menstrual period, the period of menstruation, the period of menstruation, and the interval of menstruation can be used to treat infertility. The various acupuncture treatments are different in the study. The statistical results are: foot Taiyin spleen meridian, Foot Yangming stomach meridian, foot sun bladder meridian, foot less. Yin kidney meridian, foot meridian liver meridian, hand Yangming large intestine meridian, hand Jue Yin pericardium meridian, foot Shaoyang bile Sutra, hand Taiyin lung meridian often matched with meridians. The top ten acupoints of the highest frequency belong to Foot Yangming stomach meridian (3 points), foot Taiyin spleen meridian (2 points), foot less Yin kidney meridian (1 points), foot sun Bladder Meridian (1 points) and foot Jue Yin liver meridian (1 points). In clinical treatment, pulse often adjusts meridians of spleen, kidney and liver in three viscera.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級別】：博士
【學(xué)位授予年份】：2017
【分類號】：R246.3

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 王志;;調(diào)經(jīng)促排卵中藥配合艾灸歸來穴治療卵泡不成熟性不孕癥的臨床研究[J];當(dāng)代臨床醫(yī)刊;2016年02期

2 陳雯;吳建梅;;患者行手術(shù)流產(chǎn)與藥流后對輸卵管通暢的影響[J];大家健康(學(xué)術(shù)版);2016年05期

3 肖月華;蔡葉萍;何建芳;;原發(fā)不孕與人流術(shù)后不孕子宮輸卵管造影的臨床研究[J];包頭醫(yī)學(xué)院學(xué)報(bào);2015年06期

4 王飛虹;談勇;;黃體功能不全性不孕中西醫(yī)治療進(jìn)展[J];吉林中醫(yī)藥;2015年03期

5 史曉嵐;楊帥;王元惠;張國慶;;改良齊刺中極穴治療女性圍絕經(jīng)期壓力性尿失禁的臨床研究[J];上海中醫(yī)藥雜志;2014年10期

6 付澤明;;女性不孕癥病因的研究進(jìn)展[J];中國計(jì)劃生育學(xué)雜志;2014年06期

7 黃奕涵;黃舒娥;李素荷;;穴位埋線法治療抗精子免疫性不孕臨床研究[J];光明中醫(yī);2014年05期

8 金麗華;張賀彬;李愛萍;俞淵;;電針治療未破裂卵泡黃素化綜合征的臨床研究[J];浙江中醫(yī)雜志;2014年01期

9 孫潔;趙繼夢;季蓉;劉慧榮;施茵;金春蘭;;電針對多囊卵巢綜合征大鼠卵巢高雄激素癥的影響[J];針刺研究;2013年06期

10 傅杰;梁瑞寧;劉靜;;補(bǔ)腎暖宮法聯(lián)合艾灸治療黃體功能不全所致不孕癥30例[J];中醫(yī)研究;2013年10期

相關(guān)會議論文 前1條

1 彭澤斌;;足三里加主穴三陰交埋線促排卵臨床觀察[A];中國性學(xué)會第五屆年會學(xué)術(shù)論文集[C];2003年

相關(guān)博士學(xué)位論文 前3條

1 梁詩韻(Leung Sze Wan);針灸治療排卵障礙性不孕癥近代文獻(xiàn)研究[D];廣州中醫(yī)藥大學(xué);2015年

2 侯麗艷;我國三省不孕癥的流行病學(xué)研究[D];北京協(xié)和醫(yī)學(xué)院;2011年

3 黃佩芬;排卵障礙性不孕的中醫(yī)證治規(guī)律與療效評價(jià)[D];廣州中醫(yī)藥大學(xué);2010年

相關(guān)碩士學(xué)位論文 前6條

1 喬斌;太溪穴臨床應(yīng)用的古代文獻(xiàn)研究[D];黑龍江省中醫(yī)藥科學(xué)院;2015年

2 劉會玲;我國女性不孕癥病因的文獻(xiàn)回顧性分析[D];河南中醫(yī)學(xué)院;2014年

3 劉巖;“扶正祛邪”法治療免疫性不孕的臨床研究[D];黑龍江中醫(yī)藥大學(xué);2012年

4 歐洪瓊;電刺激與超聲刺激“關(guān)元穴”影響圍絕經(jīng)期大鼠卵巢卵泡發(fā)育的比較研究[D];重慶醫(yī)科大學(xué);2012年

5 宮靜;電針不同穴位對去卵巢大鼠HPO軸影響的實(shí)驗(yàn)研究[D];北京中醫(yī)藥大學(xué);2010年

6 黃魯;子宮內(nèi)膜異位癥患者血清及腹腔液中IL-6、TNF-α水平的測定及臨床意義[D];寧夏醫(yī)科大學(xué);2009年

，

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