摘要
目的观察子宫腺肌病继发性痛经在足三阴经的阳性反应及压痛情况,探究该病与足三阴经的关系,为临床针刺治疗该病选取足三阴经腧穴阳性反应点提供依据。方法纳入子宫腺肌病继发性痛经患者30例,采用传统经络诊察法配合现代人体压痛力学定量测试仪测定患者经期与非经期双侧足三阴经小腿段阳性反应点、压痛点的反应区域、压痛点视觉模拟法(VAS)评分和压痛阈值,并进行比较。结果经期和非经期阳性反应率比较,脾经(70.0%、61.7%)、肝经(65.0%、53.3%)均高于肾经(13.3%、11.7%)。经期和非经期压痛率比较,脾经、肝经均为100.0%,均高于肾经(80.0%、76.7%)。脾经经期与非经期压痛点集中在阴陵泉、地机、漏谷、三阴交区域,肝经集中在膝关、蠡沟区域;阴陵泉、地机、漏谷、三阴交、蠡沟VAS评分经期均高于非经期(P<0.05),压痛阈值经期均低于非经期(P<0.05)。肾经经期与非经期压痛点集中在筑宾、交信区域。结论子宫腺肌病继发性痛经在足三阴经腧穴有相应表现,与脾经、肝经关系密切。患者经期腧穴压痛敏感度高于非经期,提示针刺阴陵泉、地机、漏谷、三阴交、膝关、蠡沟、筑宾、交信附近阳性反应点疗效更佳。
Objective To observe the positive reactions of secondary dysmenorrhea caused by adenomyosis in the foot three-yin meridians including nodules,strips,depressions and tenderness;To explore the relationship between the secondary dysmenorrhea caused by adenomyosis and foot three-yin meridian;To provide the basis for choosing foot three-yin meridian reaction points for clinical acupuncture treatment.Methods Totally 30 patients with secondary dysmenorrhea caused by adenomyosis were enrolled in this study.The traditional meridian examination method was used in conjunction with the modern human tenderness mechanics quantitative tester to detect and compare the foot three-yin meridian in the lower leg of the patients about the positive reaction points and areas,the visual analog score(VAS)and the value of tenderness threshold of the tender point during the menstrual period and non-menstrual period.Results The incidence rate of positive reaction on the spleen meridian(70.0%,61.7%)and liver meridian(65.0%,53.3%)during the menstruation and non-menstrual period was much higher than that of kidney meridian(13.3%,11.7%).The tenderness incidence rate of spleen meridian and liver meridian during the menstrual and non-menstrual period was 100.0%,both higher than the kidney meridian(80.0%,76.7%).The tenderness of spleen meridian was concentrated in the vicinity of Yinlingquan,Diji,Lougu,and Sanyinjiao;meanwhile the tenderness of the liver meridian were concentrated in the vicinity of Xiguan and Ligou.The VAS scores of Yinlingquan,Diji,Lougu,Sanyinjiao,and Ligou during the menstruation were higher than non-menstrual period(P<0.05),and the value of tenderness threshold was lower than non-menstrual period(P<0.05).The tenderness of kidney meridian was concentrated in the vicinity of Zhubin and Jiaoxin during menstrual period and non-menstrual period(P<0.05).Conclusion Secondary dysmenorrhea caused by adenomyosis related to foot three-yin meridian has certain symptoms and is closely related to the spleen meridian and liver meridian.The sensitivity of acupoint tenderness during menstruation is higher than that of non-menstrual period.It is suggested that acupuncture treatment for vicinity of Yinlingquan,Diji,Lougu,Sanyinjiao,Xiguan,Ligou,Zhubin,and Jiaoxin may have good efficacy.
作者
孟旭
王冠群
张旭东
米淑琦
赵吉平
MENG Xu;WANG Guanqun;ZHANG Xudong;MI Shuqi;ZHAO Jiping(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China)
出处
《中国中医药信息杂志》
CAS
CSCD
2020年第3期14-18,共5页
Chinese Journal of Information on Traditional Chinese Medicine
基金
国家中医药管理局国家中医临床研究基地业务建设科研专项课题(JDZX2015063)。
关键词
子宫腺肌病继发性痛经
经络腧穴诊察
足三阴经
secondary dysmenorrheal caused by adenomyosis
examination and diagnosis of acupoints and meridians
foot three-yin meridian
