|
|
灸法治疗原发性痛经的研究进展
|
Abstract:
灸法作为一种中医常见而又独特的外治法之一，在原发性痛经的临床应用广泛，效果显著，在外治方面发挥着重要地位。结合目前国内外关于灸法治疗原发性痛经的研究报道，本文从灸法治疗原发性痛经的作用机制、临床疗效等方面做出阐述，以期为灸法在原发性痛经的临床应用中择优选择适宜灸法及开展进一步研究提供更多帮助。
Moxibustion, as one of the common and unique external treatment methods of traditional Chinese medicine, is widely used in the clinical application of primary dysmenorrhea with remarkable effect, and plays an important role in external treatment. Combined with the current domestic and foreign research reports on moxibustion in the treatment of primary dysmenorrhea, this paper expounds the mechanism of action and clinical efficacy of moxibustion in the treatment of primary dysmenorrhea, in order to provide more help for the clinical application of moxibustion in the selection of appropriate moxibustion and carry out further research.
| [1] | Kho, K.A. and Shields, J.K. (2020) Diagnosis and Management of Primary Dysmenorrhea. JAMA, 323, 268-269. https://doi.org/10.1001/jama.2019.16921 |
| [2] | De Sanctis, V., Soliman, A.T., Elsedfy, H., et al. (2016) Dysmenorrhea in Adolescents and Young Adults: A Review in Different Countries. Acta Bio Medica: Atenei Parmensis, 87, 233-246. |
| [3] | Ferries-Rowe, E., Corey, E. and Archer, J.S. (2020) Primary Dysmenorrhea. Obstetrics & Gynecology, 136, 1047-1058. https://doi.org/10.1097/aog.0000000000004096 |
| [4] | Oladosu, F.A., Tu, F.F. and Hellman, K.M. (2018) Nonsteroidal Antiinflammatory Drug Resistance in Dysmenorrhea: Epidemiology, Causes, and Treatment. American Journal of Obstetrics and Gynecology, 218, 390-400. https://doi.org/10.1016/j.ajog.2017.08.108 |
| [5] | 王丽,于文雯, 郭瑞惠, 等. 433例非甾体抗炎药物不良反应报告分析[J]. 中国医药指南, 2024, 22(9): 121-124. https://doi.org/10.15912/j.issn.1671-8194.2024.09.035 |
| [6] | 张玉珍. 中医妇科学[M]. 北京: 中国中医药出版社, 2015: 131-136. |
| [7] | Hu, Z., Tang, L., Chen, L., Kaminga, A.C. and Xu, H. (2020) Prevalence and Risk Factors Associated with Primary Dysmenorrhea among Chinese Female University Students: A Cross-Sectional Study. Journal of Pediatric and Adolescent Gynecology, 33, 15-22. https://doi.org/10.1016/j.jpag.2019.09.004 |
| [8] | Bajalan, Z., Alimoradi, Z. and Moafi, F. (2019) Nutrition as a Potential Factor of Primary Dysmenorrhea: A Systematic Review of Observational Studies. Gynecologic and Obstetric Investigation, 84, 209-224. https://doi.org/10.1159/000495408 |
| [9] | Vincenzo De Sanctis, M., Soliman, A., Bernasconi, S., et al. (2015) Primary Dysmenorrhea in Adolescents: Prevalence, Impact and Recent Knowledge. Pediatric Endocrinology Reviews (PER), 13, 465-473. |
| [10] | Pan, S., Wang, S., Li, J., Yuan, H., Xue, X., Liu, Y., et al. (2022) Moxibustion for Primary Dysmenorrhea: An Adjuvant Therapy for Pain Relief. Evidence-Based Complementary and Alternative Medicine, 2022, Article ID: 6864195. https://doi.org/10.1155/2022/6864195 |
| [11] | He, W., Shi, X.S., Zhang, Z.Y., et al. (2020) [Discussion on the Effect Pathways of Preventing and Treating Coronavirus Disease 2019 by Acupuncture and Moxibustion from the Regulation of Immune Inflammatory Response]. Chinese Acupuncture Moxibustion, 40, 799-802. |
| [12] | Li, X., Guo, S., Chen, Z., Ren, K., Zhang, H., Yu, S., et al. (2021) Regulation of Mild Moxibustion on Uterine Vascular and Prostaglandin Contents in Primary Dysmenorrhea Rat Model. Evidence-Based Complementary and Alternative Medicine, 2021, Article ID: 9949642. https://doi.org/10.1155/2021/9949642 |
| [13] | Yang, M., Chen, X., Bo, L., Lao, L., Chen, J., Yu, S., et al. (2017) Moxibustion for Pain Relief in Patients with Primary Dysmenorrhea: A Randomized Controlled Trial. PLOS ONE, 12, e0170952. https://doi.org/10.1371/journal.pone.0170952 |
| [14] | Chen, P.B., Qi, S.S., Cui, J., et al. (2019) Herbal-Cake-Partitioned Moxibustion of “Shenque” (CV8) Has a Relative Specific Effect in Relieving Abdominal Pain and in Regulating Neuroendocrine-Immune Network in Primary Dysmenorrhea Rats. Acupuncture Research, 44, 120-124. |
| [15] | Zhang, H., Tu, H., Wang, Y., Xia, S., Zhao, G., Yang, T., et al. (2021) Effectiveness and Safety of Moxibustion Robots on Primary Dysmenorrhea: A Randomized Controlled Pilot Trial. Chinese Journal of Integrative Medicine, 27, 578-584. https://doi.org/10.1007/s11655-021-3287-8 |
| [16] | 孟祥云, 高飞, 王迪, 等. 温和灸对寒湿凝滞型原发性痛经大鼠下丘脑BDNF/TrkB信号通路蛋白表达的影响[J]. 中国中医药信息杂志, 2024, 31(3): 127-131. https://doi.org/10.19879/j.cnki.1005-5304.202304679 |
| [17] | 张燕茹, 燕晓雯, 陈佳鑫, 等. 温灸神阙穴治疗大学生原发性痛经效果及机制研究[J/OL]. 世界科学技术-中医药现代化: 1-14. http://kns.cnki.net/kcms/detail/11.5699.R.20240422.2017.007.html, 2024-04-25. |
| [18] | 刘云, 储浩然, 胡进. 艾灸疗法的机理研究探析[J]. 针灸临床杂志, 2022, 38(12): 10-14. |
| [19] | Wang, H., Hui, X., Ha, L., Zhao, B. and Yao, Q. (2019) The Efficacy and Safety of Moxibustion for Primary Dysmenorrhea. Medicine, 98, e18133. https://doi.org/10.1097/md.0000000000018133 |
| [20] | Yang, J., Chen, J., Lao, L., Yang, M., Chen, J., Bo, L., et al. (2014) Effectiveness Study of Moxibustion on Pain Relief in Primary Dysmenorrhea: Study Protocol of a Randomized Controlled Trial. Evidence-Based Complementary and Alternative Medicine, 2014, Article ID: 434978. https://doi.org/10.1155/2014/434978 |
| [21] | 林玉婷, 时素华, 杨颖, 董逸飞, 刘珂多. 时素华运用阴阳温经灸治疗原发性痛经的经验[J]. 中国医药导报, 2024, 21(6): 123-126, 131. |
| [22] | 温秀云, 吴倩, 符文彬. 不同灸量精灸对寒湿凝滞型痛经患者疼痛及睡眠质量的影响[J]. 上海针灸杂志, 2023, 42(11): 1135-1139. |
| [23] | 陈筱茜, 林嘉宜. 隔药灸治疗寒凝血瘀型原发性痛经临床疗效Meta分析[J]. 福建中医药, 2022, 53(8): 15-19. https://doi.org/10.13260/j.cnki.jfjtcm.012541 |
| [24] | 李迎春, 易红梅, 卢宜芳. 隔物灸对寒凝血瘀型原发性痛经患者疼痛程度及睡眠质量的影响[J]. 中国临床护理, 2023, 15(11): 699-702. |
| [25] | 沈玲明, 翁仙明, 潘来英. 督脉灸治疗气滞血瘀型原发性痛经患者的临床效果[J]. 中国妇幼保健, 2024, 39(2): 199-202. https://doi.org/10.19829/j.zgfybj.issn.1001-4411.2024.02.002 |
| [26] | 王美容, 林陈娟. 任脉铺灸配合少腹逐瘀汤加味治疗寒凝血瘀型原发性痛经36例[J]. 中国中医药科技, 2024, 31(2): 324-326. |
| [27] | 林文敏, 吴际生, 林丽霞. 温针灸治疗原发性痛经的效果观察[J]. 中外医学研究, 2020, 18(16): 124-126. |
| [28] | 周斌. 温针灸治疗寒凝血瘀型原发性痛经的临床疗效观察[J]. 实用妇科内分泌电子杂志, 2023, 10(12): 57-59. |
| [29] | 薛利凤, 苗玉新. 温针灸联合化癥止痛汤治疗寒湿凝滞型原发性痛经临床研究[J]. 新中医, 2022, 54(7): 184-187. https://doi.org/10.13457/j.cnki.jncm.2022.07.043 |
| [30] | 王晓宇. 温针灸对原发性痛经寒凝血瘀证患者子宫动脉血流的影响[J]. 广西中医药, 2022, 45(1): 52-54. |
| [31] | 黎辉映, 黄利玲, 黄旭春. 温针灸联合加味温经汤治疗寒凝血瘀型原发性痛经的疗效[J]. 深圳中西医结合杂志, 2021, 31(14): 66-68. https://doi.org/10.16458/j.cnki.1007-0893.2021.14.027 |
| [32] | 孙锋, 向阳, 成玉斌, 等. 雷火灸治疗对人体免疫功能影响的临床观察[J]. 航空航天医学杂志, 2020, 31(8): 987-988. |
| [33] | 周论平. 周期序贯雷火灸治疗原发性痛经疗效分析[J]. 实用中医药杂志, 2022, 38(2): 296-298. |
| [34] | 薛劲晖, 李哲. 雷火灸联合扶正操作手法治疗原发性痛经的临床观察[J]. 光明中医, 2020, 35(4): 541-543. |
| [35] | 张维维, 王璐, 曲良. 雷火灸治疗原发性痛经的临床观察[J]. 广州中医药大学学报, 2020, 37(6): 1091-1094. https://doi.org/10.13359/j.cnki.gzxbtcm.2020.06.018 |
| [36] | 范春华. 雷火灸治疗寒凝血瘀型原发性痛经的临床疗效观察[D]: [硕士学位论文]. 广州: 广州中医药大学, 2021. https://doi.org/10.27044/d.cnki.ggzzu.2021.001011 |
| [37] | Zhang, B., Chen, Y.Q., Zhou, C.X., et al. (2020) Technical Elements and Clinical Application of Umbilical Refining of Heat-Sensitive Moxibustion. Chinese Acupuncture & Moxibustion, 40, 965-967. |
| [38] | 邢变变. 热敏灸治疗原发性痛经(寒凝血瘀型)临床疗效观察[D]: [硕士学位论文]. 济南: 山东中医药大学, 2023. https://doi.org/10.27282/d.cnki.gsdzu.2023.000195 |
| [39] | 李自如, 康明非, 郑琼, 等. 热敏灸预处理对原发性痛经患者临床疗效及子宫动脉血流的影响——一项随机对照盲法试验[J]. 中医杂志, 2023, 64(18): 1903-1907. https://doi.org/10.13288/j.11-2166/r.2023.18.013 |
| [40] | Xu, N., Huang, Y., Huang, H., Huang, Y., Lai, S., Zhang, Z., et al. (2022) Curative Effect of Heat-Sensitive Moxibustion on Primary Dysmenorrhea: A Meta-Analysis. Evidence-Based Complementary and Alternative Medicine, 2022, Article ID: 1281336. https://doi.org/10.1155/2022/1281336 |
