耳穴治疗痛经的研究进展

Research Advances in Auricular Therapy for Dysmenorrhoea

摘要: 痛经作为妇科常见病症，严重影响育龄女性的生活质量。西医治疗虽起效较快，但存在不良反应、易复发等局限，中医在痛经治疗中凭借整体调节、辨证施治的优势逐渐成为研究热点。耳穴疗法作为中医外治法的重要组成部分，具有操作简便、安全无痛、患者依从性高等特点，近年来在痛经治疗中的应用愈发广泛。本文从耳穴治疗痛经的理论基础、临床应用(包括单穴/多穴选择、联合治疗方案)、作用机制研究及现存问题与展望四个方面进行综述，系统梳理耳穴疗法在痛经治疗中的研究现状，为临床优化治疗方案、推动相关机制研究提供参考，助力提升女性健康水平。

Abstract: Dysmenorrhoea, as a common gynaecological condition, significantly impacts the quality of life for women of reproductive age. Whilst Western medical treatments offer rapid relief, they are limited by numerous adverse effects and a high recurrence rate. Traditional Chinese Medicine (TCM), leveraging its strengths in holistic regulation and syndrome differentiation, has increasingly become a research focus in dysmenorrhoea management. Auricular therapy, a vital component of TCM external treatments, features simplicity of application, safety, painlessness, and high patient compliance, leading to its growing application in dysmenorrhoea treatment in recent years. This review examines auricular therapy for dysmenorrhoea from four perspectives: theoretical foundations, clinical applications (including single/multiple point selection and combined treatment protocols), mechanism-of-action research, and existing challenges and future directions. It systematically summarises the current state of research on auricular therapy for dysmenorrhoea, aiming to provide references for optimising clinical treatment protocols and advancing mechanism studies, thereby contributing to enhanced women’s health outcomes.