针刺治疗DOR的辨证方法比较与分析

Comparison and Analysis of Dialectic Methods for Acupuncture in the Treatment of DOR

摘要: 卵巢储备功能减退是以不孕、月经紊乱、性激素缺乏或波动为主要临床表现的生殖内分泌疾病。近年来发病率增高且呈年轻化趋势，现代医学尚无疗效确切的治疗方法。在中医特色理论指导下，针灸治疗DOR具有疗效佳，且副作用小的优点，临床上广泛使用。目前临床上针刺治疗本病时多以脏腑辩证选穴为主，其次是根据月经周期辩证选穴，较少以冲、任、督经络辩证选穴；每种辩证选穴治疗方式均获良效，存在选穴数量过多的问题。然而，针灸治疗DOR以经络辩证更为合适，今后可以基于“肾主生殖”和“一源三岐”理论循经精准选取冲、任、督经脉上高效、少量穴位，使DOR患者获得良好疗效的同时减轻针刺带来的痛苦。

Abstract: Diminished Ovarian Reserve is reproductive endocrine diseases which the clinical manifestations are infertility, menstrual disorders, sex hormone deficiency or fluctuation-related symptoms. In recent years, the incidence rate has increased and the trend of age is younger, and there is no definitive treatment method in modern medicine. Under the guidance of the characteristic theory of traditional Chinese medicine, acupuncture for the treatment of DOR has the advantages of significant efficacy and small side effects, and is widely used in clinical practice. At present, in clinical practice, acupuncture treatment of this disease is mainly based on the dialectical selection of internal organs, followed by dialectical selection according to the menstrual cycle, and less dialectical selection of points by chong, ren and supervision meridians; Each dialectical acupoint selection treatment method has achieved good results, and there is a problem of excessive number of acupuncture points. However, acupuncture treatment of DOR is more suitable for meridian dialectics, and in the future, the efficient and small number of acupuncture points on the meridians can be accurately selected according to the “kidney main reproduction” and “Yi yuan san qi”, so that DOR patients can obtain good efficacy and reduce the pain caused by acupuncture.