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根据任督冲脉循行特点，通过针灸三脉腧穴治疗胞宫疾病，这种取穴方法与“经脉-脏腑相关”理论吻合。“经脉-脏腑相关”理论揭示了经脉与脏腑之间的相互联系，在此理论指导下针灸治疗卵巢功能性疾病效果显著。本文通过梳理针灸起效的神经生物学机制研究，发现自主神经通过卵巢上神经及卵巢丛神经两条神经通路参与调节卵巢功能，而腹腔神经节-卵巢上神经-卵巢和肠系膜上神经节-卵巢丛神经-卵巢两条神经传导通路与任督冲脉起源及部分循行线路有一定的重合，这可能是任督冲脉治疗卵巢功能性疾病的神经生物学证据。进一步从任督冲三脉的循行与胞宫的联系出发，通过神经解剖和腧穴传导两个方面，分别对任脉、督脉、冲脉与卵巢上神经、卵巢丛神经两条神经通路之间存在的重合位点进行论述，以期为针灸治疗卵巢功能性疾病相关机制的深入研究提供思路。
Abstract：According to the characteristics of the governor,conception and thoroughfare meridians circulation,different medical practitioners apply acupuncture and moxibustion at acupoints along the three meridians to treat uterine diseases. The “meridian-viscera correlation” theory reveals the interrelation between meridians and viscera. Under the guidance of this theory,acupuncture and moxibustion are effective in the treatment of ovarian functional diseases. This method of selecting acupoints is consistent with the theory of “meridian-viscera correlation”. Under the guidance of this acupoint selection principle,acupuncture and moxibustion has remarkable effect on ovarian functional diseases. This paper reviews the study on neurobiological mechanism of acupuncture and moxibustion effect,and finds that the autonomic nerve is involved in the regulation of ovarian function through two neural pathways,the superior ovarian nerve and the ovarian plexus nerve,while the nerve conduction of the two pathways,the celiac ganglion-superior ovarian nerve and the superior mesenteric ganglion-ovarian plexus nerve,has a certain overlap with the origin and part of the running routes of the governor,conception and thoroughfare meridians. This may be neurobio-logical evidence for the governor,conception and thoroughfare meridians treatment of ovarian functional diseases. Therefore,this paper further discusses the overlapping points between the governor,conception and thoroughfare meridians and the superior ovarian nerve and the ovarian plexus nerve respectively from the perspectives of neural anatomy and acupoints conduction,with a prospect of providing ideas for the in-depth study of the mechanism of acupuncture and moxibustion in the treatment of ovarian functional diseases.
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基本信息:
DOI：10.16295/j.cnki.0257-358x.2024.12.003
中图分类号:R271.9
引用信息:
[1]薛松,颜靖岚,布雨,等.“一源三岐”理论指导临床治疗卵巢功能性疾病的神经解剖基础[J].山东中医杂志,2024,43(12):1326-1333.DOI:10.16295/j.cnki.0257-358x.2024.12.003.
基金信息:
国家重点研发计划资助项目（编号：2022YFC3500405）; 国家自然科学基金面上项目（编号：82374586）; 上海市卫生健康委员会中医药科研项目（编号：2022CX004）
2024-12-05
2024-12-05