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对症治疗“痛经”,针灸显奇效!

对症治疗“痛经”,针灸显奇效!

对症治疗“痛经”,针灸显奇效!


【关键词】痛经针灸治疗名家针灸处方

妇女在月经期前后或月经期中发生小腹及腰部疼痛,甚至难以忍受,影响工作及日常生活者,称为痛经。本病以青年妇女为多见。

痛经在西医学分为原发性与继发性痛经两类。原发性痛经或称功能性痛经,常发生于月经初潮后不久的未婚或未育的年轻妇女,常于婚后或分娩后自行消失。继发性痛经,常见于子宫内膜异位症、急慢性盆腔炎、肿瘤、子宫颈狭窄及阻塞等。本病常与生殖器官局部病变、精神因素和神经、内分泌因素有关。

痛经多由情志不调,肝气郁结,血行受阻;或经期受寒饮冷,坐卧湿地,冒雨涉水,寒湿之邪客于胞宫,气血运行不畅所致;或由脾胃素虚;或大病久后,气血虚弱;或禀赋素虚,肝肾不足,精血亏虚,加之行经之后精血更虚,胞脉失养而引起痛经。



下面介绍临床针灸治疗本病的方法及的典型案例。


1、针灸治疗虚寒性痛经


具体案例:

李某,女,17岁,某年327日初诊

主诉:行经时腹痛3年余

病史:月经行经腹痛,每次于月经前腹痛,行经不畅,腹痛加剧,经色紫暗成块,经后才能逐步缓解。

检查:神清语明,面色黄白,形体消瘦,行动自如,舌淡苔薄白,脉沉涩。

诊断:痛经(虚寒型)

治疗:温肾、调经、行瘀、止痛
处方:肾俞、中极、次髎、地机

操作:温针灸。于每次月经前针治3

运用上法经过3个月的治疗,病人痛经症状完全消失,经行通畅,故停止治疗。
该病例属寒邪入络,客于胞宫,经血为寒湿所凝,运行不畅而痛。故取肾俞以益肾气;中极为足三阴、任脉之会,有调冲任、暖胞宫之功;加次髎有利气止痛作用;地机是足太阴脾经之郄穴,能行血调经。上穴配之能行气化瘀、温经止


2针灸治疗寒凝胞宫型痛经

朴某,女,26岁。某年614日初诊。

主诉:每值经期小腹疼痛4年余。

病史:患者缘于4年前,值经期时,过食生冷,复因冒雨感受寒邪,致胞宫受寒,血被寒凝,出现小腹剧痛。以后每值月经来潮前后,小腹疼痛剧烈,伴腰痛,月经周期迟早不一,血量多少无定,色暗滞,食欲不振。曾在某医处服吴茱萸汤加减治疗无效。故于今日来诊。

检查:神清语明,面色暗淡无华,精神倦怠。苔薄白,脉沉紧。

诊断:痛经,寒凝胞宫型。

治疗:温经散寒、活血止痛、和调冲任

处方:气海、关元、血海、三阴交、行间


操作:气海、关元采用三进一退法补之,使针感向小腹部两旁扩散,下达阴部,血海、三阴交、行间施以平补平泻法,并在针柄上裹以艾绒各灸5壮,每于月经后1周开始治疗,隔日1次,7次为1疗程。

运用上法治疗1疗程。7月16日开始第2疗程,症见月经来潮前后,小腹略感微痛,腰痛亦减,面色已转红润,但经血仍暗滞。脉迟缓,苔薄白。再按上法施治。8月13日进行第3疗程,诸症悉除,月经周期及苔、脉基本正常。为巩固疗效,给予患者3个疗程的艾条,带回自灸气海、关元以善其后。经两年后随访,未见复发。

该病是随着月经周期持续发作的一种病症。气海、关元均属任脉,前者为任脉之气所发,元气之海,有通调下焦之功;后者为小肠募穴,足三阴经与任脉之会。上穴通过针刺与艾灸,能起到温经散寒,祛瘀通络或调理冲任的作用。血海为足太阴脾经治血症的要穴,有破血止痛之效。三阴交为足三阴经的三脉交汇处,佐以足厥阴肝经荥穴行间,共奏通经活络,调和气血之功。根据寒则温之的治则,重灸气海、关元,胞宫得暖,寒凝得散,痛经自愈。


3针灸治疗气滞血瘀型痛经

张某,女,25岁。某年冬季某日初诊

主诉:月经期将至,腰腹痛剧,少腹坠胀1天。

病史:患者月经14岁初潮,期量色质尚正常,后因经期大怒,其后则每于行经前即腰痛、腹痛、少腹胀坠。经行开始血量少,色紫黯有块,待血块下后则痛减,有时胸胁亦胀痛。此次行经非同往常,疼痛剧烈,无奈前来求治。

检查:挽入诊室,弯腰扶腹,呻吟不止,表情痛苦,面色苍白,头面冷汗,少腹拒按。舌质紫暗有瘀点,脉沉涩。

诊断:痛经(气滞血淤型)

治疗:行气活血,祛瘀止痛
处方:中极、归来、地机
操作:取中极、归来进针后,令针感向下放散;再针地机二穴,均行泻法,针后加灸,留针15分钟。

运用上法治疗,患者自觉疼痛立刻减轻,15分钟后痛止出针,病人面带笑容,很是感谢。遂嘱其下次月经期前稍感不适时,即来针治,如此经过几次治疗,即告痊愈。该病例系因精神因素影响,怒则伤肝,肝失条达,气机不畅,气滞不能运血,血行受阻,滞于脑宫而作痛。今取中极为主穴,可通调冲任,行瘀止痛,活血通经;配归来为足阳明经穴,用之调血气以辅中极之功;远端佐地机,系足太阴经之郄,镇痛功强。三者相合,奇效彰著,实证加灸者,取其温通之力,俾经脉通,血下行,其痛自止。

结论:如果诊断有效,针灸治疗痛经的方法甚是有效,但值得注意的是,操作时得气与否,针感传导方向是非常关键的,需要有经验的注册医师来进行操作,方可保证疗效。

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好贴!

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Acupuncture for Dysmenorrhea

Acupuncture for Dysmenorrhea
June 2, 2016
|
Willa Wang
What is Dysmenorrhea

Dysmenorrhea, also known as painful periods, or menstrual cramps, refers the pain in the lower abdomen and lumbosacral region prior to, during or after the menstruation period. The It is commonly seen in young women.

Types and Causes of the Dysmenorrhea

There are two types of dysmenorrhea: Primary and Secondary. Primary dysmenorrhea, also called functional dysmenorrhea, refers to a condition without pathological changes of the genitalia. Secondary dysmenorrhea is caused by diseases such as endometriosis, acute or chronic pelvic inflammation, tumors, blockage or cervical stenostomia.

In Chinese medicine, Dysmenorrhea is due to stagnation of qi and blood. The factors may be emtion change, cold and dumpness, deficiency of qi and blood. Emotion changes cause blockage of qi, then cause pain; cold cause contraction of vessel, also cause pain; deficiency of qi and blood, on the one hand could blockage of qi and blood, on the other hand, could not nutrish the muscles and internal organs and cause pain.

Treatment Dysmenorrhea with Acupuncture

Primary and secondary dysmenorrhea can be treated with acupuncture. For primary dysmenorrhea, acupunture not only can stop the pain instantly, also can stop pain forever after several sessions of treatment. For secondary dysmenorrhea, after stop pain with acupuncture, we’d better to treat the diseases that causes Dysmenorrhea.

Primary treatment

Usually we use body acupuncture to treat dysmenorrhea. The common points for treating dysmenorrhea are Zhongji, Sanyinjao, Diji, Ciliao. We will add some points according to different patterns and we may use moxibustion for dysmenorrhea caused by cold and deffiency of qi and blood.

Other treatment

Some people may be afraid of body acupuncture. There are other options for treating Dysmenorrhea with acupuncture, such as seven star acupuncture and auricular acupuncture. Seven star needles does not get into the skin. We only tap the skin until it becomes red. We also use auricular acupuncture to treat Dysmenorrhea. We put some plant seeds on some points of your ears, keep it for 2 to 3 days and you press them until you feel a little bit pain.

The effective and the best timing of treating Dysmenorrhea with acupuncture
All above methods can help you relieve your pain during your periods. Treating Dysmenorrhea with acupuncture not only has been practiced by Chinese people over thousands years, it also has been proved -through controlled trials -to be effective. WHO has already listed acupuncture as an effective treatment for Dysmenorrhea.

Acupuncture usually relives pain just after treatment. For some case, it may need more times. For primary Dysmenorrhea, In order to cure it, the treatment should begins 5 to 7 days prior to menstruation, approximately 5-7 treatments are administrated in one course and a continuous treatment should be administrated for 2-4 months.

For secondary Dysmenorrhea, symptoms may be relieved after acupuncture treatment, but the primary disease should be treated properly.

Other advices

The patient should avoid strong physical exertion and mental irritation. Maintaining good hygiene especially during the menstruation, avoiding the cold and not eating too much raw and cold food is important for the patient.

Case 1:

Female, 20, university student. 2pm
She has had pain in the low abdomen and low back on the first and second day of her menstruation for several years. Her period came in the morning and she had sever pain in her low abdomen and low back from the morning. She looked pale and she put her hand on her low abdomen when she was in clinic. She was very tired, blue and no appetite. After several questions, i inserted three needles into the Ciliao and ashi, . Around 10 minutes, she began to feel comfortable. 30 minutes later, she had no pain at all. She was so happy and gave me a big hug. Next morning i called her and she said she just had a little bit uncomfortable but no pain any more.

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good!

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请问您这里可以做妇科的检查吗?

谢谢

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