医学痛经中医外治法之探讨ppt课件.ppt

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 針灸治療原發性痛經的取穴現狀分析（馬玉俠等,2009） 三陰交為足三陰經交會穴，可通調肝、脾、腎，為治療婦科病首選穴。 有8個特定穴，主要是特定穴具有雙重屬性，既有經脈主治的特點外，還有其特殊性能和治療作用，有其臨床指導意義。 運用頻率前十五個穴位 針灸治療原發性痛經的取穴現狀分析（馬玉俠等， 2009） 運用頻率前十五個穴位在經脈的分佈 任脈 攝自穴位按摩圖典 三采出版社 脾經 攝自：臨床取穴圖解 次髎、三陰交、神闕等在針灸選穴總使用頻率均在前十五位。單用穴應用中，亦為前三名，說明這三個穴位單用或配伍應用，對於原發性痛經具有較好的療效。 排序前十位的單用穴運用情況 總結 任脈起於胞中，可以“妊養胞胎” 。其經上諸穴如關元、中極、氣海、神闕的作用各具特色，臨床證明該經是治療原發性痛經的優選經脈。 交會穴位在治療原發性痛經上最常用，以三陰交為例，為足三陰經交會穴，可通調肝脾腎三臟，為婦科病要穴首選。 單用穴的應用越來越多，對於及時消除患者疼痛與減少針刺恐懼有一定臨床意義。 Effects of acupressure at the SanyinJiao point on Primary dysmenorrhoea Chen, H. M, Chen , C. H. (2004) Journal of Advanced Nursing 研究目的：Traditional Chinese acupressure derived from acupuncture is a noninvasive technique. Despite renewed interest in the use of acupressure, relatively few studies have been undertaken to examine its effects on primary dysmenorrhoea. 文獻探討-3 Methods ?? 研究對象： Participants were female students attending a technical college inTaiwan. 納入條件：None of the 69 participants had a prior history of gynaecological disease or secondary dysmenorrhoea, and all were rated higher than five for pain on a visual Analogue Scale from 0 to 10. 實驗組 ：n=35 received acupressure at Sanyinjiao 對照組 ：n=34 rested for 20 min 評估方法： Visual Analogue Scale for pain（疼痛視覺量表） Short-Form McGill Pain Questionnaire（簡明麥基爾疼痛問卷量表） Menstrual Distress Questionnaire（經期生理不適量表） (4) Visual Analogue Scale for anxiety （ for the experimental group only）焦慮視覺量表 (5) Acupressure Self-Assessment Form. 三陰交穴 攝自穴位按摩圖典 三采出版社 Results  ?? Acupressure at Sanyinjiao during the initial session reduced the pain and anxiety typical of dysmenorrhoea. 87% experimental participants reported that acupressure was helpful, and 94%were satisfied with acupressure in terms of its providing pain relief and psychological support during dysmenorrhoea. Conclusion  ?The findings suggest that acupressure at Sanyinjiao can be an effective,