基于经络-脏腑理论探讨卵巢早衰从肝经论治的学术内涵

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关键词：经络系统；脏腑理论；足厥阴肝经；女子胞；卵巢早衰；经络辨证

中图分类号：R246.9 文献标志码：A 文章编号：1007-3213（2025）01-0140-07

DOI：10.13359/j.cnki.gzxbtcm.2025.01.020

Discussion on the Academic Connotation of Formulating Treatment for Premature Ovarian Failure from the Viewpoint of Liver Meridian Based on the Theory of Meridian and Collateral with Zang-Fu Organs

DU Dongling'，ZHANG Wei² （1.The First Clinical Medical Colege，Hunan Universityof Chinese Medicine，Changsha 41Ooo7 Hunan，China; 2.The First Afiliated Hospitalof Hunan University of Chinese Medicine，Changsha 41OO07 Hunan，China）

Abstract：Premature ovarian failure（POF）is the final stage of diminished ovarian reserve，the pathogenesis of POF iscomplex and is closelyrelated to thedysfunctionoffive-zang organs，meanwhile，it is also intertwined with pathological products such as qi stagnation，blood stasis and phlegm-damp，and POF is an obstinate disease clinically.Acupuncture and moxibustionare effctive inthe treatment of POF，based on the theory of meridian and colateral with zang-fu organs，acupunctureand moxibustion further expanding its connotation offormulating，the foot Jueyin meridian system is closely related to the ovaries and the liverof thefive-zang organs，which lays a functional structural foundation for the treatmentofPOF fromthe viewpointof liver meridian offoot Jueyin，andit isakeyentry point of syndromedifferentiation of meridiansand collteral for POF.Therefore，basedon the theoretical foundationof“meridian and collteral with zang-fu organs”，combining with anatomical knowledge， celllar molecular biology and other modern medical research，this paper explores the distinctive pathological relationshipof between liver meridianoffoot Jueyinand ovarian disease，and lays the foundation for further research on the pathological mechanism of POF and the point selection rules of acupuncture treatment，so as to expand the theoretical basis of acupuncture treatment of POF，and improve the theoretical connotation of formulating of meridian and collateral with zang-fu organs theory.

Keywords：meridian and collteral system；zang-fu organs theory；the liver meridian offoot Jueyin；uterus; premature ovarian failure；syndrome differentiation of meridian and collateral

女性卵巢功能衰退是一个逐渐进展的过程，卵巢早衰（prematureovarianfailure，POF）指女性40岁前出现闭经、促卵泡生成素 （FSH）>40IU/I 和雌激素水平降低，并伴有不同程度的围绝经期症状，是卵巢功能减退的终末阶段，临床上属于难治性疾病1。（剩余10975字）