基于“血者，神气也”探析早发性卵巢功能不全伴焦虑抑郁的针灸治疗思路

中图分类号：R246.9 文献标志码：A 文章编号：1007-3213（2025）11-2750-06

DOI：10.13359/j.cnki. gzxbtcm.2025.11.018

Abstract：The statement“Blood is the material carrierof spirit and qi”indicates thatthe generationof blood relies on the coordinated governance of spirit and qi ，while simultaneously serving as their material foundation.Based on the physiological connection among“blood-spirit- qι ”，this article explores the pathogenesis of premature ovarian insufficiency（POI）accompanied by anxiety and depression.It proposes that essence and blood deficiency， premature exhaustion of Tian Gui（reproductive essence），and failure of blood to nourish the spirit form a pathological chain：“blood deficiency-spirit disturbance-POI with anxiety and depression”.Blood stasis obstructing the uterine chamber，disorder of the chong and ren meridians，and failure of blood to carry the spirit giverise to the transformation：“blood stasis-spirit depression-POI with anxiety and depresion".Liver qi stagnation and disruption of qi and blood further exacerbate the imbalance between blood and spirit，aggavating thedisease progression.Basedon this pathological analysis，the general treatment principle of“regulating blood， harmonizing spirit，and rectifying qi”is established.For patientswith blood deficiencysyndrome，treatment should focus on tonifying essence and blood，replenishing reproductive essence，and nourishing the spirit， selecting Guanyuan（CV4）， Zusanli （ST36），and Sanyinjiao （SP6）as main acupoints.For patients with blood stasis syndrome，treatment should aim to regulate the chong and ren meridians，promote blood circulation，and calm thespirit，selecting Qichong （ST3O）， Zhongji（CV3），and Xuehai（SP1O）as main acupoints. Simultaneously，the method of regulating the liver should be applied throughoutthe entire treatment process to soothe the liver，regulate qi ，relieve depression，and calm the spirit，selecting Baihui （GV2O），Taichong （LR3），and Ganshu （BL18） as main acupoints. Appropriate acupuncture techniques and methods should be chosen according to the patient’s constitution and condition，providing new therapeutic ideas and approaches for clinical practice.

Keywords：acupuncture；premature ovarian insufficiency；anxiety；depression；blood； spirit；qi

早发性卵巢功能不全（prematureovarianinsufficiency，POI）是指女性在40岁之前出现月经停闭 ⩾4 个月，血清促卵泡生成素 （FSH）>25U/L （间隔 >4 周的2次检测），雌激素水平波动性下降的病症。（剩余9179字）