1.贵州中医药大学第一附属医院,贵州省贵阳市云岩区宝山北路71号,550001
2.贵州中医药大学针灸推拿学院
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收稿:2024-08-24,
修回:2024-11-04,
纸质出版:2025-01-02
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孟昱琼,高强,翟婷婷等.暖宫调经汤口服联合八髎穴隔姜灸治疗阳虚宫寒型卵巢早衰患者65例临床观察[J].中医杂志,2025,66(01):59-64.
MENG Yuqiong,GAO Qiang,ZHAI Tingting,et al.Nuangong Tiaojing Decoction (暖宫调经汤) Combined with Ginger Moxibustion at Baliao (八髎) Acupoints for Patients with Premature Ovarian Failure of Yang-Deficiency Uterus-Coldeness Syndrome:65 Cases Clinical Observation[J].Journal of Traditional Chinese Medicine,2025,66(01):59-64.
孟昱琼,高强,翟婷婷等.暖宫调经汤口服联合八髎穴隔姜灸治疗阳虚宫寒型卵巢早衰患者65例临床观察[J].中医杂志,2025,66(01):59-64. DOI: 10.13288/j.11-2166/r.2025.01.010.
MENG Yuqiong,GAO Qiang,ZHAI Tingting,et al.Nuangong Tiaojing Decoction (暖宫调经汤) Combined with Ginger Moxibustion at Baliao (八髎) Acupoints for Patients with Premature Ovarian Failure of Yang-Deficiency Uterus-Coldeness Syndrome:65 Cases Clinical Observation[J].Journal of Traditional Chinese Medicine,2025,66(01):59-64. DOI: 10.13288/j.11-2166/r.2025.01.010.
目的
2
观察在西医常规治疗基础上应用暖宫调经汤口服及八髎穴隔姜灸治疗阳虚宫寒型卵巢早衰患者的临床疗效。
方法
2
130例阳虚宫寒型卵巢早衰患者根据患者意愿分为治疗组和对照组各65例。对照组给予西医常规治疗,治疗组在对照组治疗基础上予暖宫调经汤口服,每日1剂,同时进行八髎穴隔姜灸治疗,每日1次,两组均治疗3个月。治疗前后检测两组患者卵巢功能指标[包括卵巢体积、卵泡数量、卵巢收缩期峰值血流速度(PSV)、子宫内膜厚度]及血清性激素六项[孕酮(P)、雌二醇(E
2
)、卵泡刺激素(FSH)、黄体生成素(LH)水平与催乳素(PRL)和睾酮(T)]、抗苗勒管激素(AMH)水平,并于治疗前后比较两组患者中医证候积分(包括性欲减退、腰骶酸痛、畏寒肢冷、神疲乏力、面色晦暗、小腹胀痛、舌淡、脉沉涩评分)。治疗后判定临床疗效及安全性。
结果
2
与本组治疗前比较,两组治疗后卵巢体积、卵泡数量、PSV、子宫内膜厚度及P、E
2
、AMH水平均明显升高,FSH、LH、PRL、T水平及腰骶酸痛、性欲减退、腰骶酸痛、性欲减退、面色晦暗、脉沉涩评分、中医证候积分均明显降低(
P
<0.05或
P
<0.01)。治疗组治疗后卵巢体积、卵泡数量、PSV、子宫内膜厚度及P、E
2
、AMH水平均高于对照组,FSH、LH、PRL、T水平及各症状评分、中医证候积分明显低于对照组(
P
<0.05或
P
<0.01)。治疗组临床疗效总有效率为96.92%(63/65),对照组为81.54%(53/65),治疗组优于对照组(
P
<0.05)。治疗组不良反应发生率为26.15%(17/65),对照组为32.31%(21/65),两组比较差异无统计学意义(
P
>0.05)。
结论
2
在西医常规治疗基础上应用暖宫调经汤口服及八髎穴隔姜灸治疗阳虚宫寒型卵巢早衰可显著改善卵巢功能及临床症状,调节性激素水平,从而提高临床疗效。
Objective
2
To explore the clinical effectivess of
Nuangong Tiaojing Decoction
(暖宫调经汤) combined with ginger moxibustion at Baliao acupoints (Eight Bone-Holes) for treating premature ovarian failure (POF) of
yang
-deficiency uterus-coldeness syndrome, based on conven
tional western medical treatment.
Methods
2
A total of 130 patients diagnosed with POF of
yang
-deficiency uterus-coldeness syndrome were divided into a treatment group and a control group, with 65 cases in each group, based on patient preference. The control group received conventional western medicine treatment, while the treatment group was additionally given
Nuangong Tiaojing Decoction
orally one dose per day and underwent ginger moxibustion at Baliao points once daily. Both groups were treated for three months. Before and after treatment, ovarian function indicators, including ovarian volume, follicle count, ovarian peak systolic velocity (PSV), and endometrial thickness were assessed, and serum sex hormone levels including progesterone (P), estradiol (E
2
), follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin (PRL), and testosterone (T), as well as anti-Müllerian hormone (AMH) levels were also measured. Additionally, traditional Chinese medicine (TCM) syndrome scores were evaluated, covering symptoms such as reduced libido, lumbosacral pain, fear of cold with cold extremities, fatigue, dull complexion, lower abdominal distension and pain, pale tongue, and deep and rough pulse. After treatment, clinical effectiveness and safety were determined.
Results
2
Compared with the pre-treatment levels within group, both groups showed significant increases in ovarian volume, follicle count, PSV, endometrial thickness, and levels of P, E
2
, and AMH after treatment, while the levels of FSH, LH, PRL, and T, as well as scores of lumbosacral pain, reduced libido, dull complexion, deep and rough pulse, and total TCM syndrome scores significantly reduced after treatment. Furthermore, the treatment group exhibited higher ovarian volume, follicle count, PSV, endometrial thickness, and levels of P, E
2
, and AMH compared to the control group, while FSH, LH, PRL, T levels, and all symptom sco
res, as well as total TCM syndrome scores, were significantly lower in the treatment group than in the control group (
P
<0.05 or
P
<0.01). The clinical effectiveness in treatment group was 96.92% (63/65), significantly higher than 81.54% (53/65) in control group (
P
<0.05). The incidence of adverse reactions in the treatment group was 26.15% (17/65), while in the control group it was 32.31% (21/65), with no statistically significant difference (
P
>0.05).
Conclusion
2
On the basis of conventional western medicine treament,
Nuangong Tiaojing Decoction
combined with ginger moxibustion at Baliao acupoints for patients with POF of
yang
-deficiency uterus-coldeness syndrome can significantly improve ovarian function and clinical symptoms, regulate hormone levels, and thereby enhance clinical effectiveness.
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