中国中医科学院西苑医院,北京市海淀区西苑操场1号,100091
wangling_3627@126.com
收稿:2025-07-28,
修回:2026-02-01,
录用:2025-12-28,
纸质出版:2026-05-02
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马堃,王玲,孙立华.“天癸”与女性生殖遗传疾病相关性探究[J].中医杂志,2026,67(09):1027-1032.
MA Kun,WANG Ling,SUN Lihua.Research on the Correlation Between "Tiangui (天癸)" and Female Reproductive Genetic Diseases[J].Journal of Traditional Chinese Medicine,2026,67(09):1027-1032.
马堃,王玲,孙立华.“天癸”与女性生殖遗传疾病相关性探究[J].中医杂志,2026,67(09):1027-1032. DOI: 10.13288/j.11-2166/r.2026.09.018.
MA Kun,WANG Ling,SUN Lihua.Research on the Correlation Between "Tiangui (天癸)" and Female Reproductive Genetic Diseases[J].Journal of Traditional Chinese Medicine,2026,67(09):1027-1032. DOI: 10.13288/j.11-2166/r.2026.09.018.
通过分析“肾-天癸-冲任-胞宫”生殖轴在女性生、长、壮、老过程中的核心影响,进一步揭示天癸在女性生殖遗传疾病中的重要性。从天癸的遗传性、物质性、时限性、节律性、多态性等多个维度,结合生殖遗传、表观遗传机制,探讨天癸的特性与女性生殖遗传疾病的发病机制、临床特征及干预靶点的潜在关联,为天癸的生理病理特性提供遗传学解读,并为中西医结合防治女性生殖遗传疾病提供科学依据。
This article further reveals the significance of "
tiangui
(天癸)" in female reproductive genetic diseases by analyzing the core influence of the "kidney-
tiangui
-
chong
and
ren mai
(冲任)-uterus" reproductive axis on the processes of birth, growth, robustness, and aging in females. Approaching
tiangui
through its heredity, material basis, temporality, rhythmicity, functional diversity and genetic polymorphism, and integrating reproductive genetics with epigenetics, it explores the potential associations between the characteristics of
tiangui
and the pathogenesis, clinical features, and therapeutic targets of female reproductive genetic diseases. This study furnishes a novel genetic interpretation of the physiological and pathological features of
tiangui
, offering scientific basis for the integrated prevention and treatment of female reproductive genetic diseases with traditional Chinese and western medicine.
LIU J , ZHANG C , SONG J , et al . Unlocking genetic profiles with a programmable DNA-powered decoding circuit [J]. Adv Sci (Weinh) , 2023 , 10 ( 20 ): e2206343 .
DAI W , QIAO X , FANG Y , et al . Epigenetics-targeted drugs: current paradigms and future challenges [J]. Signal Transduct Target Ther , 2024 , 9 ( 1 ): 332 .
邓琳雯 , 魏国华 , 裴红鸽 , 等 . 从基因组视角探讨“天癸”对遗传过程的调控机制:从分子遗传学入手研究中医遗传学理论 [J]. 中国中医基础医学杂志 , 2007 , 13 ( 5 ): 390 - 391 .
于辰 . 二至天癸方通过lncNEAT1竞争性结合miR-10b-3p调控FOXO3a抑制颗粒细胞凋亡的表观遗传学机制研究 [D]. 济南 : 山东中医药大学 , 2024 .
刘梦 , 谢萍 . 试论女子性生殖轴“肝肾-天癸-冲任-胞宫 ”[J]. 光明中医 , 2017 , 32 ( 20 ): 2931 - 2932 .
佟丽娟 . 傅方珍学术思想及临证经验 [J]. 中医函授通讯 , 1993 ( 3 ): 20 - 21 .
STRUHL K . The distinction between epigenetics and epigenomics [J]. Trends Genet , 2024 , 40 ( 12 ): 995 - 997 .
MUSSON R , GĄSIOR Ł , BISOGNO S , et al . DNA damage in preimplantation embryos and gametes: specification, clinical relevance and repair strategies [J]. Hum Reprod Update , 2022 , 28 ( 3 ): 376 - 399 .
邹如政 , 邹薇 . 论天癸与中医生殖 [J]. 中华中医药杂志 , 2017 , 32 ( 11 ): 4876 - 4879 .
封鑫宇 , 曾粤睿 , 戴欣晴 , 等 . 天癸本质与临床应用的研究进展 [J]. 中医药导报 , 2021 , 27 ( 6 ): 131 - 133,141 .
赵永明 , 吴效科 . “天癸”的理论分析 [J]. 世界中西医结合杂志 , 2008 , 3 ( 10 ): 569 - 570,575 .
ECKERSLEY-MASLIN MA , ALDA-CATALINAS C , REIK W . Dynamics of the epigenetic landscape during the maternal-to-zygotic transition [J]. Nat Rev Mol Cell Biol , 2018 , 19 ( 7 ): 436 - 450 .
ALVIZI L , NANI D , BRITO L A , et al . Neural crest E-cadherin loss drives cleft lip/palate by epigenetic modulation via pro-inflammatory gene-environment interaction [J]. Nat Commun , 2023 , 14 ( 1 ): 2868 .
HORVATH S . DNA methylation age of human tissues and cell types [J]. Genome Biol , 2013 , 14 ( 10 ): R115 .
ZHANG B , YUAN Q , LUAN Y , et al . Effect of women's fertility and sexual development on epigenetic clock: mendelian randomization study [J]. Clin Epigenetics , 2023 , 15 ( 1 ): 154 .
DREW L . Turning back time with epigenetic clocks [J]. Nature , 2022 , 601 ( 7893 ): S20 - S22 .
LEHALLIER B , GATE D , SCHAUM N , et al . Undula-ting changes in human plasma proteome profiles across the lifespan [J]. Nat Med , 2019 , 25 ( 12 ): 1843 - 1850 .
SHEN X , WANG C , ZHOU X , et al . Nonlinear dynamics of multi-omics profiles during human aging [J]. Nat Aging , 2024 , 4 ( 11 ): 1619 - 1634 .
LI J , XIONG M , FU X H , et al . Determining a multimodal aging clock in a cohort of Chinese women [J]. Med , 2023 , 4 ( 11 ): 825 - 848 .
葛盛 . 基于国医大师夏桂成教授天癸新解促围绝经期女性再孕经验总结 [J]. 中国中医药现代远程教育 , 2025 , 23 ( 1 ): 74 - 77 .
JOHNSON M H , LIM A , FERNANDO D , et al . Circadian clockwork genes are expressed in the reproductive tract and conceptus of the early pregnant mouse [J]. Reprod Biomed Online , 2002 , 4 ( 2 ): 140 - 145 .
MÉSZÁROS K , PRUESS L , SZABÓ A J , et al . Development of the circadian clockwork in the kidney [J]. Kidney Int , 2014 , 86 ( 5 ): 915 - 922 .
NAKAMURA T J , SELLIX M T , KUDO T , et al . Influence of the estrous cycle on clock gene expression in reproductive tissues: effects of fluctuating ovarian steroid hormone levels [J]. Steroids , 2010 , 75 ( 3 ): 203 - 212 .
李莉 , 张宁 , 李修阳 . 285例自然流产患者胚胎染色体核型分析 [J]. 中国性科学 , 2022 , 31 ( 8 ): 61 - 65 .
WU S , ZHANG J , GUAN Y , et al . Effects of chromosomal translocation characteristics on fertilization and blastocyst development:a retrospective cohort study [J]. BMC Med Genomics , 2023 , 16 ( 1 ): 273 .
吴艳花 , 包慧 , 陈英剑 . X-常染色体易位伴卵巢早衰二例并文献复习 [J]. 国际生殖健康/计划生育杂志 , 2020 , 39 ( 6 ): 465 - 469 .
ZENG Y , LI L , LI Q , et al . Genetic screening in patients with ovarian dysfunction [J]. Clin Genet , 2023 , 103 ( 3 ): 352 - 357 .
DIAMANTI-KANDARAKIS E , PIPERI C , SPINA J , et al . Polycystic ovary syndrome: the influence of environmental and genetic factors [J]. Hormones (Athens) , 2006 , 5 ( 1 ): 17 - 34 .
CHEN Z J , ZHAO H , HE L , et al . Genome-wide association study identifies susceptibility loci for polycystic ovary syndrome on chromosome 2p16.3, 2p21 and 9q33.3 [J]. Nat Genet , 2011 , 43 ( 1 ): 55 - 59 .
唐莉 , 马艳萍 , 李云秀 , 等 . 子宫内膜异位症发病家族倾向的调查研究 [J]. 中国现代医生 , 2009 , 47 ( 9 ): 122 - 136 .
SRINIVAS T , LULSEGED B , MIRZA AGHAZADEH ATTARI M , et al . Patient characteristics associated with embolization versus hysterectomy for uterine fibroids: a systematic review and meta-analysis [J]. J Am Coll Radiol , 2024 , 21 ( 5 ): 729 - 739 .
YANG X , YANG L . Current understanding of the geno-mic abnormities in premature ovarian failure: chance for early diagnosis and management [J]. Front Med (Lausanne) , 2023 , 10 : 1194865 . doi: 10.3389/fmed.2023.1194865 http://dx.doi.org/10.3389/fmed.2023.1194865 .
GLEICHER N , BARAD DH . The FMR1 gene as regulator of ovarian recruitment and ovarian reserve [J]. Obstet Gynecol Surv , 2010 , 65 ( 8 ): 523 - 530 .
RUTH K S , DAY F R , HUSSAIN J , et al . Genetic insights into biological mechanisms governing human ovarian ageing [J]. Nature , 2021 , 596 ( 7872 ): 393 - 397 .
ESLAMI H , ESLAMI A , FAVAEDI R , et al . Epigenetic aberration of FMR1 gene in infertile women with dimi-nished ovarian reserve [J]. Cell J , 2018 , 20 ( 1 ): 78 - 83 .
WANG J , SUN X , YANG Z , et al . Epigenetic regulation in premature ovarian failure: a literature review [J]. Front Physiol , 2023 , 13 : 998424 . doi: 10.3389/fphys. 2022.998424 http://dx.doi.org/10.3389/fphys.2022.998424 .
KAMALIDEHGHAN B , HABIBI M , AFJEH S S , et al . The importance of small non-coding RNAs in human reproduction: a review article [J]. Appl Clin Genet , 2020 , 13 : 1 - 11 . doi: 10.2147/TACG.S207491 http://dx.doi.org/10.2147/TACG.S207491 .
欧燕 , 王琪 , 张泰魏 , 等 . 国医大师刘尚义从“天癸虚损渐竭”辨治卵巢储备功能减退经验 [J]. 时珍国医国药 , 2025 , 36 ( 2 ): 355 - 358 .
YU Y Y , SUN C X , LIU Y K , et al . Promoter methylation of CYP19A1 gene in Chinese polycystic ovary syndrome patients [J]. Gynecol Obstet Invest , 2013 , 76 ( 4 ): 209 - 213 .
CHU W , LI S , GENG X , et al . Long-term environmental exposure of darkness induces hyperandrogenism in PCOS via melatonin receptor 1A and aromatase reduction [J]. Front Cell Dev Biol , 2022 , 10 : 954186 . doi: 10. 3389/fcell.2022.954186 http://dx.doi.org/10.3389/fcell.2022.954186 .
WANG Y , GU F , DENG M , et al . Rotating shift work and menstrual characteristics in a cohort of Chinese nurses [J]. BMC Womens Health , 2016 , 16 : 24 . doi: 10.1186/s12905-016-0301-y http://dx.doi.org/10.1186/s12905-016-0301-y .
ZHOU Y , ZHANG A , GONG M , et al . Maternal testosterone excess contributes to reproductive system dysfunction of female offspring mice [J]. Endocrinology , 2020 , 161 ( 5 ): 1 - 12 .
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