Exploring the treatment of perimenopausal psycho-cardiological disease with acupuncture based on the theory of Tiangui and the "kidney-heart-brain" axis

LI Mingjie; REN Lu; XU Ningyang; FENG Shiyu

doi:10.3969/j.issn.1006-2157.2023.09.017

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Exploring the treatment of perimenopausal psycho-cardiological disease with acupuncture based on the theory of Tiangui and the "kidney-heart-brain" axis

Acupuncture Moxibustion and Tuina | 更新时间：2023-10-09

- Exploring the treatment of perimenopausal psycho-cardiological disease with acupuncture based on the theory of Tiangui and the "kidney-heart-brain" axis
- Journal of Beijing University of Traditional Chinese Medicine Vol. 46, Issue 9, Pages: 1307-1312(2023)
- 作者机构：
  
  辽宁中医药大学　沈阳　110847
- 作者简介：
  
  Prof. REN Lu, Ph. D., Doctoral Supervisor. Liaoning University of Traditional Chinese Medicine, No. 79, Chongshan Donglu Road, Huanggu District, Shenyang 110847. E-mail: lnzyxkc@sina.com
- 基金信息：
  
  National Natural Science Foundation of China(82274665);Innovation Team of Colleges and Universities of Liaoning Province(辽教函〔2018〕479号)
- DOI：10.3969/j.issn.1006-2157.2023.09.017
  CLC： R256.2
- Received：12 April 2023，
  
  Online First：04 August 2023，
  
  Published：30 September 2023
- 稿件说明：
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LI Mingjie, REN Lu, XU Ningyang, et al. Exploring the treatment of perimenopausal psycho-cardiological disease with acupuncture based on the theory of Tiangui and the "kidney-heart-brain" axis[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(9): 1307-1312.
DOI：

LI Mingjie, REN Lu, XU Ningyang, et al. Exploring the treatment of perimenopausal psycho-cardiological disease with acupuncture based on the theory of Tiangui and the "kidney-heart-brain" axis[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(9): 1307-1312. DOI： 10.3969/j.issn.1006-2157.2023.09.017.

摘要

围绝经期双心疾病是女性在绝经前后出现的心血管疾病与心理疾病共发的疾病。中医学理论认为，围绝经期与天癸的盛衰密切相关，双心疾病同时与脑、心、肾有关。天癸在物质同源、结构关系、生理功能上与“肾－心－脑”轴联系密切，共同维持人体正常生命活动，形成了“天癸与‘肾－心－脑’轴”理论。本文根据天癸与“肾－心－脑”轴理论阐释围绝经期双心疾病的发病机理，认为肾、心、脑脏腑功能减退而导致天癸虚衰是发病的根本原因。在天癸与“肾－心－脑”轴理论指导下，针对双心疾病本虚标实的特点，提出基于肾、心、脑同治的原则选取主穴，补肾而取肾俞，益心而取内关，健脑而取百会，并结合患者症状辨证选取相对应的配穴。

Abstract

Perimenopausal psycho-cardiological disease is a cardiovascular and psychological disease in women seen before or after menopause. Traditional Chinese medicine believes that the perimenopausal period is closely related to the rise and fall of Tiangui

while psycho-cardiological disease is related to the brain

heart

and kidney. In terms of material homology

structural relationships

and physiological functioning

Tiangui is closely related to the "kidney-heart-brain" axis

which together ensure the normal life activities of the human body

forming the theory of "Tiangui and the 'kidney-heart-brain’ axis" . According to the theory of Tiangui and the "kidney-heart-brain" axis

the pathogenesis of perimenopausal psycho-cardiological disease is explained

and it is believed that the root cause of the disease is the deficiency of Tiangui due to the declining function of the kidney

heart

and brain. Under the guidance of the theory of Tiangui and the "kidney-heart-brain" axis

aiming at the characteristics of the disease with deficiency in nature and excess in superficiality

the main acupoints are selected to treat the kidney

heart

and brain at the same time. Shenshu(BL23) was selected to tonify the kidney

Neiguan(PC6) was selected to boost the heart

and Baihui(DL20) was selected to strengthen the brain. The symptoms of patients were considered to select the appropriate acupoints.

关键词

Keywords

references

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