Moxibustion for Primary Dysmenorrhea: An Adjuvant Therapy for Pain Relief.
Moxibustion for Primary Dysmenorrhea: An Adjuvant Therapy for Pain Relief.
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DOI：
10.1155/2022/6864195
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Yue Z
中科院分区：
文献类型：
--
作者：
Pan S;Wang S;Li J;Yuan H;Xue X;Liu Y;Yue Z
最新的艾灸病谱显示，原发性痛经是艾灸的高频症状，是临床上的优势病。在具体的治疗方法上，各类艾灸方法都得到了广泛的应用，如热灸、雷火灸、隔灸、铺灸等。艾灸通过其四种作用机制发挥治疗作用：热，光，艾草烟和药物作用。艾灸治疗原发性痛经的机理主要集中在调节内分泌激素、调节免疫功能及神经相关因子、改善子宫微循环等方面。本研究以不同艾灸方法治疗原发性痛经的临床证据为基础，分析艾灸方法的设计模式、干预特点及临床疗效。同时，从神经影像学的角度对不同影像学方法的脑效应机制进行了综述。指出左侧扣带前回、左侧顶下角回和左侧上级回可能是调节感觉、情绪和认知的镇痛脑区。此外，可以推断出参与的神经回路：额叶皮层-基底神经节（豌豆核）-大脑皮层，它介导动机和情绪驱动，顶叶-基底神经节-边缘叶-额叶，它参与神经递质运输和情绪调节以及行为表达。艾灸治疗原发性痛经的机理研究仍存在问题和不足。应加强对艾灸作用机理的研究。应注意探讨艾灸治疗原发性痛经的光效应中的光谱范围和峰值。因此，有必要对艾灸治疗原发性痛经的机理进行研究，为临床治疗提供实验依据和循证医学证据。
The latest spectrum of moxibustion disease shows that primary dysmenorrhea is a high-frequency symptom of moxibustion and that it is the dominant clinical disease. In the specific treatment methods, all types of moxibustion methods have been widely used, such as thermal, thunder fire, partitioned, and spreading moxibustion. Moxibustion plays a therapeutic role through its four mechanisms of action: heat, light, moxa smoke, and drug effects. The mechanism of moxibustion treatment for primary dysmenorrhea focuses on adjusting endocrine hormones, regulating immune function and neuro-related factors, and improving uterine microcirculation. In this study, based on the clinical evidence of different moxibustion methods for treating primary dysmenorrhea, the design model, intervention characteristics, and clinical outcomes were analyzed. Meanwhile, the brain effect mechanisms of different imaging methods were summarized from the perspective of neuroimaging. It was pointed out that the left anterior cingulate gyrus, left inferior parietal angular gyrus, and left superior gyrus may be the analgesic brain regions that regulate sensory, emotional, and cognitive aspects. Moreover, the neural circuits involved can be inferred: the frontal cortex-basal ganglia (the pea nucleus)-cerebral cortex, which mediates motivation and emotional drive, and the parietal lobe-basal ganglia-limbic lobe-frontal lobe, which is involved in neurotransmitter transport and emotional regulation and behavioral expression. There are still problems and deficiencies in studies on the mechanism of moxibustion treatment for primary dysmenorrhea. Studies should be strengthened on how moxibustion produces an effect. Attention should be paid to exploring how the spectrum range and peak in the light effect of moxibustion treat primary dysmenorrhea. Studies assessing the mechanisms of moxibustion treatment for primary dysmenorrhea should be conducted to provide an experimental basis and evidence-based medical evidence for clinical treatment.
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DOI：
10.1155/2013/379291
发表时间：
2013
期刊：
Evidence-based complementary and alternative medicine : eCAM
影响因子：
--
作者：
Deng H;Shen X
通讯作者：
Shen X
影响因子：
2.1
作者：
Ghamry, Nevein Kamal;Ali, Ahmed Said;Islam, Yomna
通讯作者：
Islam, Yomna
影响因子：
7.2
作者：
Ferries-Rowe, Elizabeth;Corey, Elizabeth;Archer, Johanna S.
通讯作者：
Archer, Johanna S.
DOI：
10.13703/j.0255-2930.20200818-0002
发表时间：
2021-09-12
期刊：
Zhongguo zhen jiu = Chinese acupuncture & moxibustion
影响因子：
--
作者：
Huang, Qin-Feng;Xie, Chen;Ma, Xiao-Peng
通讯作者：
Ma, Xiao-Peng
影响因子：
2.9
作者：
Gong, Yuanyuan;Yu, Zeyun;Wu, Ping
通讯作者：
Wu, Ping