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1. 北京中医药大学针灸学院
2. 北京中医药大学针灸学院,北京,100029
3. ,北京,100029
4. 指导
纸质出版日期:2005
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金春兰, 朱江. 论妊娠期禁针合谷、三阴交穴[J]. 针刺研究, 2005,(3):187-190.
On the Prohibition of Acupuncture of Hegu(LI 4) and Sanyinjiao(SP 6) during Pregnancy[J]. Acupuncture research, 2005, (3): 187-190.
针对古今针灸文献中有关妊娠期禁针问题的不同认识与观点
本文以合谷、三阴交这一传统下胎对穴为切入点
对妊娠禁针穴的依据、禁针的时期以及孕期如何安全合理使用禁针穴问题进行了初步探讨和分析。认为合谷、三阴交穴促进各孕期子宫收缩
从而存在导致流产的可能;妊娠子宫对电针刺激的敏感性随妊娠进展而逐渐增加
针刺作用又因其机体所处机能状态不同而对妊娠产生不同影响。建议在妊娠中期可适当选用禁针穴
在妊娠早期应慎用
妊娠晚期则应禁针。文中还提出了提高针刺下胎效果的初步设想。
Because there are different viewpoints about prohibition of acupuncture at Hegu (LI 4) and Sanyinjiao(SP 6) during pregnancy
in the present paper
the authors make a preliminary analysis on the theoretical basis and time-window
and reasonable application of contraindicant acupoints from ① descriptions about acupuncture contraindication in Chinese ancient and modern medical books;② knowledge about the activities of the uterus during pregnancy in modern obstetrics and gynecology;(③ clinical) and experimental researches on the effect of acupuncture on the functional activities of the pregnant uterus;④ effects of acupuncture on the uterine contraction in different stages of pregnancy;and ⑤ possible mechanisms of the effect of acupuncture in different stages.In addition
the authors hold that ① contraindicant acupoints do exist
acupuncture of LI-4 and SP-6 may facilitate the contraction of uterus in all the pregnant stages
so there will be a possibility of miscarriage;② the sensitivity of the pregnant uterus to acupuncture stimulation may be increased along with the development of pregnancy
so
acupuncture therapy should be used cautiously in the early and middle stages
prohibited in the advanced stage and for gravida with weak constitution or habitual abortion.In this discourse
the writers also bring forward an initial idea that for stopping pregnancy
pregnancy-contraindicant acupoints maybe be applicable after changes of the functional state of pregnancy by applying drugs;and increasing the stimulation strength within the patient's tolerance is probably favorable to raising clinical therapeutic effect.
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