Study On The Theory And Clinical Application Of Acupuncture Combined With Medicine In The Treatment Of Infertility Secondary To Polycystic Ovary Syndrome Based On Literature

Purpose:Through combing the literature,summarize the law of TCM syndrome differentiation,treatment,medication and acupoint selection in combination of acupuncture and medicine in the treatment of infertility secondary to polycystic ovary syndrome.The high-frequency drugs and high-frequency acupoints are analyzed and sorted out,combined with modern pharmacology and the effects of meridian acupoints,to provide literature references for the combination of acupuncture and medicine in the treatment of this disease.Methods:Search the Chinese medicine clinical research literature on the treatment of polycystic ovary syndrome secondary infertility with acupuncture and medicine published on CNKI,Weipu Data,and China Wanfang Database from January 2010 to December2020.Establish a database based on the syndrome elements,drug efficacy elements,acupoints,drugs and acupoints that are treated by stages,and use the ancient and modern medical records cloud platform to perform frequency statistics,and summarize the clinical syndromes of PCOS secondary infertility,and the combination of acupuncture and medicine Law of treatment,medication and point selection.Results:1 one According to the inclusion criteria,39 eligible literatures were screened out,including 1570 cases.Among 1570 cases,kidney deficiency,blood stasis,phlegm dampness and liver depression were the four syndrome elements with the highest frequency,accounting for 89.55%,72.74%,67.2% and 27.96% respectively;89 kinds of traditional Chinese medicine were used,with a total frequency of 25574 times.The top 20 high-frequency drugs were Angelica sinensis,dodder seed,Cyperus,Rehmannia glutinosa and Salvia miltiorrhiza The first 15 high frequency acupoints were Guanyuan,Sanyinjiao,Zusanli,Shenshu,Qihai,Gongfu,Fenglong,Zhongji,Pishu,Taichong,Huihui and Xuehai,Mingmen,Ganshu,Baihui;2 According to the menstrual cycle,a total of 196 patients took staged therapy,and the acupuncture prescription remained unchanged,but 126 of them increased the frequency of treatment during the intermenstrual period(ovulation period);the statistics of the first 10 high-frequency medications in each period are as follows:Late menstrual period(follicular stage):Chinese yam,white peony root,angelica,dogwood,dodder,tuckahoe,danpi,dipsacus,tangerine peel,rehmannia glutinosa Intermenstrual period(ovulation period): Angelica,Salvia miltiorrhiza,Chinese yam,Safflower,Red peony root,Chuanxiong,Coix seed,Poria,Dan bark,Dipsacus Premenstrual period(luteal phase): Dipsacus,Epimedium,Atractylodes,Chinese Yam,Amethyst,Tangerine Peel,White Peony,Pinellia,Antler Tablets,Poria Menstruation period:Motherwort,Cyperus rotundus,Salvia miltiorrhiza,Wulingzhi,Red peony root,Poria,Paeonol,Corydalis,Corydalis,Hawthorn volume_up content_copy share。Conclusions:1 The high-frequency syndrome elements of PCOS secondary infertility patients are kidney deficiency,blood stasis,phlegm dampness,liver stagnation and qi stagnation;2 According to the statistical results of syndrome elements,according to the high frequency syndrome elements,the drug selection rules are as follows : When selecting kidney tonifying drugs,traditional Chinese medicine with tonifying effect should be selected,especially Cuscuta chinensis,and others such as Rehmannia glutinosa and Chinese yam;When selecting the drugs with the effect of promoting blood circulation,most of the drugs with the effect of tonifying blood were selected,and Angelica sinensis was the most,while others such as Salvia miltiorrhiza and Spatholobus Spatholobus were not strong in promoting blood circulation;When selecting the drugs of dampness and phlegm,the drugs with spleen strengthening effect were mostly selected,especially Atractylodes lancea and Atractylodes macrocephala;Cyperus Rhizoma is the most effective drug for soothing the liver and relieving depression,and the others are bupleurum,and the dosage is not large.3 According to the drug test,it can be inferred that the kidney deficiency type of PCOS secondary infertility is mainly kidney essence deficiency;4 Rules of acupoint selection.Ren meridian and foot Taiyang bladder meridian are the main meridians,followed by Foot Yangming stomach meridian and foot Taiyin spleen meridian,which shows that it is based on tonifying the congenital and also pays attention to the acquired function;Among the specific points,intersection points are the most,highlighting the connection between viscera and meridians;The acupoints are mainly located in the lower abdomen and lumbosacral region,followed by the lower limbs,which reflects the therapeutic law of "acupoints,indications" and "meridians,indications and";5 In the menstrual staging therapy,the late menstrual period(follicular period)is mainly to tonify the kidney and replenish the essence and nourish the blood;the inter menstrual period(ovulation period)is mainly to activate the blood and also to tonify the kidney;the premenstrual period(luteal period)is mainly to tonify the kidney and help Yang,strengthen the spleen and dry dampness;the menstrual period is mainly to activate the blood and regulate menstruation.