Exploring Acupuncture Treatment Strategies for Premature Ovarian Insufficiency with Anxiety and Depression Based on the Theory"Blood is the Material Carrier of Spirit and Qi"
10.13359/j.cnki.gzxbtcm.2025.11.018
- VernacularTitle:基于"血者,神气也"探析早发性卵巢功能不全伴焦虑抑郁的针灸治疗思路
- Author:
Dongyi WU
1
;
Tianrui LU
;
Weilin ZHANG
;
Yanlin ZHANG
;
Guizhen CHEN
;
Yunxiang XU
Author Information
1. 广州中医药大学第七临床医学院,广东 深圳 518133
- Keywords:
acupuncture;
premature ovarian insufficiency;
anxiety;
depression;
blood;
spirit;
qi
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2025;42(11):2750-2755
- CountryChina
- Language:Chinese
-
Abstract:
The statement"Blood is the material carrier of spirit and qi"indicates that the generation of blood relies on the coordinated governance of spirit and qi,while simultaneously serving as their material foundation.Based on the physiological connection among"blood-spirit-qi",this article explores the pathogenesis of premature ovarian insufficiency(POI)accompanied by anxiety and depression.It proposes that essence and blood deficiency,premature exhaustion of Tian Gui(reproductive essence),and failure of blood to nourish the spirit form a pathological chain:"blood deficiency-spirit disturbance-POI with anxiety and depression".Blood stasis obstructing the uterine chamber,disorder of the chong and ren meridians,and failure of blood to carry the spirit give rise to the transformation:"blood stasis-spirit depression-POI with anxiety and depression".Liver qi stagnation and disruption of qi and blood further exacerbate the imbalance between blood and spirit,aggravating the disease progression.Based on this pathological analysis,the general treatment principle of"regulating blood,harmonizing spirit,and rectifying qi"is established.For patients with blood deficiency syndrome,treatment should focus on tonifying essence and blood,replenishing reproductive essence,and nourishing the spirit,selecting Guanyuan(CV4),Zusanli(ST36),and Sanyinjiao(SP6)as main acupoints.For patients with blood stasis syndrome,treatment should aim to regulate the chong and ren meridians,promote blood circulation,and calm the spirit,selecting Qichong(ST30),Zhongji(CV3),and Xuehai(SP10)as main acupoints.Simultaneously,the method of regulating the liver should be applied throughout the entire treatment process to soothe the liver,regulate qi,relieve depression,and calm the spirit,selecting Baihui(GV20),Taichong(LR3),and Ganshu(BL18)as main acupoints.Appropriate acupuncture techniques and methods should be chosen according to the patient's constitution and condition,providing new therapeutic ideas and approaches for clinical practice.
