北京中医药大学学报2025，Vol.48Issue(5)：658-663,6.DOI:10.3969/j.issn.1006-2157.2025.05.009
基于"脑-肾-膀胱"轴及任脉、督脉论治女性压力性尿失禁
Treatment of female stress incontinence based on the"brain-kidney-bladder"axis,conception vessel,and governor vessel
摘要
Abstract
Guided by the theory of"kidney generating marrow"and"kidney associating with bladder",the concept of"brain-kidney-bladder"axis was proposed.From the perspective of meridian circulation and physiological function,the conception vessel and governor vessel are the links of the"brain-kidney-bladder"axis.Kidney essence deficiency,brain spirit losing,and dysfunction of bladder are the core pathogenesis of female stress incontinence.From the dysfunction of the"brain-kidney-bladder"axis and the deficiency of conception vessel and governor vessel,an integrated model of"one acupunture,two medication,and three daoyin therapy"was proposed for the treatment of female stress incontinence."One acupunture"is based on the theoretical guidance of"treating on the bone,and even under the navel ying"in Gukong Lun in Suwen,and the regulating conception vessel and dredging governor vessel acupuncture method is used to harmonize yin and yang,replenish qi,and consolidate bladder,using governor vessel points such as Baihui(DU20),Shenting(DU24),Mingmen(DU4),and conception vessel points such as Qihai(RN6),Guanyuan(RN64),Zhongji(RN3),and cooperating with Baliao points(BL31,BL32,BL33,and BL34)of the bladder meridian."Two medication"is guided by the theory that"dispersing conditions should be astringed,and deficient conditions should be warmed"in Zhizhenyao Dalun in Suwen;the treatment method focuses on consolidating conception vessel,dredging governor vessel,and harmonizing and nourishing qi and blood,and the Guren Tongdu Formula is selected."Three daoyin therapy",that is,using the abdominal contraction and anal lifting exercise,the Mawangdui daoyin therapy,and pelvic floor muscle training to cultivate qi,preserve spirit,and maintain the unity of body and mind.关键词
压力性尿失禁/"脑-肾-膀胱"轴/任脉/督脉Key words
stress incontinence/"brain-kidney-bladder"axis/conception vessel/governor vessel分类
中医学引用本文复制引用
张畅畅,姚园,王妍筎,胡万春,谭天辉,杨卓欣,曹雪梅..基于"脑-肾-膀胱"轴及任脉、督脉论治女性压力性尿失禁[J].北京中医药大学学报,2025,48(5):658-663,6.基金项目
国家自然科学基金面上项目(No.82174482) （No.82174482）
广东省基础与应用基础研究基金项目(No.2022A1515220157) （No.2022A1515220157）
"三名工程"中国中医科学院刘保延首席研究员中医针灸临床评价方法创新团队(No.SZSM201612001) National Natural Science Foundation of China(No.82174482) （No.SZSM201612001）
