推拿在原发性痛经治疗中的应用与思考
摘 要 原发性痛经是妇科常见疾病，临床上治疗痛经的方法很多，中西医各有特长，其中作为中医外治法之一的推拿手法，也是治疗原发性痛经的传统而有效的方法。推拿治疗时，医师在辨证、取穴、手法、疗程以及安全性方面，既要符合诊疗标准，也要因人制宜，实现个体化治疗。在临床实践中，以药物结合推拿的综合治疗也是较为常用的方法。
关键词 原发性痛经；推拿；中医外治
中图分类号：R271.1 文献标志码：A 文章编号：1006-1533（2018）24-0006-03
Clinical application of massage in the treatment of primary dysmenorrhea and the thinking
FAN Yuanzhi， WU Yaochi
（Department of Acupuncture Massage and Traumatology of the Sixth People’s Hospital affiliated to Shanghai Jiao Tong University， Shanghai 200233， China）
ABSTRACT Primary dysmenorrhea is a common disease of gynaecology. It can be treated with many methods including Chinese or Western medicine， and each has its own characteristics. Massage（Tuina）， which is one of the external treatment methods of traditional Chinese medicine， is classic and efficacy method in the treatment of primary dysmenorrhea. In the treatment of massage， the doctor should conform to the standard of diagnosis and treatment in the aspects of syndrome differentiation， acupoint extraction， manipulation， course of treatment and safety， as well as individualized treatment. In clinical practice， the comprehensive therapy of medication combined with massage is also commonly used.
KEY WORDS primary dysmenorrhea； tuina； external treatment of traditional Chinese medicine
女性正值经期或经行前后出现周期性小腹疼痛或痛引腰骶，甚则剧痛晕厥者，称之为痛经[1]，亦称'经行腹痛“。痛经分为原发性和继发性两种，原发性痛经又称功能性痛经，无盆腔器质性病变，继发性痛经由盆腔器质性病变引起，本文主要探讨原发性痛经（以下简称痛经）的推拿治疗。本病常缠绵不愈，难获速效，轻者腹痛坠胀，蜷曲难卧；...
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