CAJ | 학술논문

中医治疗卵巢储备功能下降（Diminished Ovarian Reverse，DOR）以针灸结合药物为主，本文仅分析总结针灸的诊疗特点。针灸治疗 DOR 主要以辨证选穴为主，肾虚是主要证型。体穴常用任脉关元、足太阴脾经三阴交、足太阳膀胱经肾俞，耳穴以内分泌、卵巢、子宫多见。治疗频次、疗程随干预方式的不同而有所差异。针药结合治疗期间可改善月经经期、经量及伴随症状，降低血清卵泡促激素（Follicle-Stimulating Hormone，FSH）、促黄体生成素（Luteinizing Hormone，LH）水平，提高血清雌二醇（E2）水平，增加窦状卵泡数量，提高妊娠率，改善卵巢储备功能，未见严重不良反应。
중의치료란소저비공능하강（Diminished Ovarian Reverse，DOR）이침구결합약물위주，본문부분석총결침구적진료특점。침구치료 DOR 주요이변증선혈위주，신허시주요증형。체혈상용임맥관원、족태음비경삼음교、족태양방광경신유，이혈이내분비、란소、자궁다견。치료빈차、료정수간예방식적불동이유소차이。침약결합치료기간가개선월경경기、경량급반수증상，강저혈청란포촉격소（Follicle-Stimulating Hormone，FSH）、촉황체생성소（Luteinizing Hormone，LH）수평，제고혈청자이순（E2）수평，증가두상란포수량，제고임신솔，개선란소저비공능，미견엄중불량반응。
Diminished ovarian reverse (DOR)is usually treated by the method of acupuncture and moxibustion combined with medicine in Chinese medicine.This paper only aims to analyze the diagnosis and treatment of acupuncture and moxibustion.DOR is mainly treated by acupuncture based on syndrome differentiation.Kidney deficiency is the major syndrome.RN 4(guanyuan)on conception vessel,SP 6(sanyinjiao)on spleen channel of foot taiyin and BL 23(shenshu)on urinary bladder channel of foot taiy-ang in body as well as endocrine region,ovarian region and uterus region in ears are mainly chosen to treat DOR.The frequencies of the therapy and treatment course vary from different interventions.During the treatment course by acupuncture and moxibustion combined with medicine,the menstrual period and the menstrual volume and some associated symptoms are improved,FSH and LH level reduced,E2 level improved,antral follicles increased,pregnancy rate improved,the ovarian reserve function improved. No severe adverse effects are seen in the treatment of DOR.