传统针刺助产处方(合谷-三阴交穴)优化研究的回顾与展望

目的：回顾本课题组于1996～2008年完成的传统针灸助产处方（合谷-三阴交）优化研究，展望今后的研究方向。方法：收集本课题组发表的相关论文21篇，从文献、临床、基础3个方面的研究进行全面总结与分析。结果：文献研究：在临床使用的下胎穴中，从古至今合谷、三阴交穴均位列第一；临床研究：电针合谷．三阴交穴可促进子宫协调收缩、缩短产程、增强药流；基础研究：上述作用的发挥可能与有效地抑制子宫无序收缩、增强子宫有效收缩、影响机体内前列腺素E2、雌二醇等激素水平有关；总结出不同针刺顺序、下针先后的间隔时间、不同留针时间、不同电针连线方式、不同电针刺激参数均对疗效产生影响；经过临床．基础-临床的反复研究、探讨和验证，获得该处方的初步优化方案：先合谷穴20min，后加三阴交穴5min，电针采用非同侧连线。结论：传统针灸助产处方（合谷-三阴交）在促进分娩，增强药物流产方面具有积极作用；其电针参数可进一步筛选；作用机理可从促进子宫收缩，促进宫颈成熟的分子生物学角度深入探讨。

Review and Prospect of Studies on Optimizing a Classic Acupuncture Formula for Promoting Labor

Objective: To review the studies on optimizing a classic acupuncture formula(LI4-SP6) for promoting labor,which have been done by our research group from 1996 to 2008,and to gain a perspective on the further research directions.Methods: Total 21 papers published by our research group were consulted so as to summarize and analyze those from the views of literature study,clinical study and mechanism study.Results: The literature studies showed that from the ancient times till now,LI4 and SP6 were the most fre...