درمان‌های طبیعی الیگومنوره بر اساس طب ایرانی

نوع مقاله: مروری

نویسندگان

1 دانشجوی دکترای تخصصی طب ایرانی، کمیته تحقیقات دانشجویی، دانشکده طب ایرانی و مکمل، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

2 استادیار گروه طب ایرانی، دانشکده طب ایرانی و مکمل، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

3 استادیار گروه طب ایرانی، دانشکده طب سنتی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

4 استاد گروه زنان و مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

چکیده

مقدمه: الیگومنوره، یکی از شایع‌ترین اختلالات قاعدگی است که به صورت افزایش فواصل قاعدگی تعریف می‌شود. این اختلال رو به افزایش به دلیل عوارضی مانند خونریزی رحمی غیرطبیعی، ناباروری، هیرسوتیسم و عواقب روانی- اجتماعی متعاقب آنها باعث کاهش کیفیت زندگی زنان سنین باروری می­شود. با توجه به عوارض داروهای هورمونی که درمان رایج این اختلال می‌باشد، ضرورت استفاده از روش‌های درمانی مکمل مطرح می‌شود، لذا مطالعه مروری حاضر با هدف بررسی راهکارهای درمانی طب ایرانی انجام شد.
روش‌کار: در این مطالعه مروری، منابع اصلی طب ایرانی با استفاده از واژگان مترادف الیگومنوره مانند احتباس طمث، حبس حیض، کاهش و قطع قاعدگی بررسی شد. برای یافتن مطالعات جدید نیز پایگاه­های اطلاعاتی مانند Google Scholar، PubMed و ISI با کلیدواژگان Oligomenorrhea، Amenorrhea، PCOS، Persian Medicine و Traditional Medicine جستجو و نتایج حاصل مقایسه شدند.
یافته­ها: در منابع طب ایرانی، الیگومنوره با تعبیر "احتباس طمث" آمده است. رویکردهای درمانی احتباس طمث، مانند سایر درمان‌ها در طب ایرانی، در گام اول شامل اصلاح سبک زندگی، اصلاح الگوی غذایی، تنظیم خواب و بیداری، ورزش و استحمام می‌باشد. گام دوم شامل: مصرف گیاهان دارویی قاعده‌آور است که اغلب فیتواستروژن محسوب می‌شوند. این گیاهان به اشکال مختلف (قرص، جوشانده، دمنوش، شیاف واژینال، دوش واژینال، ضماد، آبزن و ...) تجویز می­شوند. در گام سوم، اعمال یداوی مانند حجامت و فصد نیز به‌عنوان یک روش درمانی توصیه شده است.
نتیجه­گیری: با توجه به اثبات اثربخشی تعدادی از این درمان‌ها در مطالعات جدید مانند گیاه پنج انگشت، پونه و رازیانه انجام مطالعات بالینی بیشتر بر مبنای درمان‌های طب ایرانی در کنار طب رایج، جهت درمان الیگومنوره توصیه می‌شود.

کلیدواژه‌ها


عنوان مقاله [English]

Natural Treatments of Oligomenorrhea based on Persian Medicine

نویسندگان [English]

  • Farnoush Falahat 1
  • Mandana Tavakkoli 2
  • Roshanak Mokaberinejad 3
  • Sedigheh Ayati 4
  • Zohre Feyzabadi 2
1 PhD Student of Persian Medicine, Student Research Committee, School of Persian and Complementary Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
2 Assistant Professor, Department of Persian Medicine, School of Persian and Complementary Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
3 Assistant Professor, Department of Traditional Medicine, School of Traditional Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
4 Professor, Department of Obstetrics and Genecology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده [English]

Introduction: Oligomenorrhea is one of the most common menstrual disorders defined as the prolongation of menstrual intervals. This growing disorder reduce the quality of life for women of reproductive age due to complications, such as abnormal uterine bleeding, infertility, hirsutism and psycho-social consequences. Due to the complications of hormonal medications which are the common treatment of this disorder, the necessity of using complementary therapies is suggested; therefore, the present review study was conducted to investigate the therapeutic strategies of Persian medicine.
Methods: In this review study, the main sources of Persian Medicine were investigated using the synonyms of oligomenorrhea such as “Ehtebās-e-tams”, “Habs-e- heiz”, reduction and discontinuation of menstruation. Then, to find new studies, the databases such as Google scholar, PubMed and ISI were searched with the keywords of Oligomenorrhea, Amenorrhea, PCOS, Persian Medicine and Traditional Medicine and the results were compared.
Results: In texts of Persian Medicine, oligomenorrhea is referred as the "Ehtebas Tams". Therapeutic approaches to "Ehtebas Tams", like other treatments in Persian Medicine, in the first step include lifestyle modification, dietary modification, sleep and wake adjustment, exercise and bathing. The second step includes the use of emmenagogue herbal medicine which are mostly considered as phytoestrogen. These herbs are prescribed in various forms (Pill, Decoction, Herbal Tea, Vaginal Suppository, Vaginal Douche, ointment and sitz-bath). In the third step, manipulations such as wet cupping and phlebotomy are recommended as a therapeutic approach.
Conclusion: Considering the effectiveness of some of these treatments in new studies such as Vitex agnus-castus, Mentha longifolia and Foeniculum vulgare, it is recommended to conduct more clinical studies based on Persian medicine therapies in addition to conventional medicine for treatment of oligomenorrhea.

کلیدواژه‌ها [English]

  • Emmenagogue
  • Herbal Medicine
  • Oligomenorrhea
  • Persian Medicine
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