基于文献计量学探究2型糖尿病的针灸辨治特点
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摘要
目的:探究针灸防治2型糖尿病的辨治特点。方法:检索2007～2017年维普、中国知网、万方、中国生物医学文献数据库中针灸防治2型糖尿病的现代临床文献,采用文献计量学对经脉、腧穴、疗法进行频数分析。结果:纳入文献66篇,涉及经脉14条,胃经、脾经、膀胱经、任脉、肾经居前5位。腧穴99个,特定穴53个,五输穴、背俞穴频次最高;奇穴17个,胰俞、降糖穴居前2位;足三里、三阴交、脾俞、肾俞、中脘、气海、关元最常用。单纯毫针刺法最多。结论:针灸防治2型糖尿病具有从脾胃、气血痰瘀论治,选经取穴以特定穴为主、奇穴相辅,刺法多样、分期而治的辨治特点。在不同时期灵活运用刺灸法,有助于充分发挥各疗法的优势,提高临床疗效。
Objective:To analyze the treatment differentiation feature of acupuncture in preventing and treating type 2 diabetes mellitus(T2 DM).Methods:Searching the relevant literatures between 2007 and 2017 at VIP,CNKI,CBM and Wanfang Database,this paper has analyzed the selection meridians,acupoints and therapies by bibliometrics.Results:A total of 66 related articles were included.All 99 acupoints in 14 meridians were used.The Stomach Meridian,the Spleen Meridian,the Bladder Meridian,the Conception Vessel and the Kidney Meridian were the first five ones.There were 53 specific acupoints and 17 extra acupoints.The five-Shu,the back-Shu and the Yi-Shu,Jiangtang acupoints were mostly selected.Zusanli,Sanyinjiao,Pishu,Shenshu,Zhongwan,Qihai,Guangyuan in acupoints were mostly used.The filiform needle therapy were used the highest frequency.Conclusion:T2 DM can be prevented and treated with acupuncture basing on the theory Qi,blood stasis and phlegm.The specific acupoints and extra acupoints are supplementary to each other.Varied acupuncture therapies should be selected in the different stages of this disease so as to decrease the incidence and progression of diabetes and improve effectiveness.
Objective:To analyze the treatment differentiation feature of acupuncture in preventing and treating type 2 diabetes mellitus(T2 DM).Methods:Searching the relevant literatures between 2007 and 2017 at VIP,CNKI,CBM and Wanfang Database,this paper has analyzed the selection meridians,acupoints and therapies by bibliometrics.Results:A total of 66 related articles were included.All 99 acupoints in 14 meridians were used.The Stomach Meridian,the Spleen Meridian,the Bladder Meridian,the Conception Vessel and the Kidney Meridian were the first five ones.There were 53 specific acupoints and 17 extra acupoints.The five-Shu,the back-Shu and the Yi-Shu,Jiangtang acupoints were mostly selected.Zusanli,Sanyinjiao,Pishu,Shenshu,Zhongwan,Qihai,Guangyuan in acupoints were mostly used.The filiform needle therapy were used the highest frequency.Conclusion:T2 DM can be prevented and treated with acupuncture basing on the theory Qi,blood stasis and phlegm.The specific acupoints and extra acupoints are supplementary to each other.Varied acupuncture therapies should be selected in the different stages of this disease so as to decrease the incidence and progression of diabetes and improve effectiveness.
引文
[1] Hui mei Hu,Monika Sawhney,Lizheng Shi,et al.A systematic review of the direct economic burden of type 2diabetes in China[J].Diabetes Therapy,2015,6(1):7～16
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[3] 华婷婷,孙志.孙志教授泻胃补脾针法治疗2型糖尿病的经验[J].浙江中医药大学学报,2017,41(10):834～836
[4] 李智滨,王娟,李进龙.健脾化痰活血法对糖耐量减低患者血糖和血脂水平的影响[J].河北中医,2011,33(7):982～984
[5] 曹昺焱,李瑞,田环环,等.电针“胃脘下俞”对2型糖尿病大鼠胰岛形态及胰腺胰高血糖素样肽1受体的影响[J].针刺研究,2017,42(2):107～110
[6] 王文远,马忠立,张利芳.平衡针灸降糖穴治疗2型糖尿病的临床研究[J].中国老年学杂志,2015,35(7):1767～1768
[7] 刘敬,姚辉,石学敏.糖尿病的辨证论治与分期针刺治疗[J].广西中医药,2016,39(6):40～41
[8] 申鹏飞,孔莉,调神针法对Ⅱ型糖尿病患者情绪障碍及糖代谢干预作用[J].中国针灸,2007,27(10):741～742
[2] 赵耀东,韩豆瑛,赵中亭.《针灸甲乙经》论治消瘅的文献研究[J].上海针灸杂志,2014,33(8):778～779
[3] 华婷婷,孙志.孙志教授泻胃补脾针法治疗2型糖尿病的经验[J].浙江中医药大学学报,2017,41(10):834～836
[4] 李智滨,王娟,李进龙.健脾化痰活血法对糖耐量减低患者血糖和血脂水平的影响[J].河北中医,2011,33(7):982～984
[5] 曹昺焱,李瑞,田环环,等.电针“胃脘下俞”对2型糖尿病大鼠胰岛形态及胰腺胰高血糖素样肽1受体的影响[J].针刺研究,2017,42(2):107～110
[6] 王文远,马忠立,张利芳.平衡针灸降糖穴治疗2型糖尿病的临床研究[J].中国老年学杂志,2015,35(7):1767～1768
[7] 刘敬,姚辉,石学敏.糖尿病的辨证论治与分期针刺治疗[J].广西中医药,2016,39(6):40～41
[8] 申鹏飞,孔莉,调神针法对Ⅱ型糖尿病患者情绪障碍及糖代谢干预作用[J].中国针灸,2007,27(10):741～742