近五年针灸治疗便秘的临床选穴规律分析
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摘要
目的通过搜索2013～2017年针灸治疗便秘的文献,分析临床腧穴配伍使用特点及规律,对现代临床针灸诊治便秘的腧穴选择予数据依据及理论支持。方法对近五年针灸治疗便秘的文献进行搜索,选出69篇有效文献,应用中医传承辅助平台(TCMISS) V2.5分析临床选择穴位的配伍规律。结果通过数据分析,天枢、上巨虚、大肠俞运用较多;足阳明胃经被应用最多,其次为足太阳膀胱经;穴位的分布主要在胸部和腹部;特定穴中以募穴应用最为频繁;选穴配伍方面多采用天枢-上巨虚、天枢-大肠俞。结论经总结针灸医治便秘的腧穴配伍规律,且在临床施治中据此规律将天枢、大肠俞、上巨虚、足三里、支沟作为主要穴位并随症加减,有益于各穴位协同增效,使实际效果得以提高,促进针灸的应用发展。
Objective By searching the literature on acupuncture treatment of constipation from 2013 to 2017, to analyze the characteristics and rules of clinical acupoints compatibility and provide data basis and theoretical support for modern clinical acupoints diagnosis and treatment of constipation with acupuncture. Methods The literature on acupuncture treatment of constipation in the last five years was searched. There were 69 effective literatures. Results Through data analysis, there were many applications of Tianshu(ST25), Shangjuxu(ST37) and Dachangshu(BL25). Stomach meridian of foot-yangming was the most widely used, followed by the bladder meridian of foottaiyang. Acupoints were mainly distributed in the chest and abdomen. Front-mu points were most frequently used in specific points. In the aspect of acupoint selection and compatibility, Tianshu(ST25)-Shangjuxu(ST37), Tianshu(ST25)-Dachangshu(BL25) match were adopted most. Conclusion Summarizing the compatibility law of acupoints in the treatment of constipation, and taking Tianshu(ST25), Dachangshu(BL25), Shangjuxu(ST37), Zusanli(ST36) and Zhigou(TE6) as the main acupoints according to the law in clinical practice can promote the synergistic effect of acupoints and the practical effect and promote the application development of acupuncture.
Objective By searching the literature on acupuncture treatment of constipation from 2013 to 2017, to analyze the characteristics and rules of clinical acupoints compatibility and provide data basis and theoretical support for modern clinical acupoints diagnosis and treatment of constipation with acupuncture. Methods The literature on acupuncture treatment of constipation in the last five years was searched. There were 69 effective literatures. Results Through data analysis, there were many applications of Tianshu(ST25), Shangjuxu(ST37) and Dachangshu(BL25). Stomach meridian of foot-yangming was the most widely used, followed by the bladder meridian of foottaiyang. Acupoints were mainly distributed in the chest and abdomen. Front-mu points were most frequently used in specific points. In the aspect of acupoint selection and compatibility, Tianshu(ST25)-Shangjuxu(ST37), Tianshu(ST25)-Dachangshu(BL25) match were adopted most. Conclusion Summarizing the compatibility law of acupoints in the treatment of constipation, and taking Tianshu(ST25), Dachangshu(BL25), Shangjuxu(ST37), Zusanli(ST36) and Zhigou(TE6) as the main acupoints according to the law in clinical practice can promote the synergistic effect of acupoints and the practical effect and promote the application development of acupuncture.
引文
[1]LEUNGL,RIUTTAT,KOTECHAJ,etal.Chronic constipation:an evidence-based review[J]. JABFM, 2010,24(4):436-451.
[2]张冲,万军,付跃馨.功能性便秘中西医临床分析[J].当代临床医刊, 2017, 30(3):3180, 3167.
[3] American College of Gastroenterology Chronic Constipation Task Force. An evidence-based approach to the management of chronic constipation in north america[J]. Am J Gastroenterol, 2005, 100(Suppl):S1-S4.
[4]TACK J, MULLER-LISSNER S.Treatment of chronic constipation:current pharmacologic approaches and future directions[J].Clin Gastroenterol Hepatol, 2009, 7(5):502-508.
[5]叶飞,王巧民.慢性便秘的流行病学研究进展[J].中国临床保健杂志, 2010, 13(6):665-667.
[6]张赛,贾思涵,郑斌,等.针刺治疗肠易激综合征随机对照研究[J].中国中医基础医学杂志, 2016, 22(3):404-406, 425.
[7]彭唯娜,王琳,刘志顺,等.个体化深刺天枢穴治疗结肠慢传输型便秘随访疗效及安全性分析:多中心随机对照研究[J].中国针灸, 2013, 33(10):865-869.
[8]张昶,刘赵丽,周鹰,等.电针手足阳明经穴治疗慢传输型功能性便秘的临床疗效评价[J].中国中医基础医学杂志,2013, 19(6):684-686.
[9]周欣.背俞穴针刺治疗习惯性便秘46例效果观察[J].内蒙古中医药, 2014, 33(36):49-50.
[10]刘军城.针刺背俞穴联合补元润通汤治疗老年性便秘随机平行对照研究[J].实用中医内科杂志, 2015, 29(11):143-145.
[11]郑华斌,陈媛.针刺大肠合募配穴对功能性便秘影响随机对照研究[J].辽宁中医药大学学报, 2015, 17(8):92-94.
[12]连松勇,张正,林月怡,等.针刺俞募配穴治疗功能性便秘疗效观察[J].广州中医药大学学报, 2014, 31(3):394-397.
[13]王斌,袁海光,王卫刚,等.针刺上巨虚、曲池治疗功能性便秘的疗效观察[J].中医药信息, 2016, 33(5):71-72.
[14]齐琳婧,苏同生,刘志顺,等.针刺曲池上巨虚治疗功能性肠病临床观察[J].陕西中医, 2014, 35(2):224-225.
[15]任晓明,董晓勤,王翀,等.俞穴、募穴相配通腑导滞法针刺治疗便秘临床疗效观察[J].中华中医药学刊, 2016,34(2):356-358.
[2]张冲,万军,付跃馨.功能性便秘中西医临床分析[J].当代临床医刊, 2017, 30(3):3180, 3167.
[3] American College of Gastroenterology Chronic Constipation Task Force. An evidence-based approach to the management of chronic constipation in north america[J]. Am J Gastroenterol, 2005, 100(Suppl):S1-S4.
[4]TACK J, MULLER-LISSNER S.Treatment of chronic constipation:current pharmacologic approaches and future directions[J].Clin Gastroenterol Hepatol, 2009, 7(5):502-508.
[5]叶飞,王巧民.慢性便秘的流行病学研究进展[J].中国临床保健杂志, 2010, 13(6):665-667.
[6]张赛,贾思涵,郑斌,等.针刺治疗肠易激综合征随机对照研究[J].中国中医基础医学杂志, 2016, 22(3):404-406, 425.
[7]彭唯娜,王琳,刘志顺,等.个体化深刺天枢穴治疗结肠慢传输型便秘随访疗效及安全性分析:多中心随机对照研究[J].中国针灸, 2013, 33(10):865-869.
[8]张昶,刘赵丽,周鹰,等.电针手足阳明经穴治疗慢传输型功能性便秘的临床疗效评价[J].中国中医基础医学杂志,2013, 19(6):684-686.
[9]周欣.背俞穴针刺治疗习惯性便秘46例效果观察[J].内蒙古中医药, 2014, 33(36):49-50.
[10]刘军城.针刺背俞穴联合补元润通汤治疗老年性便秘随机平行对照研究[J].实用中医内科杂志, 2015, 29(11):143-145.
[11]郑华斌,陈媛.针刺大肠合募配穴对功能性便秘影响随机对照研究[J].辽宁中医药大学学报, 2015, 17(8):92-94.
[12]连松勇,张正,林月怡,等.针刺俞募配穴治疗功能性便秘疗效观察[J].广州中医药大学学报, 2014, 31(3):394-397.
[13]王斌,袁海光,王卫刚,等.针刺上巨虚、曲池治疗功能性便秘的疗效观察[J].中医药信息, 2016, 33(5):71-72.
[14]齐琳婧,苏同生,刘志顺,等.针刺曲池上巨虚治疗功能性肠病临床观察[J].陕西中医, 2014, 35(2):224-225.
[15]任晓明,董晓勤,王翀,等.俞穴、募穴相配通腑导滞法针刺治疗便秘临床疗效观察[J].中华中医药学刊, 2016,34(2):356-358.