针刺治疗干眼症选穴规律探讨
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摘要
总结近10年针刺治疗干眼症的选穴规律,为临床治疗该病提供参考。收集中国期刊全文数据库(CNKI)、万方、维普数据库2007年5月5日至2017年12月1日针刺治疗干眼症的临床文献并进行筛选、整理,再对腧穴归经、应用频次进行统计分析,总结选穴规律。共有相关临床文献52篇,共涉及60个穴位,14条经脉,5个经外奇穴。穴位使用总频次共计541次,分别与膀胱经、胃经、胆经等经脉密切相关。针刺治疗干眼症选穴注重经络循行、强调配穴方法、凸显辨证论治。
The rules of acupoint selection of acupuncture for dry eye in recent 10 years were summarized to provide reference for clinical treatment. The clinical researches regarding acupuncture for dry eye published from May 5, 2007 to December 1, 2017 were searched in CNKI, WANFANG and VIP database. The acupoint and meridian used and application frequency were analyzed to summarize the rules of acupoint selection. Totally, 52 related clinical papers were collected, involving 60 acupoints, 14 meridians and 5 extra point. The total frequency of acupoints was 541, which were mainly related with the bladder meridian, stomach meridian and gallbladder meridian. In conclusion, the rules of acupoint selection of acupuncture for dry eye highlighted meridians circulation, acupoint combination, and syndrome differentiation.
The rules of acupoint selection of acupuncture for dry eye in recent 10 years were summarized to provide reference for clinical treatment. The clinical researches regarding acupuncture for dry eye published from May 5, 2007 to December 1, 2017 were searched in CNKI, WANFANG and VIP database. The acupoint and meridian used and application frequency were analyzed to summarize the rules of acupoint selection. Totally, 52 related clinical papers were collected, involving 60 acupoints, 14 meridians and 5 extra point. The total frequency of acupoints was 541, which were mainly related with the bladder meridian, stomach meridian and gallbladder meridian. In conclusion, the rules of acupoint selection of acupuncture for dry eye highlighted meridians circulation, acupoint combination, and syndrome differentiation.
引文
[1]马骎,宁晓玲,侯康.眼科门诊40岁以下人群干眼症的危险因素分析[J].国际眼科杂志,2017,17(1):157-160.
[2]刘祖国.干眼的治疗[J].中华眼科杂志,2006,42(1):71-74.
[3]中华医学会眼科学分会角膜病学组.干眼临床诊疗专家共识(2013年)[J].中华眼科杂志,2013,49(1):73-75.
[4]Malik,Matejtschuk P,Thelwell C,et al.Differential scanning fluorimetry:rapid screening of formulations that promote the stability of reference preparations[J].J Pharm Biomed Anal,2013,15:163-166.doi:10.1016/j.jpba.2013.01.006.
[5]丛晨阳,毕宏生,温莹.干眼症发病机制和治疗方法的研究进展[J].国际眼科杂志,2012,12(3):464-467.
[6]李金全.针灸治疗干眼症临床研究进展[J].湖南中医杂志,2017,33(4):182-184.
[7]薛研,赵耀东,元永金,等.近五年针灸治疗干眼症临床研究进展[J].亚太传统医药,2017,13(3):59-61.
[8]刘清国,胡玲.经络腧穴学[M].北京:中国中医药出版社,2012:49-205.
[9]刘新泉,朱华英,阮雯洁.针刺配合中药雾化治疗干眼症疗效观察[J].上海针灸杂志,2012,31(7):515-516.
[10]陈涛,陶红霞,郑强霞.针灸治疗水液缺乏性干眼症医案分析[J].中国中医药现代远程教育,2017,15(9):107-108.
[11]姚鹏,杨惠婷,帅天姣.针刺联合中药凉雾熏眼治疗中重度干眼症疗效观察[J].上海针灸杂志,2015,34(12):1192-1194.
[12]曹颖,薛明新,高卫萍.针灸治疗干眼症[J].长春中医药大学学报,2015,31(1):161-164.
[13]Gong L,Sun X.Treatment of intractable dry eyes:tear secretion increase and morphological changes of the lacrimal gland of rabbit after acupuncture[J].Acupunct Electrother Res,2007,32(3-4):223-233.
[14]沈瑜,冯鑫鑫,陈雷.针刺配合中药离子导入治疗干眼症疗效观察[J].上海针灸杂志,2017,36(3):319-322.
[15]宋阳光.针刺治疗干眼症疗效观察[J].医学理论与实践,2016,29(1):76-77.
[16]毛光兰.针灸联合人工泪液治疗对干眼症患者眼表功能的影响分析[J].眼科新进展,2015,35(6):582-584.
[17]牛晓江.针灸联合润目灵颗粒治疗角结膜干燥症[J].吉林中医药,2017,37(6):630-633.
[18]高卫萍,王健,张燕.针刺治疗缺泪性干眼症31例疗效观察[J].新中医,2007,39(6):41-42.
[19]祁玮,李军.针灸联合人工泪液治疗干眼症的疗程疗效观察[J].医学信息,2015,28(43):74.
[20]温勇,伍小涌,秦智勇.经络脏腑辨证针灸治疗围绝经期干眼症的疗效评价[J].广西医学,2016,38(8):1149-1151.
[21]陈建飞.针灸、人工泪液联合治疗干眼症效果观察[J].实用中西医结合临床,2017,17(4):48-49.
[22]赵耀东,薛研,马雪娇,等.郑氏针法治疗干眼症临床路径中针法理论分析[J].中医研究,2017,30(6):66-67.
[23]周鹏鹏,黄学东,周渊.针药合治对干眼症反射性泪液分泌的影响[J].江苏中医药,2012,44(3):52-53.
[24]赵美玲,周旋,李琳,等.针刺配合艾灸治疗干眼症26例临床疗效观察[J].实用中西医结合临床,2016,16(11):73-77.
[25]李金颖,刁慧杰,孙萌.针刺治疗干眼症34例[J].上海针灸杂志,2009,28(10):596.
[26]梅玲飞.针刺治疗干眼症临床观察[J].四川中医,2016,34(8):165-167.
[27]彭清华.中医眼科学[M].北京:中国中医药出版社,2014:129.
[28]张慧西,薛凯,仝警安.中医辨证治疗不同证型干眼症80例[J].陕西中医药大学学报,2016,39(5):76-78.
[29]王超,于颖梅.针刺光明、地五会穴治疗不同证型干眼疗效观察[J].上海针灸杂志,2017,36(8):964-967.
[30]石晶琳,缪晚虹.针刺对干眼症患者泪液中乳铁蛋白及泪液分泌影响的随机对照试验[J].中西医结合学报,2012,10(9):1003-1008.
[2]刘祖国.干眼的治疗[J].中华眼科杂志,2006,42(1):71-74.
[3]中华医学会眼科学分会角膜病学组.干眼临床诊疗专家共识(2013年)[J].中华眼科杂志,2013,49(1):73-75.
[4]Malik,Matejtschuk P,Thelwell C,et al.Differential scanning fluorimetry:rapid screening of formulations that promote the stability of reference preparations[J].J Pharm Biomed Anal,2013,15:163-166.doi:10.1016/j.jpba.2013.01.006.
[5]丛晨阳,毕宏生,温莹.干眼症发病机制和治疗方法的研究进展[J].国际眼科杂志,2012,12(3):464-467.
[6]李金全.针灸治疗干眼症临床研究进展[J].湖南中医杂志,2017,33(4):182-184.
[7]薛研,赵耀东,元永金,等.近五年针灸治疗干眼症临床研究进展[J].亚太传统医药,2017,13(3):59-61.
[8]刘清国,胡玲.经络腧穴学[M].北京:中国中医药出版社,2012:49-205.
[9]刘新泉,朱华英,阮雯洁.针刺配合中药雾化治疗干眼症疗效观察[J].上海针灸杂志,2012,31(7):515-516.
[10]陈涛,陶红霞,郑强霞.针灸治疗水液缺乏性干眼症医案分析[J].中国中医药现代远程教育,2017,15(9):107-108.
[11]姚鹏,杨惠婷,帅天姣.针刺联合中药凉雾熏眼治疗中重度干眼症疗效观察[J].上海针灸杂志,2015,34(12):1192-1194.
[12]曹颖,薛明新,高卫萍.针灸治疗干眼症[J].长春中医药大学学报,2015,31(1):161-164.
[13]Gong L,Sun X.Treatment of intractable dry eyes:tear secretion increase and morphological changes of the lacrimal gland of rabbit after acupuncture[J].Acupunct Electrother Res,2007,32(3-4):223-233.
[14]沈瑜,冯鑫鑫,陈雷.针刺配合中药离子导入治疗干眼症疗效观察[J].上海针灸杂志,2017,36(3):319-322.
[15]宋阳光.针刺治疗干眼症疗效观察[J].医学理论与实践,2016,29(1):76-77.
[16]毛光兰.针灸联合人工泪液治疗对干眼症患者眼表功能的影响分析[J].眼科新进展,2015,35(6):582-584.
[17]牛晓江.针灸联合润目灵颗粒治疗角结膜干燥症[J].吉林中医药,2017,37(6):630-633.
[18]高卫萍,王健,张燕.针刺治疗缺泪性干眼症31例疗效观察[J].新中医,2007,39(6):41-42.
[19]祁玮,李军.针灸联合人工泪液治疗干眼症的疗程疗效观察[J].医学信息,2015,28(43):74.
[20]温勇,伍小涌,秦智勇.经络脏腑辨证针灸治疗围绝经期干眼症的疗效评价[J].广西医学,2016,38(8):1149-1151.
[21]陈建飞.针灸、人工泪液联合治疗干眼症效果观察[J].实用中西医结合临床,2017,17(4):48-49.
[22]赵耀东,薛研,马雪娇,等.郑氏针法治疗干眼症临床路径中针法理论分析[J].中医研究,2017,30(6):66-67.
[23]周鹏鹏,黄学东,周渊.针药合治对干眼症反射性泪液分泌的影响[J].江苏中医药,2012,44(3):52-53.
[24]赵美玲,周旋,李琳,等.针刺配合艾灸治疗干眼症26例临床疗效观察[J].实用中西医结合临床,2016,16(11):73-77.
[25]李金颖,刁慧杰,孙萌.针刺治疗干眼症34例[J].上海针灸杂志,2009,28(10):596.
[26]梅玲飞.针刺治疗干眼症临床观察[J].四川中医,2016,34(8):165-167.
[27]彭清华.中医眼科学[M].北京:中国中医药出版社,2014:129.
[28]张慧西,薛凯,仝警安.中医辨证治疗不同证型干眼症80例[J].陕西中医药大学学报,2016,39(5):76-78.
[29]王超,于颖梅.针刺光明、地五会穴治疗不同证型干眼疗效观察[J].上海针灸杂志,2017,36(8):964-967.
[30]石晶琳,缪晚虹.针刺对干眼症患者泪液中乳铁蛋白及泪液分泌影响的随机对照试验[J].中西医结合学报,2012,10(9):1003-1008.