摘要
查阅中国知网、维普中文期刊数据库和万方数据库中相关资料,对近10年来以针灸为主治疗短暂性脑缺血发作的文献进行分析和评论。结果表明,针灸治疗该病以体针为主,头针为辅;特色针法中,"醒脑开窍"和"通督调神"两类复合针刺手法报道较多,二者分别主取阴经、阳经穴位,在辨证取穴方面较具代表性;局部经穴运用较多,尤以百会、三阴交使用频率较高,分别体现近治调神、远治活血的治疗大法,对奇穴、五输穴、背俞穴等特定穴研究较少,耳穴治疗未见报导;治法以毫针针刺为主,艾灸、三棱针、电针、舌针有零星报道;单元诊疗方面以针药结合为主,除常规用药外,主要应用活血化瘀、滋补肝肾系列中药制剂,并采纳多种理化检查以客观评价疗效,但近年来针对该病的多项横断面调查所论述的脾虚湿盛、痰浊内蕴等证型,以及中医证候与理化指标之间内在联系等成果,尚未体现在临床研究中;关于针灸对该病疗效机理的报道较少,有基础、临床研究脱节现象。通过文献综述,可知针灸治疗该病疗效肯定,但针灸界整体上仍未对其与脑梗塞同等重视,建议今后及时关注前沿领域研究进展,归纳总结针灸对该病有别于西医和中医内治法的辨治体系和优势证型,并紧密结合健康教育、心理疏导等干预措施,以期在降低脑梗塞发病率方面发挥专长。
By consulting the relevant data of China National Knowledge Information(CNKI),VIP Database of Chinese Journals and Wanfang Database,the clinical research of acupuncture and moxibustion in the treatment of transient ischemic attack(TIA)in recent 10 years was analyzed and commented.The results showed that acupuncture treatment of TIA is mainly body acupuncture,supplemented by scalp acupuncture.There are many reports on the two types of combined acupuncture techniques:“Xingnao Kaiqiao”and“Tongdu Tiaoshen”.The main acupoints of the two are taken from Yin Meridian and Yang Meridian respectively,and they are more representative in acupoints based on syndrome differentiation.There are more uses of local acupoints,especially the use of Baihui(GV20)and Sanyinjiao(SP6),which reflect the nearby action of regulating spirit and distal curative of blood-activating.There are few studies on treatment of TIA in Extra points,Wushu Acupoint,and Back-shu points,and there are no reports on the treatment of Auricular points.The method of treatment is mainly needle acupuncture,and there are sporadic reports on moxibustion,three-edged needles,electric needles,and tongue needles.In the unit diagnosis and treatment,the combination of acupuncture and medicine is the main method.In addition to conventional medicine,the main use of traditional Chinese medicine preparations such as blood circulation and blood stasis,nourishing liver and kidney series,and adopting various physical and chemical examinations to objectively evaluate the efficacy.However,in recent years,the results of various cross-sectional surveys on TIA,such as spleen deficiency and humidity,phlegm and turbidity,and the intrinsic relationship between TCM symptoms and physical and chemical indicators,have not yet been reflected in clinical studies.There are few reports on the therapeutic mechanism of acupuncture on TIA,and there is a disconnect between basic and clinical studies.Through literature review,it can be seen that acupuncture had a definite therapeutic effect on TIA,however acupuncture world still does not attach the same importance to it as cerebral infarction.In the future,it is recommended to pay attention to the progress of research in the frontier field,sum up the dominant syndrome of acupuncture that is different from Western medicine and internal treatment of TCM,and closely combine health education,psychological counseling and other interventions in order to reduce the incidence of cerebral infarction.
作者
刘彬
王啸
刘道矩
LIU Bin;WANG Xiao;LIU Daoju(Tianjin Occupational Diseases Precaution and Therapeutic Hospital,Tianjin 300011,China)
出处
《中医药临床杂志》
2019年第10期1801-1807,共7页
Clinical Journal of Traditional Chinese Medicine
基金
天津市名老中医传承工作室中华传统经络疗法建设项目(津卫中[2012]180号)
关键词
短暂性脑缺血发作
针灸疗法
综述文献
Transient Ischemic Attack
Acupuncture and moxibustion therapy
Review literature
