摘要
目的:探析和总结温针灸治疗疾病的优势病种(证型)、选穴规律,为其在临床的使用提供参考及依据。方法:搜集近5年来温针灸治疗疾病的临床相关文献,对其治疗疾病的病种(证型)、经脉及腧穴的使用频次进行归纳整理。结果:八大系统疾病中,运动系统疾病种类最多(16次),其次为泌尿生殖系统疾病(15次),疾病以膝骨关节炎出现频次最高(48次),其次为痛经(17次);证型中,虚寒证出现频次最高(32次),其次为寒湿证(27次);经脉主要选取足阳明胃经与足太阳膀胱经;选穴主要选取局部腧穴以及腰腹四肢等肌肉丰厚处的腧穴。结论:温针灸在临床应用广泛,其治疗以运动系统疾病为主,膝骨关节炎最多见;实证、虚证均可应用,证型以虚寒证为主;经脉多取足阳明胃经与足太阳膀胱经穴;取穴遵循局部选穴以及取腰腹四肢等肌肉丰厚处腧穴的规律。
Objective: By analyzing and summing up the dominant diseases(syndromes) and the law of acupoint selection in the treatment of diseases with warm acupuncture and moxibustion, this paper provides a reference and basis for its clinical use. Methods: We collected the clinical literature about warming acupuncture and moxibustion treatment in recent five years, and sum up and sort out the diseases(syndromes), meridians and acupoints use frequency. Results: Among the eight major systemic diseases, motor system diseases(16 times),genitourinary diseases(15 times), knee osteoarthritis(48 times) and dysmenorrhea(17 times) were the most frequent diseases. In the syndromes, deficiency cold syndrome had the highest frequency(32 times), followed by cold and dampness syndrome(27 times). The meridians were mainly selected as foot Yangming stomach Meridian and foot Sun bladder Meridian. Conclusion: Warming acupuncture and moxibustion is widely used in clinic, and the main treatment is motor system disease;The knee osteoarthritis is the most common;It is applicable for excess syndrome as well as deficiency syndrome. the syndrome type is deficiency cold syndrome;the meridian takes the foot Yangming stomach meridian and the foot Taiyang bladder meridian. The acupoints follow the law of local selection of acupoints and the selection of muscular points such as waist, abdomen, limbs and so on.
作者
董明雪
管素梅
杨佃会
DONG Ming-xue;GUAN Su-mei;YANG Dian-hui(Shandong University of Traditional Chinese Medicine,Ji'nan Shandong 250014,China;Affiliated Hospital of Shandong University of TCM,Ji'nan Shandong 250011,China;SHAN Qiu-hua's Inheritance Studio of the National TCM Experts,Ji'nan Shandong 250011,China)
出处
《中医药导报》
2019年第23期44-47,60,共5页
Guiding Journal of Traditional Chinese Medicine and Pharmacy
基金
国家临床重点专科建设项目经费资助项目（2013）：国中医药人教发（2011)41号
关键词
温针灸
适宜病证
选穴规律
warming acupuncture and moxibustion
applicable dieases and syndromes
the acupoint selection rules
