CAJ | 학술논문

目的：探讨在临床文献中针灸治疗糖尿病的穴位使用特点及规律。方法运用现代计算机和数据挖掘技术，对1998年至2013年针灸治疗糖尿病的102篇临床文献进行整理、筛选、录入、统计分析，总结其中的穴位使用特点和规律。结果针灸治疗糖尿病穴位使用频次最多的是三阴交(68)；穴位配伍中使用频次最多的是2穴(脾俞，肾俞)、3穴(脾俞，肾俞，三阴交；以及胃脘下俞，脾俞，肾俞)、4穴(足三里，脾俞，肾俞，三阴交)、5穴(足三里，脾俞，肾俞，胃脘下俞，三阴交)；使用频次最多的经脉是足太阳膀胱经(260)；选穴集中在背部和下肢部。特定穴使用比例高达74.5%，以五腧穴、背俞穴使用最多。手针治疗比率为57.6%，明确配合饮食控制、运动调理等其他治疗的占64.4%。结论针灸治疗糖尿病以中焦调理为主，兼顾上焦、下焦。特定穴是选穴组方的主要部分。手针是主要治疗方法，同时重视生活方式调理。
목적：탐토재림상문헌중침구치료당뇨병적혈위사용특점급규률。방법운용현대계산궤화수거알굴기술，대1998년지2013년침구치료당뇨병적102편림상문헌진행정리、사선、록입、통계분석，총결기중적혈위사용특점화규률。결과침구치료당뇨병혈위사용빈차최다적시삼음교(68)；혈위배오중사용빈차최다적시2혈(비유，신유)、3혈(비유，신유，삼음교；이급위완하유，비유，신유)、4혈(족삼리，비유，신유，삼음교)、5혈(족삼리，비유，신유，위완하유，삼음교)；사용빈차최다적경맥시족태양방광경(260)；선혈집중재배부화하지부。특정혈사용비례고체74.5%，이오수혈、배유혈사용최다。수침치료비솔위57.6%，명학배합음식공제、운동조리등기타치료적점64.4%。결론침구치료당뇨병이중초조리위주，겸고상초、하초。특정혈시선혈조방적주요부분。수침시주요치료방법，동시중시생활방식조리。
ObjectiveTo explore the characteristics of and regularities in the application of points for acupuncture treatment of diabetes in clinical literature.MethodOne hundred and two pieces of clinical literature on acupuncture treatment for diabetes published from 1998 to 2013 were sorted out, sifted, entered and statistically analyzed using modern computer and data mining technology to summarize the characteristics of and regularities in the application of acupoints in the literature.ResultSanyinjiao was the most frequently used point for acupuncture treatment of diabetes (68). Two points[Pishu(BL20)and Shenshu(BL23)], three points[Pishu, Shenshu andSanyinjiao(SP6); Weiwanxiashu(Ex-B3), Pishu and Shenshu], four points[Zusanli(ST36),Pishu, Shenshu and Sanyinjiao]and five points[Zusanli, Pishu, Shenshu, Weiwanxiashu and Sanyinjiao]were the most frequently used point combinations. The most frequently used meridian was the Bladder Meridian of Foot-Taiyang (260). The selected points were distributed on the back and the lower limb. The proportion of used specific points reached 74.5%. Five Shu points and Back-Shu points were used most frequently. The proportion of using manual acupuncture was 57.6%. Treatments with the cooperation of Dietary control and exercise conditioning accounted for 64.4%.ConclusionAcupuncture treatment of diabetes is mainly based on regulating the middle Jiao, with the upper Jiao and the lower Jiao taken into account. Specific points are the main part of point combinations. Manual acupuncture is the main treatment and meanwhile, attention is paid to adjusting life style.