CAJ | 학술논문

影响经穴治疗脏腑疾病疗效的因素主要有穴位配伍、取穴时辰、刺激方法、针刺补泄、留针时间。基于此，配合子午流注，即经气运行旺盛时取穴，选用适当刺激方法，再根据“虚则补之，实则泻之”的原则，并掌握合适的留针时间，对针刺疗效影响很大。关于经穴治疗脏腑疾病的研究尚存在一些不足：如在机制研究中，关于脏腑开窍器官影响的报道较少；在临床研究中，有些文献报道中所纳入的病例过少，缺乏足够的说服力。对于同种脏腑疾病针灸治疗的诊疗标准不一，缺乏统一性，容易导致各说其词。对于影响经穴治疗脏腑疾病疗效的因素的研究，多集中在穴位配伍、取穴时辰、刺激方法、针刺补泻及留针时间方面，而对其作用原理、最优穴组、实施标准、疗效确定等方面还有待商榷，且对针刺得气与否对经穴治疗脏腑疾病疗效的影响研究报道比较少。
영향경혈치료장부질병료효적인소주요유혈위배오、취혈시신、자격방법、침자보설、류침시간。기우차，배합자오류주，즉경기운행왕성시취혈，선용괄당자격방법，재근거“허칙보지，실칙사지”적원칙，병장악합괄적류침시간，대침자료효영향흔대。관우경혈치료장부질병적연구상존재일사불족：여재궤제연구중，관우장부개규기관영향적보도교소；재림상연구중，유사문헌보도중소납입적병례과소，결핍족구적설복력。대우동충장부질병침구치료적진료표준불일，결핍통일성，용역도치각설기사。대우영향경혈치료장부질병료효적인소적연구，다집중재혈위배오、취혈시신、자격방법、침자보사급류침시간방면，이대기작용원리、최우혈조、실시표준、료효학정등방면환유대상각，차대침자득기여부대경혈치료장부질병료효적영향연구보도비교소。
The main factors influencing the meridian acupoints for viscera disease are compatibility,time,stimulation methods,acupunc-ture,needle retaining time.Based on this,combined with midnight-noon tidal flow,an appropriate stimulation method had a great influ-ence on curative effect of acupuncture.Research on acupuncture point treatment for visceral disease is still some deficiencies:such as in the study of mechanism,less report about the impact of viscera organs;in clinical studies,some literature reports include little case,lack of convincing.For same visceral diseases diagnosis and treatment have different standards,lack of uniformity.Factors affecting the me-ridian acupoints in treating viscera disease usually focus on acupoints compatibility,time,stimulation methods,acupuncture,needle re-taining time.But the action mechanism,optimization acupoints,implementation,and efficacy are still open to question.The influence of on acupuncture in treating meridian acupoints for viscera disease is less reported.