针灸临床杂志
針灸臨床雜誌
침구림상잡지
JOURNAL OF CLINICAL ACUPUNCTURE AND MOXIBUSTION
2015年
4期
72-76
,共5页
张洁%赵凌%冷俊艳%张玲霖%李德华%梁繁荣
張潔%趙凌%冷俊豔%張玲霖%李德華%樑繁榮
장길%조릉%랭준염%장령림%리덕화%량번영
心绞痛%穴位敷贴%治疗特点%文献研究
心絞痛%穴位敷貼%治療特點%文獻研究
심교통%혈위부첩%치료특점%문헌연구
Angina pectoris%Acupoint application%Characteristics of treatment%Literature study
目的：探讨穴位敷贴治疗心绞痛的治疗特点。方法：电子检索中国知网、中文科技期刊全文数据库、中国生物医学光盘数据库、万方数据库及PUBMED中穴位敷贴治疗心绞痛的文献，采用文献计量学方法分析总结穴位敷贴治疗该病的辨证特点、选穴特点、用药规律、治疗频次、疗程及疗效等。结果：共纳入64篇文献，其中49篇采用辨病选穴；使用频次＞5的腧穴有9个，其中最高为心俞与膻中，其次为内关；常用穴对组合为内关、膻中、心俞。使用频次＞5的中药有22味，使用频次较高的有川芎、冰片、细辛、丹参；中药贴剂常选用活血化瘀药及芳香开窍药。治疗频次多为每日1次，14次～15次为一疗程，一般为1个疗程且无疗程间隔。近期疗效较好，副作用主要为局部皮肤红痒。结论：临床上穴位敷贴治疗心绞痛以辨病选穴为主，俞募穴为常用穴位及常用穴对；中药以活血化瘀药（川芎、丹参）及芳香开窍药（冰片）为主。此外，穴位敷贴治疗心绞痛近期疗效较好，且无明显毒副作用，值得临床推广，但其远期疗效有待进一步临床研究证实。
目的：探討穴位敷貼治療心絞痛的治療特點。方法：電子檢索中國知網、中文科技期刊全文數據庫、中國生物醫學光盤數據庫、萬方數據庫及PUBMED中穴位敷貼治療心絞痛的文獻，採用文獻計量學方法分析總結穴位敷貼治療該病的辨證特點、選穴特點、用藥規律、治療頻次、療程及療效等。結果：共納入64篇文獻，其中49篇採用辨病選穴；使用頻次＞5的腧穴有9箇，其中最高為心俞與膻中，其次為內關；常用穴對組閤為內關、膻中、心俞。使用頻次＞5的中藥有22味，使用頻次較高的有川芎、冰片、細辛、丹參；中藥貼劑常選用活血化瘀藥及芳香開纖藥。治療頻次多為每日1次，14次～15次為一療程，一般為1箇療程且無療程間隔。近期療效較好，副作用主要為跼部皮膚紅癢。結論：臨床上穴位敷貼治療心絞痛以辨病選穴為主，俞募穴為常用穴位及常用穴對；中藥以活血化瘀藥（川芎、丹參）及芳香開纖藥（冰片）為主。此外，穴位敷貼治療心絞痛近期療效較好，且無明顯毒副作用，值得臨床推廣，但其遠期療效有待進一步臨床研究證實。
목적：탐토혈위부첩치료심교통적치료특점。방법：전자검색중국지망、중문과기기간전문수거고、중국생물의학광반수거고、만방수거고급PUBMED중혈위부첩치료심교통적문헌，채용문헌계량학방법분석총결혈위부첩치료해병적변증특점、선혈특점、용약규률、치료빈차、료정급료효등。결과：공납입64편문헌，기중49편채용변병선혈；사용빈차＞5적수혈유9개，기중최고위심유여단중，기차위내관；상용혈대조합위내관、단중、심유。사용빈차＞5적중약유22미，사용빈차교고적유천궁、빙편、세신、단삼；중약첩제상선용활혈화어약급방향개규약。치료빈차다위매일1차，14차～15차위일료정，일반위1개료정차무료정간격。근기료효교호，부작용주요위국부피부홍양。결론：림상상혈위부첩치료심교통이변병선혈위주，유모혈위상용혈위급상용혈대；중약이활혈화어약（천궁、단삼）급방향개규약（빙편）위주。차외，혈위부첩치료심교통근기료효교호，차무명현독부작용，치득림상추엄，단기원기료효유대진일보림상연구증실。
Objective:To explore the characteristics of the treatment of acupoint application for angina pectoris. Methods:Search the literatures related to angina pectoris treated by acupoint application in CNKI, VIP, CBM, PUBMED,and then summarize the clinical characteristics of syndrome differentiation, acupuncture points selec-tion method, Chinese medicine rules, acupuncture frequency, course of treatment and treatment effect on angi-na pectoris by acupoint application.Results:In the collected 64 articles, 49 articles selected the points by dif-ferentiation of disease;there were 9 points with the frequency of usage above 5 times,and the highest frequen-cies were Xinyu and Danzhong, and the secondary was Neiguan; combined points often used were Neiguan, Danzhong and Xinyu.There were 22 herbs with the frequency of usage above 5 times,and Chuanxiong, Bingpi-an, Xixin, Danshen had the higher frequency of use;medicines for invigorating blood circulation and elimina-ting stasis and medicines for inducing resuscitation were in common use.In clinical practice for treating angina pectoris by acupoint application, once a day, fourteen or fifteen times as one treatment course without interval days was regular and was widely used.The short-term effect was well and the side effect was mostly itchy skin.Conclusion:For treating angina pectoris by acupoint application, acupuncture points selection by disease differentiation is the common method.The Shu-acupoints and Mu-acupoints are commonly used acupoints and combinations.Medicines for invigorating blood circulation and eliminating stasis and medicines for inducing resuscitation are also in common use.In addition, the acupoint application for treating angina pectoris is worthy of recommending its clinical use because of good short-term effects and no evident toxic effects, but its long-term follow-up result requires the further clinical studies to authenticate it.
