针灸临床杂志
針灸臨床雜誌
침구림상잡지
JOURNAL OF CLINICAL ACUPUNCTURE AND MOXIBUSTION
2015年
6期
39-42
,共4页
单纯性肥胖%针刺%穴位埋线%选穴规律
單純性肥胖%針刺%穴位埋線%選穴規律
단순성비반%침자%혈위매선%선혈규률
Simple obesity%Acupuncture%Catgut implantation%Acupoint-selection rules
目的：比较分析针刺及穴位埋线治疗单纯性肥胖的临床用穴规律。方法：电子检索2005年～2015年近10年万方、维普、CNKI三大中文数据库中针刺、穴位埋线为主治疗单纯性肥胖的文献，比较分析两者的临床用穴规律。结果：共纳入149篇相关文献，其中针刺为主（针刺加穴位埋线除外）治疗单纯性肥胖的相关文献86篇，穴位埋线为主（针刺加穴位埋线除外）治疗单纯性肥胖的相关文献63篇。其中天枢、中脘、足三里、大横、关元、气海、丰隆、三阴交等为针刺治疗肥胖病使用频次较高的主穴，天枢、中脘、丰隆、大横、足三里、关元、气海、带脉等为埋线治疗肥胖病使用频次较高的主穴。结论：针刺与穴位埋线治疗单纯性肥胖症选穴基本相同，临床上均多采用辨病加辨证的方式选穴，主穴多选取脾经、胃经、任脉上的穴位，腹部、下肢部选穴较多，募穴、合穴为使用频次最多的特定穴，配穴常需辨证分型，考虑选取相应受损脏腑所在经脉的五输穴、背俞穴及其相表里经脉的五输穴、下合穴，且无论主穴还是配穴，埋线背俞穴选取相对较多。
目的：比較分析針刺及穴位埋線治療單純性肥胖的臨床用穴規律。方法：電子檢索2005年～2015年近10年萬方、維普、CNKI三大中文數據庫中針刺、穴位埋線為主治療單純性肥胖的文獻，比較分析兩者的臨床用穴規律。結果：共納入149篇相關文獻，其中針刺為主（針刺加穴位埋線除外）治療單純性肥胖的相關文獻86篇，穴位埋線為主（針刺加穴位埋線除外）治療單純性肥胖的相關文獻63篇。其中天樞、中脘、足三裏、大橫、關元、氣海、豐隆、三陰交等為針刺治療肥胖病使用頻次較高的主穴，天樞、中脘、豐隆、大橫、足三裏、關元、氣海、帶脈等為埋線治療肥胖病使用頻次較高的主穴。結論：針刺與穴位埋線治療單純性肥胖癥選穴基本相同，臨床上均多採用辨病加辨證的方式選穴，主穴多選取脾經、胃經、任脈上的穴位，腹部、下肢部選穴較多，募穴、閤穴為使用頻次最多的特定穴，配穴常需辨證分型，攷慮選取相應受損髒腑所在經脈的五輸穴、揹俞穴及其相錶裏經脈的五輸穴、下閤穴，且無論主穴還是配穴，埋線揹俞穴選取相對較多。
목적：비교분석침자급혈위매선치료단순성비반적림상용혈규률。방법：전자검색2005년～2015년근10년만방、유보、CNKI삼대중문수거고중침자、혈위매선위주치료단순성비반적문헌，비교분석량자적림상용혈규률。결과：공납입149편상관문헌，기중침자위주（침자가혈위매선제외）치료단순성비반적상관문헌86편，혈위매선위주（침자가혈위매선제외）치료단순성비반적상관문헌63편。기중천추、중완、족삼리、대횡、관원、기해、봉륭、삼음교등위침자치료비반병사용빈차교고적주혈，천추、중완、봉륭、대횡、족삼리、관원、기해、대맥등위매선치료비반병사용빈차교고적주혈。결론：침자여혈위매선치료단순성비반증선혈기본상동，림상상균다채용변병가변증적방식선혈，주혈다선취비경、위경、임맥상적혈위，복부、하지부선혈교다，모혈、합혈위사용빈차최다적특정혈，배혈상수변증분형，고필선취상응수손장부소재경맥적오수혈、배유혈급기상표리경맥적오수혈、하합혈，차무론주혈환시배혈，매선배유혈선취상대교다。
Objective:To compare and analyze the acupoint-selection rules of acupuncture and catgut implan-tation for simple obesity.Methods:Clinical research literatures about acupuncture and catgut implantation thera-py for simple obesity from 2005 to 2015 were retrieved and collected through three major Chinese databases of Wangfang databases,VIP databases and CNKI to compare the clinical acupoint-selection rules between the two therapies.Results:In total,149 related articles were selected,including 86 articles about acupuncture ( except acupuncture combined with catgut implantation ) treatment for simple obesity and 63 articles about catgut im-plantation at acupoint treatment ( except acupuncture combined with catgut implantation) .The top points of fre-quencies of acupuncture therapy were, by turns, Tianshu, Zhongwan, Zusanli, Daheng, Guanyuan, Qihai, Fen-glong,Sanyinjiao and so on, while the top points of catgut embedding therapy were correspondingly Tianshu, Zhongwan,Fenglong,Daheng,Zusanli,Guanyuan,Qihai and Daimai and so on.Conclusion:Acupoint-selection rules of both are basically the same.In clinical practice, acupoints are commonly selected by syndrome differen-tiation and disease differentiation.Main points are chosen mainly on the abdomen and the lower limbs of spleen, stomach and conception vessel.Specific points used most are often the Mu points and the He points.Matching point selection is determined by the syndrome differentiation,in which the Wushu points and Beishu points of the meridian of the corresponding damaged Zangfu ,or the Wushu points and the Xiahe points of the exterior-interior related channels are often used at the same time.Besides, the Beishu points are used more in catgut im-plantation than acupuncture no matter as main points or matching points.
