针刺减肥经络腧穴运用规律文献分析  

Literature Analysis of Meridians and Acupoints Law on Acupuncture for Obesity

作　　者：陆颖 李青 李洁 

机构地区：[1]上海市气功研究所,上海市宛平南路650号200030

出　　处：《中医杂志》2012年第21期1856-1859,共4页Journal of Traditional Chinese Medicine

基　　金：上海市重点学科建设项目资助

摘　　要：目的通过文献分析探讨国内临床针刺减肥的经络腧穴运用规律。方法计算机检索中国生物医学文献数据库、中国期刊全文数据库、中文科技期刊全文数据库、万方数据资源系统及手工检索部分杂志中的针刺减肥临床研究文献,检索截止日期为2010年7月。设计数据提取表,提取文献中主穴的经络、腧穴、部位、特定穴应用情况,配穴的腧穴应用情况和辨证取穴情况。结果共纳入文献80篇。主穴经络中应用频次前3位为足阳明胃经、任脉、足太阴脾经;主穴体穴应用频次前3位为天枢、足三里、中脘,耳穴应用频次前3位为内分泌、脾、胃;主穴主要分布在腹部和下肢;主穴重视特定穴的应用,交会穴运用最多;配穴的高频体穴为足三里、脾俞、三阴交,目前临床常见证型为胃热湿阻型和脾虚湿阻型,高频配穴分别为曲池、内庭和阴陵泉、脾俞。结论针刺减肥的取穴规律遵循局部取穴和远端取穴相结合的原则,重用特定穴。选穴特点体现"腧穴所在,主治所及"、"经络所通,主治所及"的治疗规律。Objective To study the law of meridians and acupoints application in acupuncture treatment for obesity according to literature analysis. Methods The clinical research literature on acupuncture for obesity till July 2010 were researched and collected in Chinese Biomedical Literature Database, Chinese Journal Full-Text Database, Chinese Science and Technology Peri odical Database and Wanfang Database. The data extraction form was designed. The meridians, acupoints, specific points and locations of the main acupoints, application of the combined acupoints and acupoint selection by syndrome identification were analyzed. Results Eighty articles were included. The top three meridians of the main acupoints were stomach meridian, Ren meridian and spleen meridian. Tianshu （ST25）, Zusanli （ST36） and Zhongwan （RN12） were most frequently used in the main body acupoints. The top three ear points used were endocrine （CO18）, spleen （CO13） and stomach （CO4）. The main acupoints were mainly distributed in the abdomen and lower extremities. Specific points were selected considerably, especially crossing points. The mostly used combined points were Zusanli （ST36）, Pishu （BL20） and Sanyinjiao （SP6）. Stomach heat and damp obstruction syndrome and spleen deficiency damp obstruction syndrome were common in clinic. The mostly used combined points were Quchi （Llll）, Neiting （ST44）, Yinlingquan （SP9） and Pishu （BL20） according to syndrome identification. Conclusion The combined selection of local and distant points especially specific points are mostly used in acupuncture for obesity. The selection reflects the treatment law that the location of acupoints and the passage of meridians are involved the indications.

关 键 词：超重和肥胖 针刺疗法 经络 腧穴 文献分析 

分 类 号：R246[医药卫生—针灸推拿学]