针灸治疗慢性非感染性腹泻诊疗特点的文献分析  

Literature analysis of diagnosis and treatment of acupuncture and moxibustion for chronic noninfectious diarrhea

作　　者：王伟明[1,2] 刘志顺[1] 

机构地区：[1]中国中医科学院广安门医院针灸科,北京100053 [2]北京中医药大学,北京100029

出　　处：《中华中医药杂志》2013年第3期821-825,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点基础研究计划(973计划)(No.2011CB505202)~~

摘　　要：目的:探讨针灸治疗慢性非感染性腹泻的诊疗特点。方法:电子检索中国知网(CNKI,1979年-2011年)、中文科技期刊全文数据库(VIP,1989年-2011年)、中国生物医学光盘数据库(CBM,1979年-2011年)、PUBMED(1966年-2011年)中针灸治疗慢性非感染性腹泻的文献,分析总结针灸治疗该病的辨证特点、选穴、配穴、针刺频次、疗程、疗效。结果:共纳入19篇文献中,其中治疗慢性非感染性腹泻辨病取穴占63.16%(12/19);出现频次较高的穴位有足三里(18/19,94.74%)、天枢(17/19,89.47%)、关元(10/19,52.63%)、中脘(9/19,47.37%)、脾俞(8/19,42.11%)等;配穴常用穴对为足三里和天枢,占57.89%(11/19)。针灸治疗频次每日1次占73.68%(14/19);10次1疗程占57.89%(11/19);针灸治疗2个疗程占52.63%(10/19);疗程间隔0天占36.84%(7/19)。随机对照文献显示针灸治疗慢性非感染性腹泻的有效率在90.00%以上(中医症状评价)。结论:针灸治疗慢性非感染性腹泻以辨病取穴为主,主穴有天枢、足三里、关元、中脘、脾俞等;配穴常用足三里配天枢;针灸每日1次,10次1个疗程,一般2个疗程且无需疗程间隔,在临床上多被采用。针灸治疗慢性非感染性腹泻近期改善症状较好。Objective： To explore the characteristic of diagnosis and treatment of acupuncture and moxibustion for chronic noninfectious diarrhea. Methods： we searched the literatures related to chronic noninfectious diarrhea treated by acupuncture and moxibustion in CNKI（1979-2011）, VIP（1989-2011）, CBM（1979-2011）, PUBMED（1966-2011）, then summarized the clinical characteristics of syndrome differentiation, acupuncture points selection method, acupuncture frequency, course of treatment and treatment effect in treating chronic noninfectious diarrhea by acupuncture and moxibustion. Results： In the collected 19 articles, the percentage of acupuncture points selection method by differentiation of disease was 63.16%（12/19）. The main acupuncture points chose in the 19 articles in the frequency order are Zusanli（ST-36. 18/19, 94.74%）, Tianshu（ST-25. 17/19, 89.47%）, Guanyuan（CV-4. 10/19, 52.63%）, Zhongwan（CV-12. 9/19, 47.37%）, Pishu（BL-20. 8/19, 42.11%）; the percentage of Zusanli（ST-36） and Tianshu（ST-25） used together was 57.89%（11/19）; the percentage of treating frequency of once a day was 73.68%（14/19）; 57.89%（11/19） cases were treated ten times a therapy course and 52.63%（10/19） accepted 2 therapy course; 36.84%（7/19） cases didn＇t have interval days between two treatment courses. Finally, The effective percentage proved by random control trials literatures can reach or exceed 90.00%. Conclusion： In treating chronic noninfectious diarrhea by acupuncture and moxibustion, acupuncture points selection by disease differentiation is the common method. The main acupuncture points applied in chronic noninfectious diarrhea are Tianshu（ST-25）, Zusanli（ST-36）, Guanyuan（CV-4）, Zhongwan（CV-12）, Pishn（BL-20）; Zusanli（ST-36） and Tianshu（ST-25） used together was common. In clinical practice for treating chronic noninfectious diarrhea by acupuncture and moxibustion, once a day, ten times a therapy course for 2 treatment courses without interv

关 键 词：慢性腹泻 非感染 针灸 诊疗特点 文献分析 

分 类 号：R246[医药卫生—针灸推拿学]