针灸治疗颈源性头痛处方取穴规律现代文献研究  

Laws of Acupoint Selection of Prescriptions for Treatment of Cervicogenic Headache by Acupuncture:a Modern Literature Research

作　　者：张凯[1] 刘宇[2] 蒋戈利[1] 

机构地区：[1]中国人民解放军第四六四医院全军中医针灸康复研究诊疗中心,天津300381 [2]中国人民解放军第四六四医院消化科,天津300381

出　　处：《中国中西医结合杂志》2014年第8期1008-1012,共5页Chinese Journal of Integrated Traditional and Western Medicine

基　　金：天津市卫生局中医;中西医结合科研课题项目(No.13147)

摘　　要：目的总结现代文献中针灸治疗颈源性头痛处方取穴规律。方法通过计算机检索中国生物医学文献数据库(CBM)(1979—2012年)、中国知网(CNKI)(1979—2012年)、维普数据库(VIP)(1989—2012年)、万方数字化期刊群(1998—2012年)、PubMed(1966—2012年)、EMbase(1980—2012年)和Cochrane Library(2012年第4期)数据库,并辅以手工检索,纳入有关针灸治疗颈源性头痛的文献进行收集整理,运用频数、百分数对针灸治疗颈源性头痛常用穴位、所用穴的十四经分布及在人体各部位的分布情况、特定穴应用情况及处方用穴特点进行统计描述。结果纳入文献37篇,用穴42个,频次为159次。常用穴位为风池(28次)、颈夹脊(21次)、百会(12次)、天柱(12次)、阿是穴(11次);使用穴位数较多的经脉主要有足少阳胆经、足太阳膀胱经、督脉;分部取穴主要以头颈部和上肢为主;特定穴选用最多的是八脉交会穴和络穴;以多穴处方为主。针灸方法以毫针法为主,其次为电针。结论现代针灸治疗颈源性头痛取穴,注重局部选穴和循经取穴,取穴部位多集中在头颈部和上肢,并结合中医理论辨证取穴。Objective To summarize laws of acupoint selection of prescriptions for treatment of cervicogenic headache by acupuncture in modern literature. Methods Randomized controlled trials （RCTs） involving acupuncture and moxibustion for treatment of cervicogenic headache were recruited from CBM （1978-2012）, VIP （1989 -2012）, Wanfang Database （1998 -2012）, CNKI （1979 -2012）, PubMed （1966-2012）, EMbase （1980-2012）, and Cochrane Library（Volume 4, 2012）. Hand recruit- ment was also auxiliarily used. The frequency and percentage of common acupoints, the distribution of acupoints along 14 meridians and across each part of the body, the application of specific acupoints, and features of using prescriptions for specific acupoints were statistically described. Results Totally 37 re- cruited papers included 42 acupoints and 159 times. Common acupoints covered Fengchi （GB20, 28 times）, Jingjiaji （EX-B2,21 times）, Baihui （DU 20, 12 times）, Tianzhu （BLg, 1 times）, and Ashi point （11 times）. Meridians along which acupoints were used mainly covered Foot-shaoyang Gallbladder Merid- ian, Foot-taiyang Bladder Meridian,and DU meridian. Acupoints were mainly needled from head, neck, and upper limbs. Eight confluence points and luo-connecting point were commonest used as specific acu- points. Acupuncture prescriptions were mostly composed of multiple acupoints. Filliform needle was mainly used in acupuncture methods, followed by electro-acupuncture needle. Conclusions Modern ac- upuncture treatment of cervicogenic headache focuses on local specific points and acupoints along me-ridians. Acupoints were mostly selected from head, neck, and upper limbs by syndrome typing of Chi- nese medicine.

关 键 词：颈源性头痛 针灸 取穴规律 现代文献 

分 类 号：R246.9[医药卫生—针灸推拿学]