A preliminary discussion on rules of clinical acupoint selection of acupuncture for the treatment of chemotherapy-induced nausea and vomiting  

针刺治疗化疗后恶心呕吐临床选穴规律初探（英文）

作　　者：安琪[1] 陈波[1] 郭义[1,2] 潘兴芳[1,2] 郭永明[1,2] 

机构地区：[1]天津中医药大学实验针灸学研究中心 [2]天津中医药大学针灸推拿学院

出　　处：《World Journal of Acupuncture-Moxibustion》2015年第2期39-44,66,共7页世界针灸杂志（英文版）

基　　金：Supported by the National Basic Research Program of China:2014 CB 543201

摘　　要：Objective To preliminarily investigate the rules of acupoint selection of acupuncture and moxibustion for the treatment of chemotherapy-induced nausea and vomiting by retrospecting pertinent literature from 1986 to 2013. Methods Literature of clinical studies on acupuncture and moxibustion for the treatment of chemotherapy-induced nausea and vomiting published from 1986 to 2013 in CNKI, Wanfang and VlP databases and in PubMed database were retrieved. Data were analyzed statistically via Excel. Results One hundred and nineteen articles retrieved were related to the study. Based on the current literature analysis, meridians selected for acupuncture and moxibustion on chemotherapy-induced nausea and vomiting were mainly the stomach meridian, the pericardium meridian, the conception vessel, the spleen meridian and bladder meridian; point combination was applied more in prescription, accounting for 73.11%, while single point was applied less, only accounting for 26.89%. There were numerous methods for point combinations, but proximal and distal point combination was the most widely used method, accounting for 20.93%. Meanwhile, main acupoints selected were mostly Zusanli （足三里 ST 36）, Neiguan （内关 PC 6）, Zhongwan （中脘CV12）, Gongsun （公孙SP 4） and Taichong （太冲 LR 3） and point combinations were mainly Shenmen （神门 HT 7）, Geshu （膈俞 BL 17）, PishB （脾俞 BL 20）, Weishu （胃俞 BL 21） and Jianli （建里 CV 11）. Conclusion Acupoints selection on acupuncture and moxibustion for chemotherapy-induced nausea and vomiting shows a certain rules that the meridians selected are mainly stomach meridian, pericardium meridian and conception vessel and acupuncture points selected are normally ST 36, PC 6 and CV 12, proximal and distal point combination is applied more, while single point applied less.目的:回顾1986年-2013年针灸治疗化疗后恶心呕吐的相关文献,初步探索针灸治疗化疗后恶心呕吐的选穴规律。方法:检索1986年-2013年收录于中国知网、万方、维普三大中文数据库及PubMed外文数据库所有针灸治疗化疗后恶心呕吐的相关临床研究文献,运用Excel表对其数据进行统计、分析。结果:检索出119篇文献。从目前的文献资料分析,针灸治疗化疗后恶心呕吐,选取的经脉多以胃经、心包经、任脉、脾经、膀胱经为主;处方选取多为组合穴位,占73.11%(87/119),单穴应用较少,占26.89%(32/119),配穴方法繁多,其中局远配穴法应用最多,占20.93%(45/215)。选取穴位时,主穴多为足三里、内关、中脘、公孙、太冲,配穴多取神门、膈俞、脾俞、胃俞、建里。结论:针灸防治化疗后恶心呕吐选穴呈现一定的规律,所选经脉以胃经、心包经、任脉为主,足三里、内关、中脘为常用穴位,局远配穴法应用较多,单穴应用相对较少。

关 键 词：ACUPUNCTURE chemotherapy-induced nausea and vomiting rulesof acupoints selection 

分 类 号：R730.53[医药卫生—肿瘤]