针灸治疗痛风性关节炎的临床选穴规律分析  

Analysis of Regularities in Clinical Point Selection for Acupuncture Treatment of Gouty Arthritis

作　　者：刘维[1] 刘美燕[2] 吴沅皞[1,3] 

机构地区：[1]天津中医药大学第一附属医院,天津300193 [2]天津中医药大学,天津300193 [3]中国中医科学院中医临床基础医学研究所,北京100700

出　　处：《上海针灸杂志》2016年第3期359-362,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：国家自然科学基金面上项目(81273709);教育部高等学校博士学科点专项科研基金(20131210110003);天津市卫生和计划生育委员会中医中西医结合科研课题(2015092)

摘　　要：目的对针灸治疗痛风性关节炎的临床研究文献进行统计分析,探索其选穴规律,为临床选穴与合理组穴提供依据。方法以痛风性关节炎、针刺、温针灸、电针、火针为关键词,对1990年1月至2014年5月中国知网全文数据库(CNKI)和万方学术期刊全文数据库进行检索,收集、整理搜索到的国内有关针灸治疗痛风性关节炎的临床研究文献,进行分析。将纳入文献中腧穴分类整理,对选用的腧穴种类、归经、使用频次及分布部位进行统计分析。结果纳入文献135篇,共计120个穴位。从选穴角度分析,最常用于治疗痛风性关节炎的穴位依次为太冲(91)、三阴交(87)、足三里(80)、阴陵泉(58)、曲池(52)、太溪(51)、阳陵泉(45)、血海(44)、太白(44)、合谷(44);从归经角度分析,使用腧穴频数较高的经脉依次为足太阴脾经(323)、足阳明胃经(209)、手阳明大肠经(143)、足厥阴肝经(140)、足少阳胆经(134)、足少阴肾经(84)、足太阳膀胱经(80);从分部取穴角度分析,腧穴分布最多的部位为下肢。结论针灸治疗痛风性关节炎取穴以局部取穴和循经取穴为主,取穴相对分散,取穴部位多集中在下肢,部分结合辨证取穴,为临床提供参考。Objective To statistically analyze clinical research literature on acupuncture treatment of gouty arthritis, explore regularities in its point selection and provide a basis for clinical point selection and reasonable point combination. Method Gouty arthritis, acupuncture, warm needling moxibustion, electroacupuncrue and fire needling were used as key words. January 1990 to May 2014 China How Net（CNKI） full-text database and Wanfang academic periodical full-text database were searched to retrieve, sort out and analyze clinical literature on acupuncture treatment of gouty arthritis at home and abroad. Acupoints included in the literature were sorted out. Statistical analysis was made of the categories, meridians, use frequencies and positions of selected acupoints. Result One hundred and thirty-five articles with a total of 120 acupoints were included. From the analysis of point selection, the acupoints most frequently used to treat gouty arthritis were, arranged in order, Taichong（91）, Sanyinjiao（87）, Zusanli（80）, Yinlingquan（58）, Quchi（52）, Taixi（51）, Yanglingquan（45）, Xuehai（44）, Taibai（44） and Hegu（44）. From the analysis of pertaining meridians, the meridians of more frequently used acupoints were the spleen meridian of foot-taiyin（323）, the stomach meridian of foot-yangming（209）, the large intestine of hand-yangming（143）, the liver meridian of foot-jueyin（140）, the gallbladder meridian of foot-shaoyang（134）, the kidney meridian of foot-shaoyin（84） and the bladder meridian of foot-taiyang（80）. From the analysis of point selection from different places, the part where acupoints were most distributed was the lower limb. Conclusion For acupuncture treatment of gouty arthritis, local and along-meridian point selections are main ones, selected points are relatively scattered and often located in the lower limb, and point selection is partly combined with syndrome differentiation, which provide a clinical reference.

关 键 词：针灸疗法 关节炎 痛风性 选穴 文献研究 

分 类 号：R246.2[医药卫生—针灸推拿学]