针刺治疗糖尿病胃轻瘫的临床选穴配伍规律分析  

Analysis of Compatibility Laws for Acupoint Selection of Acupuncture in Treating Diabetic Gastroparasis

作　　者：曹方[1] 李铁[1] 哈丽娟[1] 单纯筱[1] 智沐君[1] 王富春[1] 

机构地区：[1]长春中医药大学针灸推拿学院,长春130117

出　　处：《中国中西医结合杂志》2016年第5期549-552,共4页Chinese Journal of Integrated Traditional and Western Medicine

基　　金：国家重点基础研究发展计划(973计划)资助项目(No.2014CB543100)

摘　　要：目的总结分析针刺治疗糖尿病胃轻瘫(diabetic gastroparasis,DGP)现代临床文献的经穴配伍选用规律。方法对1982—2014年PubMed、中国期刊全文数据库(CNKI)、万方数据知识服务平台(Wanfang Data,WF)收录的符合针刺或针刺配合其他疗法治疗DGP的相关文献进行检索,对其选穴运用频次、选穴所属经脉、所在部位及选穴配伍关联规律进行分析。结果检索得到相关文献35篇,分析发现配伍频次15次以上穴位的分别为:足三里与中脘配伍频次为33次,频率为94.29%;足三里与内关配伍频次为23次,频率为65.71%;中脘与内关配伍频次为22次,频率为62.86%;足三里、中脘与内关配伍频次为22次,频率为62.86%;足三里与三阴交配伍频次为16次,频率为45.71%;中脘与三阴交配伍频次为16次,频率为45.71%;足三里、中脘与三阴交配伍频次为15次,频率为42.86%。所选腧穴所属经脉频次较高的依次为:足阳明胃经、任脉、足太阳膀胱经等,主要选取下肢部、胸腹部及背腰腧穴。足三里穴与中脘穴运用频次最高,且配伍最为常用。结论针刺治疗DGP的选穴配伍规律在按部配穴法中主要以上下配穴、三部配穴、局部配穴和前后配穴法为主;在按经配穴法中主要以交会经配穴法和表里经配穴法为主。Objective To summarize and analyze the compatibility laws for acupoint selection of acupunc-ture in treating diabetic gastroparasis（DGP） in modern literatures of clinical researches. Methods Retrieved were literatures related to treating DGP by acupuncture or acupuncture combined other therapies from Pub Med, CNKI,and WF from 1982 to 2014. Analyzed were frequency of acupoint use, meridians selected acupoints belonged to,regions selected, association laws of selected compatible acupoints. Results Retrieved were 35 with compatibility frequencies more than 15 listed as follows：compatibility frequency of Zusanli（ST36） and Zhongwan（CV12） was33（94. 29%）;compatibility frequency of Zusanli（ST36） and Neiguan（PC6） was 23（65. 71%）, compatibility frequency of Zhongwan（CV12） and Neiguan（PC6） was 22（62. 86%）, compatibility frequency of Zusanli（ST36）,Zhongwan（CV12）, and Neiguan（PC6） was 22（62. 86%）;compatibility frequency of Zusanli（ST36） and Sanyinjiao（SP6） was 16（45. 71%）;compatibility frequency of Zhongwan（CV12） and Sanyinjiao（SP6） was 16（45. 71%）;compatibility frequency of Zusanli（ST36）, Zhongwan（CV12）, and Sanyinjiao（SP6） was 15（42. 86%）.Meridians selected acupoints belonged to were sequenced as Foot Yangming Stomach channel, Ren channel,Foot Taiyang Bladder channel, and so on. Acupoints selected were mainly in lower limbs, chest and abdomen,waist and back. The compatibility of Zusanli（ST36） and Zhongwan（CV12） was the most often used with the high-est frequency. Conclusions The compatibility laws for acupoint selection of acupuncture in treating DGP were mainly dominated as upper-lower selection, three regions selection, local selection, anterior-posterior selection. The compatibility laws for acupoint selection of acupuncture along meridians were mainly dominated as the conver-gence points and exterior-interior meridian points.

关 键 词：针刺 糖尿病胃轻瘫 配伍规律 

分 类 号：R246.1[医药卫生—针灸推拿学]