耳鸣患者压敏穴分布规律的临床研究  

Distribution of Press-sensitive Acupoints in Patients with Tinnitus

作　　者：冀美琦 田珊珊[1] 刘岱[1] 张伟[1] 解秸萍[1] 张亚力[2] 李春华[3] 高艳 JI Mei-qi TIAN Shan-shan LIU Dai ZHANG Wei XIE Jie-ping ZHANG Ya-li LI Chun-hua GAO Yan(School of Acu-moxibustion and Tuina , Beijing University of Chinese Medicine, Beijing 100029, China Donzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing 100700 Beijing Electric Power Teaching Hospital of Capital Medical University, Beijing 100073 Exhibition Road Community Health Center, Beijing 100037)

机构地区：[1]北京中医药大学针灸推拿学院,北京100029 [2]北京中医药大学东直门医院,北京100700 [3]首都医科大学电力教学医院,北京100073 [4]展览路社区卫生服务中心,北京100037

出　　处：《针刺研究》2016年第6期540-544,共5页Acupuncture Research

摘　　要：目的:探讨耳鸣患者压敏穴在体表的分布规律,为针灸临床诊治耳鸣提供辨证选穴、局部远端配穴治疗依据。方法:运用经络循诊法,在63例耳鸣患者头顶及颈项部、侧头及耳周部、背腰部和四肢肘/膝关节以下体表经脉进行循经按压,记录出现压敏穴位,对出现频次在10次以上的穴位采用Excel 2010进行排序。结果:63例耳鸣患者体表经脉出现压敏穴共131穴,其中频次在10次以上41穴的分布规律如下:⑴出现压敏穴较多的经脉排名前三依次为:足少阳胆经、手少阳三焦经和足太阴脾经;⑵出现压敏穴较多的区域依次为:膝关节以下、侧头及耳周部、肘关节以下、背腰部;⑶压敏穴数排名前十的穴位依次为:完骨、翳风、外关、曲池、三阴交、阳陵泉、风池、太冲、手三里、足临泣。结论:耳鸣患者压敏穴分布最多的经脉是足少阳胆经,分布最多的区域在膝关节以下,最敏感的穴位是完骨、翳风,客观反应了古典经络理论中与耳相关经脉、穴位的科学性和正确性。Objective To explore the regularity of distribution of press-sensitive acupoints on the body surface in tinnitus patients, so as to provide evidence for selecting suitable acupuncture points in the treatment of tinnitus, Methods Sixty-three cases of tinnitus patients （from 25 to 75 years in age） were recruited in the present study. The patient was asked to take a sitting, supine and prone position, successively, and the operator used the thumb to moderately press the subject＇s head, neck, back, four limbs below the knee- and elbow joints along the three Hand- and three Foot-yang and yin meridians. Those acupoints that appeared pressing pain, or soreness-distension, numbness, or radiation feeling more than 10 times were brought into the se- quence analysis by using the Excel 2010. Results A total of 131 press-sensitive acupoints including 41 points with an appea- rance frequency of more than 10 times were found in the 63 tinnitus patients. These 41 acupoints distributing in the top three meridians were the Gallbladder Meridian of Foot-Shaoyang, Tri-energizer Meridian of Hand-Shaoyang and Spleen Meridian of Foot- Taiyin, and their involved regions were those below the knee-joints, bilateral sides of the head and marginal portion of the ear, sites bellow the elbow-joints, back-waist, successively in the appearance frequency. The top ten acupoints are Wangu （GB 12）, Yifeng （SJ 17）, Waiguan （SJ 5）, Quchi （LI 11）, Sanyinjiao （SP 6）, Yanglingquan （GB 34）, Fengchi （GB 20）, Taichong （LR 3）, Shousanli （LI 10） and Zulinqi （GB 41）, in sequence. Conclusion The press-sensitive acupoints in tinnitus patients distribute principally in the Gallbladder Meridian of Foot-Shaoyang, and below the knee-joint, and the most sensitive acupoints are Wangu （GB 12） and Yifeng （SJ 17）. These findings may provide an objective basis for clinical diagnosis and treatment of tinnitus.

关 键 词：耳鸣 压敏穴 足少阳胆经 完骨 翳风 

分 类 号：R246.81[医药卫生—针灸推拿学]