针刺治疗广泛性焦虑症取穴规律研究  

Research on Laws of Acupoint Selection of Acupuncture for Generalized Anxiety Disorder

作　　者：姚晓燕[1] 刘军[1] 李珊珊[1] 沈菁[2] 

机构地区：[1]中国中医科学院广安门医院,北京100053 [2]湖南中医药大学,湖南长沙410208

出　　处：《中国中医药信息杂志》2017年第7期94-97,共4页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：中国中医科学院广安门医院科研基金(81331)

摘　　要：目的分析针刺治疗广泛性焦虑症的取穴规律,为临床治疗提供参考。方法计算机检索中国知识资源总库(CNKI)、中国学术期刊数据库(万方数据)、中文科技期刊数据库(重庆维普)、中国生物医学文献数据库(CBM)从建库至2015年12月31日收录的针灸治疗广泛性焦虑症相关文献。采用Note Express2建立相应数据库,并对取穴规律进行总结分析。结果纳入文献41篇,包含针灸处方56首,涉及十四经腧穴50个,取穴总频次287次。其中可作为主穴的腧穴49个(225次,占98.0%),可作为配穴的腧穴23个(62次,占46.0%)。高频主穴有百会、神门、内关、三阴交、印堂,高频配穴有足三里、太冲、内关、神门、丰隆,循经取穴以督脉、膀胱经、心包经和心经为主。结论针刺治疗广泛性焦虑症强调从心脑论治,重视辨证与辨病相结合,临床主要采用循经取穴,辅以对症取穴治疗。Objective To analyze the laws of acupoint selection of acupuncture for generalized anxiety disorder （GAD）; To provide references for clinical treatment. Methods Computers were used to search articles about acupuncture for GAD from China National Knowledge Infrastructure （CNKI）, Wanfang Database Resource System, Chinese Scientific Journal Database （VIP database） and Chinese BioMedical Literature （CBM） from their respective founding dates to Dec. 31, 2015. The corresponding database was established with NoteExpress2, and the laws of acupoints were analyzed. Results Totally 41 articles were included, including 56 acupuncture prescriptions, involving 50 acupoints in 14 meridians. The frequency for acupoint selection was 287 times. There were 49 main acupoints （225 times of acupoint selection, accounting for 98.0%） and 23 matching acupoints （62 times of acupoint selection, accounting for 46.0%） in the treatment of GAD. Main acupoints with high frequency were Baihui （GV20）, Shenmen （HT07）, Neiguan （PC06）, Sanyinjiao （SP06） and Yintang （GV29）. Matching acupoints with high frequency were Zusanli （ST36）, Taichong （LR3）, Neiguan （PC06）, Shenmen （HT07）, and Fenglong （ST40）. Selecting acupoints along meridian mainly depended on Governor Meridian, Taiyang Bladder Meridian of Foot, Shaoyin Heart Meridian of Hand and Jueyin Pericardium Meridian of Hand. Conclusion Principles of acupuncture for GAD is treatment determination from heart and brain, emphasizing syndrome differentiation and identification of diseases, and the clinic mainly adopts acupoints along meridian with symptomatic acupoints treatment.

关 键 词：广泛性焦虑症 针刺 取穴规律 

分 类 号：R245.3[医药卫生—针灸推拿学] R277.797.2[医药卫生—中医临床基础]