针灸治疗血管性痴呆的选穴规律探讨  

Discussion on rules of acupoint selection for vascular dementia

作　　者：黎帅[1] 谭洁[1] 张泓[1] 黄桂兰[1] 邓多喜 蒋全睿 

机构地区：[1]湖南中医药大学针灸推拿学院,长沙410208

出　　处：《中国针灸》2017年第7期785-790,共6页Chinese Acupuncture & Moxibustion

基　　金：湖南省"十二五"重点学科针灸推拿学开放基金重点资助项目:2015-02

摘　　要：目的:对针灸疗法治疗血管性痴呆的临床研究文献进行统计分析,为临床选穴与合理组穴提供依据。方法:采用计算机和手工检索收集近10年国内外针灸疗法治疗血管性痴呆的临床文献,对选用的腧穴种类、归经及使用频次进行统计分析。结果:筛选出针灸治疗血管性痴呆的文献共38篇,涉及经脉前3位依次是督脉、胆经、胃经、脾经;使用频次>5次的主穴依次是百会、四神聪、神庭、风池、水沟;使用频次>5次的配穴是丰隆、足三里、太冲、太溪、三阴交、血海、中脘、内关、风池。结论:以头部局部取穴为主、据辨病与辨证结合为原则,近部取穴与远部取穴相搭配以及针灸治疗手法多样、传统针刺手法与现代电针相结合是针灸治疗血管性痴呆的选穴规律和特色。Objective The clinical research literature regarding acupuncture treatment for vascular dementia was reviewed and analyzed to provide the references for clinical selection and compatibility of acupoints. Methods With computer and manual retrieval method, the clinical literature regarding acupuncture treatment for vascular dementia in recent 10 years was collected. The acupoint type, meridian and use frequency were analyzed. Results Totally 38 articles of acupuncture treatment for vascular dementia were screened; the most selected meridians were the governor vessel, gallbladder meridian, stomach meridian and spleen meridian; the main acupoints with frequency of more than 5 times were Baihui（GV 20）, Sishencong（EX-HN 1）, Shenting（GV 24）, Fengchi（SP 40） and Shuigou（GV 26）; the matching acupoints with frequency of more than 5 times were Fenglong（ST 40）, Zusanli（ST 36）, Taichong（LR 3）, Taixi（KI 3）, Sanyinjiao（SP 6）, Xuehai（SP 10）, Zhongwan（CV 12）, Neiguan（PC 6）, Fengchi（GB 20）. Conclusion The rules and characteristics of acupoint selection for vascular dementia were featured with taking the local acupoints at head as main points, combining disease differentiation and syndrome differentiation as clinical principle, valuing local acupoints and distal acupoints, applying various techniques of acupuncture and moxibustion and combing traditional acupuncture manipulation and modern electroacupuncture stimulation.

关 键 词：血管性痴呆 针灸疗法 选穴规律 统计分析 

分 类 号：R246.6[医药卫生—针灸推拿学]