针灸治疗甲状腺功能亢进症及相关突眼症选穴规律探讨  

Acupoint selection rules of hyperthyroidism and related exophthalmos treated with acupuncture

作　　者：王光安[1] 宁荣仙 WANG Guang-an;NING Rong-xian(Third Affiliated Hospital of Henan University of CM,Zhengzhou 450008,China;Henan University of CM)

机构地区：[1]河南中医药大学第三附属医院针灸推拿门诊,郑州450008 [2]河南中医药大学

出　　处：《中国针灸》2019年第6期667-672,共6页Chinese Acupuncture & Moxibustion

摘　　要：探索针灸治疗甲状腺功能亢进症及甲亢性突眼症的临床选穴规律。以"甲状腺功能亢进症""针灸""甲亢"等为关键词,检索中国期刊全文数据库(CNKI)、维普中文期刊服务平台(VIP)及万方数据库(WANFANG),收集针灸治疗甲状腺功能亢进症及相关突眼症的文献,将纳入文献资料进行整理,建立针灸处方数据库,分析其选穴特点和规律。共纳入文献46篇,入选腧穴89个,累计使用频次449次。针灸治疗甲状腺功能亢进症最常用的6个腧穴为三阴交、内关、足三里、水突、合谷、太冲,腧穴分属最多的经络为胃经、心包经;针灸治疗甲状腺功能亢进性眼病最常用的6个腧穴为风池、上天柱、合谷、三阴交、攒竹、阳白,腧穴分属最多的经络为胆经。针灸治疗甲状腺功能亢进症最常用的特定穴为交会穴、原穴、五输穴;针灸治疗甲状腺功能亢进性眼病最常用的特定穴为交会穴、原穴、五输穴。现代针灸医家在临床治疗甲状腺功能亢进症方面取得不错疗效,体现了治病求本、标本兼顾的原则,但缺乏可在临床快速推广的简单有效的治疗方法。To explore the clinical acupoint selection rules for hyperthyroidism and related exophthalmos treated with acupuncture. By taking "hyperthyroidism""acupuncture and moxibustion" as keywords,literature regarding acupuncture for hyperthyroidism and related exophthalmos published was collected in the Chinese Journal Full-text Database(CNKI), VIP Database(VIP) and WANFANG database. The literature was organized, the database of acupuncture prescription was established and the characteristics and rules of acupoint selection were analyzed. A total of 46 papers were included, involving 89 acupoints, the frequency of acupoint application was 449 times. The most commonly used 6 acupoints for hyperthyroidism treated with acupuncture were Sanyinjiao(SP 6), Neiguan(PC 6), Zusanli(ST 36), Shuitu(ST 10), Hegu(LI 4), Taichong(LR 3). And the most meridians of acupoints were the stomach meridian and the pericardium meridian. The most commonly used 6 acupoints for hyperthyroidism related exophthalmos treated with acupuncture were Fengchi(GB 20), Shangtianzhu(Extra), Hegu(LI 4), Sanyinjiao(SP 6), Cuanzhu(BL 2), Yangbai(GB 14). And the most meridian of acupoints was the gallbladder meridian. The most commonly used specific acupoints for hyperthyroidism treated with acupuncture were crossing points, yuan-source points and five-shu points. The most commonly used specific acupoints for hyperthyroidism related exophthalmos treated with acupuncture were crossing points, yuan-source points and five-shu points. Acupuncture masters in modern times have achieved significant therapeutic effect in the treatment of hyperthyroidism,which has showed the principles of searching for the primary cause of disease in treatment and giving consideration to both the root cause and symptoms. But there is a lack of simple and effective treatment methods that can be rapidly promoted in clinical practice.

关 键 词：甲状腺功能亢进症 突眼症 针灸 取穴规律 

分 类 号：R246.1[医药卫生—针灸推拿学]