针灸治疗中风的量效关系研究现状探析  

Study on the dose-effect relationship in treating stroke by acupuncture

作　　者：王杏平 蔡雲娟 徐柏林 许盈[3] WANG Xingping

机构地区：[1]北京中医药大学针灸推拿学院,北京102488 [2]大连医科大学,辽宁大连116044 [3]湖南中医药大学,湖南长沙410208

出　　处：《中医临床研究》2023年第13期86-91,共6页Clinical Journal Of Chinese Medicine

基　　金：湖南省教育厅教学改革研究项目(HNJG-2020-0425)。

摘　　要：目的:通过古今文献共检,分析总结针灸治疗中风的量效关系,为中风患者制定安全有效、规范系统的选穴方案提供参考。方法:采用文献计量学的方法,对《中华医典》(第五版)及2011年-2022年中国期刊全文数据库、维普数据库、万方数据资源系统中中风量效相关文献进行检索和整理,分析不同的针刺量,包括针灸刺激时间、刺激强度、刺激手法、刺激方向、具体施术手法的选择、施术所持续的时间、留针时间等因素对针灸效果的影响。结果:古籍条文纳入255条,共涉及123个腧穴;现代文献纳入218篇,共涉及227个腧穴。古代使用频率最高的经脉为胆经,现代为大肠经;古代以头面部取穴较多,颈项部取穴较少,现代以四肢部取穴较多,背腰部取穴较少;古今中使用频次最高的特定穴为足三里穴;百会穴、足三里穴、水沟穴、曲池穴、合谷穴、肩髃穴、风池穴等为古今常用的腧穴。结论:灸法治疗中风的量效性非常重要,特别是中风后遗症期,采用增加灸量的重灸疗法,疗效方能显现。针法治疗中风的早期阶段,提高临床疗效的重要指标是刺激强度而非刺激量。Objective:To analyze and summarize the dose-effect relationship of stroke treatment by reviewing ancient and modern literatures,and to provide reference for formulating safe,effective,standardized and systematic acupoint selection program for stroke patients.Methods:The bibliometrics method was used to retrieve and collate the literatures related to the volume effect of medium and medium wind in Chinese Medical Classics(5th edition),from 2011 to 2022 CNKI,VIP database and Wanfang.The influence of different acupuncture amount on acupuncture effect was analyzed,including stimulation time,stimulation intensity,stimulation method,stimulation direction,choice of specific operation method,duration of operation,length of retention time and other factors.Results:A total of 255 articles of ancient books were included,involving 123 acupoints and 218 modern articles involving,and 227 acupoints were included.The most frequently used in ancient times is gallbladder channel,and the highest in modern times is large intestine channel.In ancient times,more holes were selected on the head and face,but less on the neck.In modern times,more holes were selected on the limbs,but less on the back and waist.The most frequently used specific point is Zusanli acupoint(ST36).Then Baihui acupoint(DU20),Zusanli acupoint,Shuigou acupoint(DU26),Quchi acupoint(LI11),Hegu acupoint(LI4),Jianyu acupoint(LI15),Fengchi acupoint(GB20)and other commonly used acupoints in ancient and modern times.Conclusion:The dose-effect relationship of moxibustion in the treatment of stroke is very important,especially in post-stroke period,the amount of moxibustion needs to be increased to achieve better results.In the early stage of acupuncture treatment of stroke,the important index to improve the clinical efficacy is the intensity of stimulation rather than the amount of stimulation.

关 键 词：针灸 中风 量效关系 刺激量 研究进展 

分 类 号：R245[医药卫生—针灸推拿学]