针刺治疗糖尿病胃轻瘫取穴规律研究  

Rules of Acupoint Selection in the Treatment of Diabetic Gastroparesis by Acupuncture

作　　者：陈欣红 张全明[2] 唐平 CHEN Xinhong;ZHANG Quanming;TANG Ping(Luohu People's Hospital,Shenzhen 518000,China;Hong Kong Baptist University,Hong Kong 999077,China)

机构地区：[1]罗湖区人民医院,广东深圳518000 [2]香港浸会大学,中国香港特别行政区999077

出　　处：《基层中医药》2024年第12期77-88,共12页Basic Traditional Chinese Medicine

基　　金：深圳市医学重点学科建设经费资助(深卫健科教﹝2020﹞6号)。

摘　　要：目的归纳和分析糖尿病胃轻瘫(DGP)的取穴规律。方法通过检索近10年有关针刺治疗DGP的中医临床研究文献,运用SPSS等软件整理文献中所涉及的腧穴,得出针刺治疗DGP取穴规律的结果。结果针刺治疗DGP的常用穴位是中脘、足三里、内关,常用经络是足阳明胃经、任脉、足太阳膀胱经、足太阴脾经,常用腧穴部位在腹部、下肢、上肢、背部,常用穴位组合分别是中脘、足三里,内关、足三里,中脘、内关。常用核心穴位有中脘、足三里、内关、三阴交、胃俞、脾俞,聚类处方有5个。结论针刺治疗DGP的配穴思路分别为循经取穴、重视局部、表里同治、远近相配、标本配穴。Objective To summarize the rules of acupoint selection for treating diabetic gastroparesis.Methods The clinical studies about the acupuncture treatment of diabetic gastroparesis that were published in the past 10 years were reviewed.SPsS was used for statistical analysis of the acupoints mentioned,on the basis of which the rules of acupoint selection were mined.Results The commonly used acupoints for acupuncture treatment of diabetic gastroparesis were Zhongwan(CV12),Zusanli(ST36),and Neiguan(PC6).The commonly used meridians were the stomach meridian of foot yang brightness,conception vessel,bladder meridian of foot greater yang,and spleen meridian of foot greater yin.The commonly used acupoint locations included the abdomen,lower limbs,upper limbs,and back.The commonly used acupoint combinations included Zhongwan(CV12)-Zusanli(ST36),Neiguan(PC6)-Zusanli(ST36),and Zhongwan(CV12)-Neiguan(PC6).The commonly used core acupoints included Zhongwan(CV12),Zusanli(ST36),Neiguan(PC6),Sanyinjiao(SP6),Pishu(BL20),and Weishu(BL21).The cluster analysis predicted five prescriptions.Conclusionn The acupoint selection strategies for acupuncture treatment of diabetic gastroparesis include following the meridians,emphasizing local parts,treating both the exterior and interior,matching distant and nearby acupoints,and selecting acupoints based on both manifestations and rootcauses.

关 键 词：针刺 糖尿病胃轻瘫 取穴规律 文献研究 

分 类 号：R24[医药卫生—中医临床基础]