基于文献计量学探讨合穴敏化特征与临床诊疗的相关性
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摘要
目的:探讨合穴敏化特征及其与临床诊疗的相关性。方法:通过文献计量学分析中国期刊全文数据库(CNKI)、中国生物医学文献数据库(SinoMED)、维普数据库(VIP)中检索及筛选出的文献,采用文献计量学分析合穴敏化所涉及的疾病、敏化类型、敏化现象、检测指标、治疗措施。结果:纳入的89篇文献中,足三里的文献量最多,涉及疾病以脾系病为主;在疾病方面,胃痛的敏化现象为足三里的红外辐射值改变,胃炎的敏化现象为足三里的电学指标及痛阈的改变;治疗措施方面,热敏以艾灸为主。结论:合穴敏化具有其自身特征;同一合穴的不同敏化现象可反映不同的疾病;合穴的敏化类型不同,其治疗措施也应不同。
Objective:To explore the correlation between characteristics of sensitized He-sea points and clinical diagnosis and treatment. Methods:Modern literature on sensitized He-sea points were retrieved from CNKI, SinoMED and VIP. Based on included papers, the involved diseases, sensitive types, sensitive phenomena, detection indexes and treatments were analyzed by bibliometrics. Results:Among a total of 89 included papers, the papers on Zusanli(ST36) occupied the maximum amount, which mainly related to diseases of spleen system. In part of diseases, the sensitive phenomena of stomachache is mostly relevant to radiation changes of ST36. The sensitive phenomena of gastritis is mostly relevant to electrical indexes or pain threshold changes of ST36. In part of treatment, heat-sensitive He-sea points are mostly stimulated by moxibustion. Conclusion: Sensitized He-sea points have theirs own characteristics. Different sensitive phenomena of one He-sea point can reflect different diseases. He-sea points with different sensitizations should adopt different treatments.
Objective:To explore the correlation between characteristics of sensitized He-sea points and clinical diagnosis and treatment. Methods:Modern literature on sensitized He-sea points were retrieved from CNKI, SinoMED and VIP. Based on included papers, the involved diseases, sensitive types, sensitive phenomena, detection indexes and treatments were analyzed by bibliometrics. Results:Among a total of 89 included papers, the papers on Zusanli(ST36) occupied the maximum amount, which mainly related to diseases of spleen system. In part of diseases, the sensitive phenomena of stomachache is mostly relevant to radiation changes of ST36. The sensitive phenomena of gastritis is mostly relevant to electrical indexes or pain threshold changes of ST36. In part of treatment, heat-sensitive He-sea points are mostly stimulated by moxibustion. Conclusion: Sensitized He-sea points have theirs own characteristics. Different sensitive phenomena of one He-sea point can reflect different diseases. He-sea points with different sensitizations should adopt different treatments.
引文
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[22] Xie Dingyi, Jiang Yuexia, Chen Rixin, et al. Study on the thermesthesia features of heat-sensitive acupoints in patients with knee osteoarthritis[J]. J Acupunct Tuina Sci,2016,14(2):110-114.
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[30] 付勇,章海凤,张波,等.腰椎间盘突出症患者不同敏化类型施术方法选择临床观察[J].中国针灸,2015,35(12):1253-1257.
[31] 任晓静.音乐声波按摩对功能性消化不良患者身心特性和下肢经穴特性的影响[D].北京:北京中医药大学,2007.
[32] Hu Dan, Kang Mingfei, Xiong Jun, et al. Irritable bowel syndrome with diarrhea (IBS-D) treated with moxibustion on heat-sensitive acupoints: a randomized controlled trial[J]. World Journal of Acupuncture-Moxibustion,2012,22(2):1-5.
[33] 胡丹,邓鹏,焦琳,等.热敏灸联合Kegel锻炼疗法治疗女性压力性尿失禁疗效观察[J].针刺研究,2017,42(4):338-341.
[34] 吴峰,康明非,熊鹏,等.针刺阿是穴配合艾灸热敏化腧穴治疗项背肌筋膜疼痛综合征临床随机对照观察[J].针刺研究,2011,36(2):116-120.
[35] 何凌,姜国平,刘华,等.腧穴热敏化艾灸对慢性腹泻脾肾亏虚证患者胃泌素及胃动素的影响[J].中国中西医结合杂志,2012,32(4):460-463.
[36] Zhang Yang, Zhou Merqi, Tang Wei, et al. System evaluation and Meta analysis on clinical efficacy of heat-sensitive moxibustion in treatment of cervical spondylotic radiculopathy[J]. World Journal of Acupuncture-Moxibustion,2016,26(4):41-49.
[37] 王苗,罗琼,刘燕婷,等.浅析合穴[J].吉林中医药,2010,30(11):972-973.
[2] 万敏,周玉梅,周洁,等.穴位敏化现象和规律探究的分析[J].针灸临床杂志,2017,33(3):74-77.
[3] 中华人民共和国国家质量监督检验免疫总局,中国国家标准化管理委员会.GB/T 12346-2006 腧穴名称与定位[S].北京:中国标准出版社,2006.
[4] 林昭庚.中西医病名对照大辞典[M].北京:人民卫生出版社,2009.
[5] 周仲瑛,张伯礼.中医内科学[M].3版.北京:中国中医药出版社,2012.
[6] 李曰庆,何清湖.中医外科学[M].3版.北京:中国中医药出版社,2012.
[7] 王和鸣,黄桂成.中医骨伤科学[M].3版.北京:中国中医药出版社,2012.
[8] 高树中,杨骏.针灸治疗学[M].3版.北京:中国中医药出版社,2012.
[9] 魏赞美,娄佩玲,曹梅芝.上消化道疾病与足三里穴位压痛关系探讨[J].西南国防医药,1992,2(2):100-102,128.
[10] 陈松,严洁,朱文锋,等.胃俞与足三里穴区红外辐射检测应用于慢性胃痛辨证的初步研究[J].湖南中医学院学报,2001,21(1):52-53,57.
[11] 常小荣,严洁,易受乡,等.足三里梁门胃俞穴区红外辐射与慢性胃痛的相关规律及其应用[J].世界华人消化杂志,2009,17(5):516-520.
[12] 安贺军,朱宏,张波,等.温阳活血法对慢性萎缩性胃炎患者胃经穴位电阻的影响[J].针灸临床杂志,2014,30(12):29-32.
[13] 佐藤绫子.从卫气循行理论探讨冷症的类型及其治疗穴位[J].国外医学中医中药分册,1995,17(3):50.
[14] 漆学智,陈李圳,阚宇,等.功能性肠病和肠癌患者的穴位敏化和大小的变化[J].世界中医药,2017,12(8):1911-1914.
[15] 周清平,李子孺,于萍,等.中医体质转化分数与体表温度左右平衡性的相关研究[J].中华中医药学刊,2017,35(7):1795-1798,1934.
[16] 赵立国,戴荣琴.109例周围血管病皮温研究报告[J].云南中医杂志,1993,14(5):1-3,6.
[17] 朱琦,付钰,倪金霞,等.基于红外热成像技术的支气管哮喘患者肺经与大肠经相关腧穴体表温度研究[J].中医杂志,2013,54(22):1926-1928,1932.
[18] 毛慧娟,沈雪勇,魏建子,等.甲状腺机能异常患者足三里穴伏安特性观察[J].中华中医药学刊,2011,29(7):1503-1505.
[19] 王军燕.肩痹病临床分型的特征红外热谱与针灸临床疗效评价[D].兰州:甘肃中医学院,2014.
[20] 喻凤兰,江琦,孔鄂生,等.应用pH传感针对穴位与非穴位pH值的测定[J].同济医科大学学报,1993,22(5):373-375.
[21] 付肇明.针刺胃、十二指肠溃疡病人足三里的经络感传研究[J].成都中医学院学报,1978(1):48-53.
[22] Xie Dingyi, Jiang Yuexia, Chen Rixin, et al. Study on the thermesthesia features of heat-sensitive acupoints in patients with knee osteoarthritis[J]. J Acupunct Tuina Sci,2016,14(2):110-114.
[23] 苗艳换.痛经患者脾经腧穴诊察研究[D].北京:北京中医药大学,2014.
[24] 田珊珊.耳鸣患者少阳经耳周及远端穴压痛反应及其压痛阈研究[D].北京:北京中医药大学,2017.
[25] 张海蒙,沈雪勇,王彩虹.公孙、足三里等穴伏安特性的研究[J].上海针灸杂志,1999,18(1):1-3.
[26] 杨文修,许文胜,孙化瑜,等.急性胆囊炎患者相关经穴电学特性研究[J].生物医学工程与临床,1997,1(1):26-29.
[27] 徐杰,付勇,章海凤,等.灸感法与红外法检测偏头痛患者阳陵泉穴热敏态的对比研究[J].江西中医学院学报,2012,24(2):24-25.
[28] 李伟,安鑫,陈日新.腰椎间盘突出症腧穴热敏化红外客观显示研究[J].江西中医学院学报,2010,22(4):24-26.
[29] 刘芳.功能性消化不良患者心身症状及下肢脾胃经穴声电特性研究[D].北京:北京中医药大学,2007.
[30] 付勇,章海凤,张波,等.腰椎间盘突出症患者不同敏化类型施术方法选择临床观察[J].中国针灸,2015,35(12):1253-1257.
[31] 任晓静.音乐声波按摩对功能性消化不良患者身心特性和下肢经穴特性的影响[D].北京:北京中医药大学,2007.
[32] Hu Dan, Kang Mingfei, Xiong Jun, et al. Irritable bowel syndrome with diarrhea (IBS-D) treated with moxibustion on heat-sensitive acupoints: a randomized controlled trial[J]. World Journal of Acupuncture-Moxibustion,2012,22(2):1-5.
[33] 胡丹,邓鹏,焦琳,等.热敏灸联合Kegel锻炼疗法治疗女性压力性尿失禁疗效观察[J].针刺研究,2017,42(4):338-341.
[34] 吴峰,康明非,熊鹏,等.针刺阿是穴配合艾灸热敏化腧穴治疗项背肌筋膜疼痛综合征临床随机对照观察[J].针刺研究,2011,36(2):116-120.
[35] 何凌,姜国平,刘华,等.腧穴热敏化艾灸对慢性腹泻脾肾亏虚证患者胃泌素及胃动素的影响[J].中国中西医结合杂志,2012,32(4):460-463.
[36] Zhang Yang, Zhou Merqi, Tang Wei, et al. System evaluation and Meta analysis on clinical efficacy of heat-sensitive moxibustion in treatment of cervical spondylotic radiculopathy[J]. World Journal of Acupuncture-Moxibustion,2016,26(4):41-49.
[37] 王苗,罗琼,刘燕婷,等.浅析合穴[J].吉林中医药,2010,30(11):972-973.