针灸治疗便秘型肠易激综合征的取穴规律研究

Regularity of acupoint selection of acupuncture and moxibustion in treatment of constipation predominant irritable bowel syndrome

  • 摘要:
      目的  探讨针灸治疗便秘型肠易激综合征(IBS-C)的取穴规律。
      方法  检索中国知网数据库、万方数据库、维普数据库和PubMed、Cochrane Library、Web of Science数据库2004年1月1日—2021年8月15日有关针灸治疗IBS-C的临床随机对照试验文献。对IBS-C针灸治疗的穴位处方进行梳理统计并建立数据库,运用IBM SPSS 26.0和Climentine 12.0对针灸处方进行聚类和关联分析。
      结果  共纳入63篇文献,涉及针灸处方63个、穴位40个,其中高频穴位有天枢、足三里、上巨虚、大肠俞、中脘。使用频率最高的经络是足阳明胃经; 穴位主要集中在双下肢与胸腹部; 最常用的特定穴为下合穴; 天枢、足三里在IBS-C针灸治疗中具有重要地位。
      结论  针灸治疗IBS-C遵循以循经取穴为主、辨证取穴为辅的原则,且具有特定穴治疗这一特点。

     

    Abstract:
      Objective  To analyze point selection rules of acupoint selection of acupuncture and moxibustion for treatment of constipation predominant irritable bowel syndrome(IBS-C).
      Methods  Clinical research literatures on acupuncture and moxibustion in treatment of IBS-C from January 1, 2004 to August 15, 2021 in China National Knowledge Resource Database, Chinese academic journal database, Chinese Science and Technology Journal Database (VIP), PubMed, Cochrane Library and Web of Science were retrieved. Acupoint prescriptions for IBS-C by acupuncture and moxibustion treatment were searched to establish a database, and IBM SPSS26.0 and Climentine 12.0 were used to perform luster and correlation analysis.
      Results  A total of 63 documents were included, involving 63 acupuncture prescriptions and 40 acupuncture points. Among them, the high-frequency acupoints were Tianshu, Zusanli, Shangjuxu, Dachangshu, and Zhongwan. The most frequently used meridian was the Foot-Yangming Stomach Meridian; the acupoints were mainly concentrated in the lower limbs, chest and abdomen; the most commonly used specific acupoint was the He-sea point. Tianshu and Zusanli played important roles in the treatment of IBS-C.
      Conclusion  Acupuncture and moxibustion treatment for IBS-C follows the principles of selecting acupoints along the meridian as the main point, and syndrome differentiation as supplemented principle, and has the characteristic of specific acupoint treatment.

     

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