| 引用本文: |
王璇,许明,刘琼,邓石峰,吕山河,胡碧浓,张泓,艾坤.电针治疗神经源性膀胱的选穴用经规律分析[J].湖南中医药大学学报,2020,40(12):1527-1532[点击复制] |
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| 电针治疗神经源性膀胱的选穴用经规律分析 |
| 王璇,许明,刘琼,邓石峰,吕山河,胡碧浓,张泓,艾坤 |
| (湖南中医药大学, 湖南 长沙 410007) |
| 摘要: |
| 目的 统计电针治疗脊髓损伤后神经源性膀胱的相关临床文献中针灸处方的穴位，总结并分析其中选穴及其归经的特征和规律。方法 通过搜索知网、维普中文科技期刊数据库、万方数据知识服务平台、Pubmed数据库，中文数据库以“电针and脊髓损伤and神经源性膀胱and临床试验”，英文数据库以“（electro-acupuncture）and（spinal cord injury）and（neurogenic urinary bladder）and（clinical trials）”为检索式，检索2005年6月至2020年6月的文献，并遵循纳入标准和排除标准进行筛选，统计其常用穴、用经、分布、特定穴，对选穴进行关联规则分析和聚类分析。结果 共纳入临床文献51篇，统计发现运用电针治疗脊髓损伤后神经源性膀胱的针灸处方中：使用频次最高的穴位是中极、关元、三阴交、八髎穴；穴位主要来自于足太阳膀胱经、任脉和足太阴脾经，集中在腹部、腰背部、下肢；最常见的腧穴配伍是中极-关元（支持度58.82％）。聚类分析的结果表明核心选穴分成3类：（1）中极、关元、三阴交；（2）肾俞、膀胱俞、水道、命门、气海、阴陵泉；（3）八髎穴。结论 电针治疗脊髓损伤后神经源性膀胱重视“温补阳气，调理膀胱”“激发肝、脾、肾功能，标本兼治”，穴位配伍具有“俞募配合，远近结合，辨证取穴”的特点，核心处方是：中极、关元、三阴交、八髎、肾俞、膀胱俞、气海、阴陵泉、水道、命门。 |
| 关键词: 电针 脊髓损伤 神经源性膀胱 取穴特征 用经规律 |
| DOI：10.3969/j.issn.1674-070X.2020.12.017 |
| 投稿时间：2020-06-19 |
| 基金项目:国家自然科学基金面上项目（8187152572）。 |
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| Analysis on Selection Rules of Acupoints and Channels in Electroacupuncture Treatment for Neurogenic Bladder |
| WANG Xuan,XU Ming,LIU Qiong,DENG Shifeng,LYU Shanhe,HU Binong,ZHANG Hong,AI Kun |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410007, China) |
| Abstract: |
| Objective To count acupoints of acupuncture prescriptions in relevant clinical literatures on electroacupuncture treatment for neurogenic bladder after spinal cord injury, and to summarize and analyze characteristics and rules of acupoint selection and channel tropism among them. Methods In Chinese databases, the retrieval type was "电针and脊髓损伤and神经源性膀胱and临床试验". In English databases, the retrieval formula was "(electroacupuncture) and (spinal cord injury) and (neurogenic urinary bladder) and (clinical trials)". Literatures from June 2015 to June 2020 were retrieved by searching CNKI, Wanfang database, VIP database, Pubmed database, and were screened according to inclusion criterion and exclusion criterion. The commonly used acupoints, use meridians, distribution, and specific acupoints were analyzed, and the association rule analysis and cluster analysis on the selected acupoints were perfomed. Results Finally, 51 clinical literatures were included. Statistics showed that among the acupuncture prescriptions of electroacupuncture treatment for neurogenic bladder after spinal cord injury, the most frequently used acupoints were Zhongji (RN3), Ganyuan (RN4), Sanyinjiao (SP6) and Baliao (BL31-BL34). The acupoints were mainly from the foot Taiyang bladder channel, the conception channel and the foot Taiyin spleen channel, and they focused on the abdomen, the lower back and lower limbs. The most common compatibility of acupoints was Zhongji (RN3)-Ganyuan (RN4), with a support degree of 58.82%. Cluster analysis showed that the core selected acupoints were assigned into 3 categories:① Zhongji (RN3), Ganyuan (RN4) and Sanyinjiao (SP6); ② Shenshu (BL23), Pangguangshu (BL28), Shuidao (ST28), Mingmen (GV4), Qihai (CV6) and Yinlingquan (SP9); ③ Baliao (BL31-BL34). Conclusion Electroacupuncture treatment for neurogenic bladder after spinal cord injury emphasizes "warming Yang Qi and regulating bladder" as well as "activating functions of liver, spleen and kidney to treat both manifestation and root cause of disease". There are characteristics of "back-shu points and front-mu points combination, far acupoints and near acupoints combination as well as acupoint selection based on syndrome differentiation" in acupoint compatibility. The core prescription is Zhongji (RN3), Guanyuan (RN4), Sanyinjiao (SP6), Baliao (BL31-BL34), Shenshu (BL23), Pangguangshu (BL28), Qihai (CV6), Yinlingquan (SP9), Shuidao (ST28) and Mingmen (GV4). |
| Key words: electroacupuncture spinal cord injury neurogenic bladder characteristics of acupoint selection selection rules of acupoints |
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