Sherman K J, Hogeboom C J, Cherkin D C
Northwest Institute of Acupuncture and Oriental Medicine, Seattle, Washington, USA.
Complement Ther Med. 2001 Sep;9(3):146-53. doi: 10.1054/ctim.2001.0458.
This survey was undertaken to learn how Traditional Chinese Medicine acupuncturists' diagnose and treat patients with chronic low back pain in order to develop a standardized treatment for a clinical trial of that condition.
We surveyed a randomly selected group of 56 acupuncturists in Washington State, USA about styles of acupuncture they used for treating chronic low back pain, diagnoses made, and key features of treatment for this condition.
While substantial variability existed among practitioners, there was agreement on several broad features of treatment including: the use of local and distal acupuncture points (86% of practitioners), the use of acupuncture points on the meridians traversing the back (especially the UB meridian, 90%) the use of acupoints determined by palpation (82%), the importance of eliciting de qi (60%), and of providing up to eight treatments for achieving therapeutic results (79%).
The use of practitioner surveys can enhance the systematic development of acupuncture treatment protocols and should be part of this process in future clinical trials of common conditions.
开展此项调查是为了了解中医针灸师如何诊断和治疗慢性腰痛患者，以便为该病症的临床试验制定标准化治疗方案。
我们随机抽取了美国华盛顿州的56名针灸师，就他们治疗慢性腰痛所采用的针灸方式、做出的诊断以及该病症治疗的关键特征进行了调查。
虽然从业者之间存在很大差异，但在治疗的几个主要特征上达成了共识，包括：使用局部和远端穴位（86%的从业者）、在背部经络上使用穴位（尤其是膀胱经，90%）、使用通过触诊确定的穴位（82%）、得气的重要性（60%）以及进行多达八次治疗以取得治疗效果的重要性（79%）。
使用从业者调查可以促进针灸治疗方案的系统制定，并且在未来常见病症的临床试验中应成为这一过程的一部分。
