Zhang Xuan-Ping, Jia Chun-Sheng, Wang Jian-Ling, Shi Jing, Zhang Xin, Li Xiao-Feng, Xu Xiao-Kang, Qin Liang, Zhang Mei-Ling, Kang Su-Gang, Duan Xiao-Dong
College of TCM, Hebei Medical University, Shijiazhuang 050091, China.
Zhongguo Zhen Jiu. 2012 Oct;32(10):947-51.
To analyze the superiorities of acupoint catgut-embedding therapy, discuss its law of clinical application and provide scientific decision-making for clinical treatment.
Literatures on acupoint catgut-embedding therapy in the recent 40 years were selected, input, examined and verified, picked up and analyzed by establishing database with the modern computer technology.
(1) One thousand and seventy-five literatures were input. It shows that the acupoint catgut-embedding therapy has an extensive application in all departments, especially in the internal department, accounting for 48.54% (50/103) of the total disease category. It has the most extensive application on treatment of epigastric pain, with the frequency of 102 times, and obesity of 74 times. The next is surgery, accounting for 14.56% (15/103). The major application is on low back pain and leg pain with the frequency of 79 times. Psoriasis, with the frequency of 30 times, holds the major application in dermatological department. And blepharoplasty, with the frequency of 30 times, gains the most application in department of ophthalmology and otorhinolaryngology. (2) In the included literatures, selection of adjacent acupoints and distal acupoints are held as the major method of acupoint selection. The adjusted lumbar puncture needle is taken as the major tool for the acupoint catgut-embedding therapy. And catguts of different sizes are adopted for the operation. (3) Analysis of the therapeutic effect shows that acupoint catgut-embedding therapy has obvious effect in all departments, especially in surgery and dermatology, with the total effective rate over 90%.
Epigastric pain, obesity, epilepsy, asthma, abdominal pain, facial paralysis and constipation of the internal medicine, low back pain and leg pain of the surgical department, psoriasis of the dermatological department and blepharoplasty of the department of ophthalmology and otorhinolaryngology are considered as the dominant diseases for acupoint catgut-embedding therapy.
分析穴位埋线疗法的优势,探讨其临床应用规律,为临床治疗提供科学决策依据。
选取近40年有关穴位埋线疗法的文献,采用现代计算机技术建立数据库进行录入、审核、校验、提取及分析。
(1)录入文献1075篇。结果显示穴位埋线疗法在各科室均有广泛应用,尤其在内科,占总病种的48.54%(50/103)。其中治疗胃脘痛应用最为广泛,频次为102次,肥胖症为74次。其次是外科,占14.56%(15/103),主要用于治疗腰腿痛,频次为79次。皮肤科以治疗银屑病为主,频次为30次。眼科与耳鼻咽喉科以睑成形术应用最多,频次为30次。(2)在所纳入文献中,选穴方法以选取邻近穴位和远端穴位为主。穴位埋线治疗主要工具为改良腰椎穿刺针,操作采用不同规格的羊肠线。(3)疗效分析显示,穴位埋线疗法在各科室均有显著疗效,尤其在外科和皮肤科,总有效率超过90%。
内科的胃脘痛、肥胖症、癫痫、哮喘、腹痛、面瘫及便秘,外科的腰腿痛,皮肤科的银屑病,眼科与耳鼻咽喉科的睑成形术被认为是穴位埋线疗法的优势病种。