Xu Lixian, Xu Hao, Gao Wei, Wang Wei, Zhang Hui, Lu Dominic P
The Fourth Military Medical University, School of Stomatology, 145 West Changle Road, Xi'an, 710032 Shaanxi Province, P.R.China.
Acupunct Electrother Res. 2013;38(1-2):17-35. doi: 10.3727/036012913x13831831849457.
Acupuncture therapy on PC 6 (Neiguan) has a therapeutic effect on cardiac and chest ailments including angina pectoris. Additional beneficial acupuncture points are PC 4 (Ximen), HT 7 (Shenmen point), PC 7 (Daling point), PC 5 (Jianshi point), PC 3 (Quze point), CV 17 (Danzhong point), CV 6 (Qihai point), BL 15 (Xinshu point), L 20 (Pishu point), BL 17 (Geshu point), BL23 (Shenshu point), BL18 (Ganshu point), HT 5 (Tongli point), and ST36 (Zusanli point). Acupuncture not only quickly relieve the symptoms of acute angina pectoris, but also improve nitroglycerine's therapeutic effects. Therefore, it is an efficient simple therapeutic method used for emergency and for regular angina treatment. Review of studies on acupuncture therapy has shown effectiveness were between 80% to 96.2% that are almost as effective as conventional drug regimen. When compared with conventional medical treatment, the acupuncture therapy shows the obvious advantage of lacking, adverse side effects commonly associated with the Western anti-anginal drugs such as 1) Nitroglycerine (headache--63% with nitroglycerine patch and 50% with spray; syncope--4%; and dizziness--8% with patch; hypotension--4% with patch; and increased angina 2% with patch). 2) Isosorbide mononitrate (dizziness--3 to 5%; nausea/vomiting--2 to 4% and other reactions including hypotension, and syncope even with small doses). 3) Propranolol (bradycardia, chest pain, hypotension, worsening of AV conduction disturbance, Raynaud's syndrome, mental depression, hyperglycemia, etc.). Many conventional anti-anginal medications cause inter-drug reactions with other medications the patients taking for other diseases. Whereas, acupuncture therapy does not pose such an interference with patient's medications. Nevertheless, surgery is still the treatment of choice when acupuncture or conventional drug therapy fails. Combination of conventional drug therapy and acupuncture would considerably decrease the frequency and the required dosage of drug taking, thereby decreasing the unpleasant side effects of the drug therapy.
针刺手厥阴心包经6穴（内关）对包括心绞痛在内的心脏和胸部疾病具有治疗作用。其他有益的穴位包括手厥阴心包经4穴（郄门）、手少阴心经7穴（神门）、手厥阴心包经7穴（大陵）、手厥阴心包经5穴（间使）、手厥阴心包经3穴（曲泽）、任脉17穴（膻中）、任脉6穴（气海）、足太阳膀胱经15穴（心俞）、足太阳膀胱经20穴（脾俞）、足太阳膀胱经17穴（膈俞）、足太阳膀胱经23穴（肾俞）、足太阳膀胱经18穴（肝俞）、手少阴心经5穴（通里）和足阳明胃经36穴（足三里）。针刺不仅能迅速缓解急性心绞痛症状，还能提高硝酸甘油的治疗效果。因此，它是一种用于急救和常规心绞痛治疗的有效且简便的治疗方法。对针刺疗法研究的综述表明，其有效率在80%至96.2%之间，几乎与传统药物治疗方案一样有效。与传统医学治疗相比，针刺疗法具有明显优势，即不存在西方抗心绞痛药物常见的不良副作用，如：1）硝酸甘油（头痛——硝酸甘油贴片为63%，喷雾剂为50%；晕厥——4%；头晕——贴片为8%；低血压——贴片为4%；心绞痛加重——贴片为2%）。2）单硝酸异山梨酯（头晕——3%至5%；恶心/呕吐——2%至4%以及其他反应，包括低血压，甚至小剂量时也会出现晕厥）。3）普萘洛尔（心动过缓、胸痛、低血压、房室传导阻滞加重、雷诺综合征、精神抑郁、高血糖等）。许多传统抗心绞痛药物会与患者用于治疗其他疾病的其他药物发生药物相互作用。而针刺疗法不会对患者的药物治疗产生此类干扰。然而，当针刺或传统药物治疗无效时，手术仍是首选治疗方法。传统药物治疗与针刺相结合可显著降低服药频率和所需剂量，从而减少药物治疗的不良副作用。
