Zhu Xue-liang, Tan Zhan-na, Li Bo-ying, Wang Jian-ling, Shi Jing, Sun Yan-hui, Li Xiao- feng, Xu Jing, Zhang Xuan-ping, Zhang Xin, Du Yu-zhu, Jia Chun-shieng
Zhongguo Zhen Jiu. 2014 Sep;34(9):879-83.
To explore the specific efficacy of different moxibustion techniques in treatment of common diseases and clinical indications, and compare the specificity in clinical indications and efficacy among different moxibustion techniques so as to guide clinical practice better.
The modern computerization and data mining technology were adopted to set up moxibustion literature database. The relevant literature of moxibustion techniques in recent 60 years were collected, screened, examined, extracted and analyzed statistically so as to explore the advantages of different moxibustion techniques in clinical treatment.
(1) Of 2,516 literature, moxa stick, moxe cone and moxa device were used in the highest frequency in internal medicine department, for 730 times, 278 times and 102 times respectively. The warm needling technique was used in the highest frequency, for 70 times in the surgical department. (2) In the dermatology department, the curative rate with moxa cone was the highest, 75%. In the ear-nose-throat department, the warm needing technique and moxa device achieved the highest curative rate, 49% for both of them. In the internal medicine department and surgical department, the curative rate of warm needling technique was 53% and 58% respectively. In the gynecology department, the curative rate of moxa device was the highest, 59%. In the pediatrics department, the curative rate of moxa cone was the highest, 80%. (3) The numbers of priority disorders, frequency ≥20 times: 24 kinds of disease for moxa stick, five kinds of disease for moxa cone, 2 kinds of disease for warm needling technqiue and one disorder for moxa device. Facial paralysis, diarrhea, lumbar and leg pain and elbow and knee swelling pain were of the highest priority, treated with these 4 moxibustion techniques, with a certain of literature research values. (4) The warm needling technique achieved the better efficacy on elbow and knee swelling pain, lumbar and leg pain and diarrhea compared with the other three techniques and the curative rate was higher. The moxa device tecnique achieved the higher curative rate for facial paralysis compared with the other three techniques.
Through the comparison of application frequency, curative rate, clinical application frequency in disorders and the efficacy of priority disorders in the treatment with different moxibustion techniques, it is found that moxa stick, moxa cone and moxa device are simple in manipulation, safe and effective. Hence, they can be extensively used in the treatment of common disorders in every department in clinic. The warm needling technique acts on the body by the co-work of needling and warming stimulation of mugwort. It achieves the particular effect on the disorders with complicated etiologies compared with the other three techniques. It can be chosen in priority for the disorders caused by blockage in meridian and collateral and stagnation of qi and blood.
探讨不同艾灸技术治疗常见疾病的具体疗效及临床适应证,比较不同艾灸技术临床适应证及疗效的特异性,以更好地指导临床实践。
采用现代计算机化及数据挖掘技术建立艾灸文献数据库。收集近60年艾灸技术的相关文献,进行筛选、审核、提取并统计分析,以探讨不同艾灸技术在临床治疗中的优势。
(1)在2516篇文献中,艾条、艾炷和艾灸器具在内科使用频率最高,分别为730次、278次和102次。温针灸技术在外科使用频率最高,为70次。(2)在皮肤科,艾炷的治愈率最高,为75%。在耳鼻喉科,温针灸技术和艾灸器具的治愈率最高,均为49%。在内科和外科,温针灸技术的治愈率分别为53%和58%。在妇科,艾灸器具的治愈率最高,为59%。在儿科,艾炷的治愈率最高,为80%。(3)优先疾病数量、频率≥20次:艾条治疗24种疾病,艾炷治疗5种疾病,温针灸技术治疗2种疾病,艾灸器具治疗1种疾病。面瘫、腹泻、腰腿疼痛及肘膝关节肿痛为最高优先级,可用这4种艾灸技术治疗,具有一定的文献研究价值。(4)与其他三种技术相比,温针灸技术对肘膝关节肿痛、腰腿疼痛及腹泻疗效更好,治愈率更高。艾灸器具技术对面瘫的治愈率高于其他三种技术。
通过比较不同艾灸技术的应用频率、治愈率、疾病临床应用频率及优先疾病疗效,发现艾条、艾炷和艾灸器具操作简便、安全有效,可广泛应用于临床各科室常见疾病的治疗。温针灸技术通过针刺与艾灸温热刺激协同作用于人体,与其他三种技术相比,对病因复杂的疾病有独特疗效,对于经络阻滞、气血瘀滞所致疾病可优先选用。