Li Bo-ying, Jia Chun-sheng, Wang Jian-ling, Tan Zhan-na, Zhu Xue-liang, Shi Jing, Sun Yan-hui, Li Xiao-feng, Zhang Xuan-ping, Zhang Xin, Xu Jing
Zhongguo Zhen Jiu. 2014 Nov;34(11):1093-7.
To discuss the specificity of diseases treated by moxibustion and fire needling in clinical practice, so as to provide references for clinical treatment.
With data mining of modern computer technique, journal and literature databases regarding moxibustion and fire needling were established, respectively. Literature regarding moxibustion and fire needling for the past 60 years has been collected, screened, included, reviewed and abstracted. The utility rate of moxibustion and fire needling in each department was calculated, frequency of diseases in clinical practice was summarized, and diseases which had differences in clinical practice in each department were screened; also the advantages of disease categories and clinical practice between two kinds of therapies in each department were compared.
(1) The utility rate of moxibustion was highest in department of internal medicine and surgery, which were 43.6% and 28.1%, respectively; the utility rate of fire needling was highest in surgery and dermatological department, which were 53.7% and 23.8%, respectively. (2) According to the comparison and analysis on diseases treated by two therapies in clinic, among 26 kinds of gynecology diseases that were treated by moxibustion, 20 kinds were not involved with fire needling; among 22 kinds of pediatrics diseases that were treated by moxibustion, 20 kinds were not involved with fire needling. It was certain that the difference of the two therapies in clinical application was more significant in gynecology and pediatrics than that in the rest four departments. (3) Among the diseases which had differences in clinical practice in each department, the ones involved with moxibustion alone were insomnia, distention and fullness, consumptive fatigue in the department of internal medicine, blood-vessel Bi, stiff neck and hernia in surgery department, urticarial, skin Bi and skin cancer in dermatological department, malposition, infertility and amenorrhea in gynecology department, diarrhea, indigestion and stomachache in pediatrics department, blepharoptosis, blurred vision and dryness syndrome in ENT department; the ones involved with fire needling alone were numbness, coldness syndrome and acute renal colic in the department of internal medicine, lipoma, soft tissue injury and papilloma in surgery department, bromhidrosis, freckle and erysipelas in dermatological department, uterine fibroid in gynecology department, umbilical polyp in pediatrics department, auricle pseudocyst, starred nebula and phlegmatic mass in ENT department.
Moxibustion is frequently applied in department of internal medicine and surgery, while fire needling is frequently used in surgery and dermatological department; the application of moxibustion is broader than that of fire needling in gynecology and pediatrics department. Among the diseases which have differences in clinical practice in each department, moxibustion is commonly seen for clinical symptoms featured with deficiency syndrome, while fire needling is commonly applied for the diseases that have obvious local symptoms.
探讨艾灸与火针在临床治病中的特异性，为临床治疗提供参考。
运用现代计算机技术进行数据挖掘，分别建立艾灸和火针的期刊与文献数据库。收集、筛选、纳入、回顾并提取近60年有关艾灸和火针的文献。计算各科室艾灸与火针的使用率，总结临床治病的病种频数，筛选各科室临床应用有差异的病种；比较两种疗法在各科室病种分类及临床应用中的优势。
（1）艾灸在内科和外科的使用率最高，分别为43.6%和28.1%；火针在外科和皮肤科的使用率最高，分别为53.7%和23.8%。（2）通过对两种疗法临床治病情况的比较分析，艾灸治疗的26种妇科疾病中，有20种火针未涉及；艾灸治疗的22种儿科疾病中，有20种火针未涉及。可见两种疗法在妇科和儿科的临床应用差异比其他四个科室更显著。（3）各科室临床应用有差异的病种中，内科单独涉及艾灸的有失眠、胀满、虚劳；外科有筋痹、项强、疝气；皮肤科有瘾疹、皮痹、皮肤癌；妇科有胎位不正、不孕、闭经；儿科有泄泻、积滞、腹痛；五官科有睑废、视物昏渺、燥证。单独涉及火针的有内科的麻木、寒证、急性肾绞痛；外科有脂肪瘤、软组织损伤、乳头状瘤；皮肤科有腋臭、雀斑、丹毒；妇科有子宫肌瘤；儿科有脐息肉；五官科有耳廓假性囊肿、星翳、痰包。
艾灸在内科和外科应用较多，火针在外科和皮肤科应用较多；艾灸在妇科和儿科的应用范围比火针广。各科室临床应用有差异的病种中，艾灸多用于虚证表现的临床症状，火针多用于局部症状明显的疾病。
