Hu Hantong, Li Bangwei, Hu Tianye, Wang Chao, Gao Hong
the Third Hospital Affiliated to Zhejiang University, Hangzhou 310000, China; the Third Clinical Medical Collage, Zhejiang Chinese Medical University, Hangzhou 310053.
the Third Hospital Affiliated to Zhejiang University, Hangzhou 310000, China.
Zhongguo Zhen Jiu. 2019 May 12;39(5):557-61. doi: 10.13703/j.0255-2930.2019.05.027.
To analyze the indications and dominant diseases of the spreading moxibustion therapy.
By retrieving 7 databases of both Chinese and English version, such as CNKI, WANFANG, VIP and PubMed, the eligible articles of randomized controlled trials (RCTs) treated with spreading moxibustion therapy were collected. The number of annual publications, the number of each disease system, the indications and dominant diseases involved in the related articles were analyzed statistically, as well as the number of cases and the corresponding clinical effective rates.
A total of 182 articles were included, including 40 indications for the spreading moxibustion and covering 9 major disease systems. Specially, the indications in the motor system were maximal in number, accounting for 17.50% (7/40) of the total number of indications. The number of indications in the digestive system was on the second top, accounting for 15.00% (6/40). The dominant diseases were mainly distributed in motor system, respiratory system, nervous system and gynecological system. There were 3 dominant diseases in motor system, i.e. ankylosing spondylitis, back pain and rheumatoid arthritis; 1 dominant disease, i.e. chronic obstructive pulmonary disease in the respiratory system, 1 dominant disease, i.e. primary dysmenorrheal in the gynecological system and 1 dominant disease, i.e. post-stroke paralysis in the nervous system.
At present, the indications of the spreading moxibustion therapy are widely distributed and the dominant diseases are concentrated, representatively by ankylosing spondylitis. But, the indications and the dominant diseases of spreading moxibustion are changeable dynamically and the disease spectrum of spreading moxibustion needs to be further explored.
分析铺灸疗法的适应证及优势病种。
通过检索中国知网（CNKI）、万方、维普（VIP）及PubMed等7个中英文数据库，收集采用铺灸疗法治疗的随机对照试验（RCT）的合格文章。对年度发表数量、各疾病系统数量、相关文章涉及的适应证及优势病种进行统计分析，以及病例数和相应的临床有效率。
共纳入182篇文章，铺灸疗法有40种适应证，涵盖9个主要疾病系统。其中，运动系统的适应证数量最多，占总适应证数的17.50%（7/40）。消化系统的适应证数量位居第二，占15.00%（6/40）。优势病种主要分布在运动系统、呼吸系统、神经系统和妇科系统。运动系统有3种优势病种，即强直性脊柱炎、背痛和类风湿关节炎；呼吸系统有1种优势病种，即慢性阻塞性肺疾病；妇科系统有1种优势病种，即原发性痛经；神经系统有1种优势病种，即脑卒中后瘫痪。
目前，铺灸疗法的适应证分布广泛，优势病种集中，以强直性脊柱炎为代表。但铺灸疗法的适应证和优势病种处于动态变化中，铺灸疗法的疾病谱有待进一步探索。
