Li Tian-Yu, Xing Hai-Jiao, Xu Yuan-Yuan, Shi Jing, Wang Jian-Ling, Sun Yan-Hui, Li Xiao-Feng, Xu Jing, Zhang Xuan-Ping, Zhang Xin, Jia Chun-Sheng
School of Acupuncture-moxibustion and Massage, Hebei College of Traditional Chinese Medicine, Shijiazhuang 050200, China.
Basic Medicine School, Hebei College of Traditional Chinese Medicine, Shijiazhuang 050200, China.
Zhen Ci Yan Jiu. 2019 May 25;44(5):377-82. doi: 10.13702/j.1000-0607.180495.
To investigate the features, dominant indications and application regularities of eye acupuncture therapy in clinical practice.
We first collected original articles, academic dissertations, conference articles, and case reports from databases of CNKI, Wanfang, and Chinese biomedical literature (CBM) from Jan. 1 of 1980 to Dec. 31 of 2017, and medical records from medical books of Zhonghua Yan Zhen (), Yanzhen Shijian Lu (), and Peng Jing-shan's Yanzhen Liaofa Yanjiu () by using keyword of "eye acupuncture". Then, we established an "Eye-acupuncture Database" after sorting, screening, typing-in, checking, and extraction of the collected data by SQL server 2005 and 2005 Analysis Services (SASS), followed by analysis of the dominant indications, needling methods, needle manipulations, principles for acupoint selection, and clinical effect.
Among the 850 articles retrieved, 178 were eligible to be subjected to analysis, including 42 disorders/diseases in 7 categories. The eye acupuncture therapy has the highest application frequency for 19 types of disorders/diseases of the internal medicine, such as sequela of apoplexy, hiccup, insomnia, vertigo, hypertension, etc., followed by head and body pain (7 types: headache, lumbago, sciatica, shoulder pain, etc.), disorders of the ophthalmology and otorhinolaryngology (deafness, squinting eyes, dry eye syndrome, amblyopia, etc.), traumatic injury, gynecopathy, acute pain (biliary colic, renal colic). The effect rate was 95.87% for disorders of the gynecopathy, 95.54% for head and body pain, 94.53% for traumatic skin injury, 92.16% for emergency, 91.98% for disorders of the five sense organs, 91.43% for problems of the internal medicine, etc. Regarding the principle of acupoint selection, acupoints were chosen mainly according to the meridian running (146 articles), local region of the eye (14 articles) and diseased location (153 articles). A total of 157 articles have a marked description about the needling methods, including horizontal needling (81 articles), intra-orbital straight needling (22 articles), extra-orbital oblique needling (13 articles), etc. The duration of needle retaining was mostly from 15 to 30 minutes, and the handle-scraping was frequently adopted (34 articles), and the overall treatment frequency ranged from 11 to 20 times. In regard to the medical records, a total of 53 types of disorders were involved, including 37 types of the internal medicine such as stroke sequelae (34 articles), facial paralysis (11 articles), etc. The acupoints were selected according to the local region of eye (129 articles), the needle insertion involved horizontal needling (102 articles), and cured rate reported was higher than 90%.
Eye acupuncture therapy is widely used for a variety of disorders and has a positive effect, particularly for stroke sequelae and various acute and chronic pain problems.
探讨眼针疗法在临床应用中的特点、主要适应证及应用规律。
首先通过检索中国知网（CNKI）、万方数据库、中国生物医学文献数据库（CBM），以“眼针”为关键词，收集1980年1月1日至2017年12月31日期间的原始文献、学术论文、会议论文及病例报告，并查阅《中华眼针》《眼针实践录》《彭静山眼针疗法研究》等医学书籍中的医案。然后，运用SQL server 2005和2005分析服务软件（SASS）对收集到的数据进行整理、筛选、录入、核对及提取，建立“眼针数据库”，进而分析主要适应证、针刺方法、针刺手法、选穴原则及临床疗效。
共检索到850篇文献，其中178篇符合分析标准，涉及7大类42种病症。眼针疗法在内科病症中的应用频率最高，如中风后遗症、呃逆、失眠、眩晕、高血压等19种病症，其次为头身疼痛（7种：头痛、腰痛、坐骨神经痛、肩痛等）、眼科及耳鼻咽喉科病症（耳聋、斜视、干眼症、弱视等）、外伤、妇科病症、急性疼痛（胆绞痛、肾绞痛）。妇科病症的有效率为95.87%，头身疼痛为95.54%，外伤性皮肤损伤为94.53%，急症为92.16%，五官病症为91.98%，内科病症为91.43%等。选穴原则方面，主要依据经络循行选穴（146篇）、眼部局部选穴（14篇）及病变部位选穴（153篇）。共157篇文献对针刺方法有明确描述，包括横刺（81篇）、眶内直刺（22篇）、眶外斜刺（13篇）等。留针时间多为15～30分钟，常采用刮柄法（34篇），总体治疗次数为11～20次。医案方面，共涉及53种病症，其中内科病症37种，如中风后遗症（34篇）、面瘫（11篇）等。选穴依据眼部局部选穴（129篇），针刺采用横刺（102篇），报道的治愈率高于90%。
眼针疗法广泛应用于多种病症，疗效确切，尤其对中风后遗症及各类急慢性疼痛问题效果显著。
