Huang Qin-Feng, Xie Chen, Wu Huan-Gan, Yang Guang, Liu Jie, Guo Xiao-Cong, Ma Xiao-Peng
Shanghai Research Institute of Acupuncture and Meridian, Shanghai 200030, China.
Zhongguo Zhen Jiu. 2021 Sep 12;41(9):1055-9. doi: 10.13703/j.0255-2930.20200818-0002.
To analyze the literature of acupuncture and moxibustion for diseases in the recent 5 years, and discuss the spectrum and indications of acupuncture and moxibustion.
The literature on acupuncture and moxibustion for diseases in CNKI, Wanfang and VIP databases from January 1, 2015 to December 31, 2019 was searched, summarized and analyzed, and the disease spectrum was summarized. At the same time, the literature from 2015 to 2019 (group A), 1978 to 2005 (group B), and 1949 to 2005 (group C) was compared, and the indications of acupuncture and moxibustion therapy were summarized.
There were 32 011 articles on acupuncture and moxibustion for diseases in the recent 5 years, including 377 kinds of indications. These indications can be mostly classified as neurology (9384), orthopedics and traumatology (7765), gastroenterology (3529) and obstetrics and gynecology (2283). The types of diseases were mostly gastroenterology (52 types), neurology (47 types), ophthalmology and otorhinolaryngology (47 types), and obstetrics and gynecology (42 types). The first-class indications of acupuncture and moxibustion therapy in the recent 5 years were hemiplegia, lumbar disc herniation, cervical spondylosis, knee osteoarthritis, insomnia, constipation and cerebrovascular diseases; the second-class were facial neuritis, shoulder pain and headache; the third-class were dysphagia, dysmenorrhea and depression; the forth-class were asthma, urinary retention, cerebral palsy, hypertension, dementia, side effects of radiotherapy and chemotherapy, infertility, allergic rhinitis, vertigo, shoulder-hand syndrome, diabetic neuropathy, herpes zoster, pain, hiccup, diarrhea, lumbar sprain and sciatica.
Although the disease spectrum and indications of acupuncture and moxibustion therapy have changed to some extent in the recent 5 years, neurology and orthopedics and traumatology are still predominant, and the observation objects tend to transition from symptoms to diseases.
分析近5年针灸治疗疾病的文献，探讨针灸的病种谱及适应证。
检索中国知网（CNKI）、万方和维普数据库中2015年1月1日至2019年12月31日关于针灸治疗疾病的文献，进行汇总分析，总结病种谱。同时比较2015 - 2019年（A组）、1978 - 2005年（B组）、1949 - 2005年（C组）的文献，总结针灸疗法的适应证。
近5年有32011篇关于针灸治疗疾病的文献，涉及377种适应证。这些适应证主要可分为神经科（9384）、骨伤科（7765）、胃肠病学（3529）和妇产科（2283）。疾病类型主要为胃肠病学（52种）、神经科（47种）、眼科和耳鼻咽喉科（47种）以及妇产科（42种）。近5年针灸疗法的一级适应证为偏瘫、腰椎间盘突出症、颈椎病、膝骨关节炎、失眠、便秘和脑血管疾病；二级为面神经炎、肩痛和头痛；三级为吞咽困难、痛经和抑郁症；四级为哮喘、尿潴留、脑瘫、高血压、痴呆、放化疗副作用、不孕症、过敏性鼻炎、眩晕、肩手综合征、糖尿病性神经病变、带状疱疹、疼痛、呃逆、腹泻、腰部扭伤和坐骨神经痛。
近5年针灸疗法的病种谱及适应证虽有一定变化，但神经科和骨伤科仍占主导，观察对象有从症状向疾病转变的趋势。
