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针刺治疗耳源性眩晕的临床研究进展

Clinical research progress on acupuncture for the treatment of otogenic vertigo.

作者信息

Yi An-Na, Yang Ge, Wang Jia-Xin, Zhang Li-Qiong, Yuan Peng, Hong Jing-Tian, Zhou Lei

机构信息

Department of Acupuncture, Jinhua Hospital of Traditional Chinese Medicine Affiliated to Zhejiang University of Chinese Medicine, Jinhua 321000, Zhejiang Province, China.

Department of Acupuncture, Beijing Hospital of Integrated Traditional Chinese and Western Medicine, Beijing 100089, China.

出版信息

World J Clin Cases. 2024 Jul 6;12(19):3676-3683. doi: 10.12998/wjcc.v12.i19.3676.

DOI:10.12998/wjcc.v12.i19.3676
PMID:38994301
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11235460/
Abstract

Otogenic vertigo is a common disorder that affects the vestibular system, which often results in considerable discomfort and impaired daily functioning. Traditional Chinese medicine (TCM), including acupuncture and moxibustion, has been historically utilized to manage the symptoms of vertigo. However, the effectiveness and methodology of these treatments have rarely been investigated in the medical literature. This study reviews the existing literature on the point selection, method, and therapeutic effect of acupuncture and moxibustion to provide a reference for the TCM treatment of otogenic vertigo. A literature search was performed using the PubMed search engine. The terms used included otogenic vertigo, acupuncture treatment, and acupuncture point selection. A total of 34 relevant articles were retrieved from PubMed. These suggest that the clinical treatment of otogenic vertigo should consider the functions of zang-fu organs and meridians and select different acupuncture treatment methods according to syndrome differentiation based on the difference between deficiency and excess. Acupuncture and moxibustion therapy should be based on acupoint selection, considering the syndrome differentiation, supplemented with experience. The treatment of otogenic vertigo with acupuncture and moxibustion refers to the selection of appropriate acupuncture methods under the guidance of TCM theory and following the principles of syndrome, disease, and meridian differentiation. Common acupuncture methods include body acupuncture, auricular acupuncture, scalp acupuncture, acupoint injection, electroacupuncture, and moxibustion. There are many acupuncture and moxibustion acupoints selected for the treatment of otogenic vertigo. Individualized treatment according to the patient's specific condition is effective and safe, which can help to improve the patient's vertigo symptoms and cerebral blood perfusion.

摘要

耳源性眩晕是一种影响前庭系统的常见疾病,常导致相当大的不适和日常功能受损。包括针灸和艾灸在内的传统中医,在历史上一直被用于治疗眩晕症状。然而,这些治疗方法的有效性和方法在医学文献中很少被研究。本研究回顾了关于针灸和艾灸的选穴、方法及治疗效果的现有文献,为中医治疗耳源性眩晕提供参考。使用PubMed搜索引擎进行文献检索。使用的检索词包括耳源性眩晕、针灸治疗和穴位选择。从PubMed共检索到34篇相关文章。这些文章表明,耳源性眩晕的临床治疗应考虑脏腑经络的功能,并根据虚实差异进行辨证,选择不同的针灸治疗方法。针灸和艾灸治疗应基于选穴,结合辨证,并辅以经验。针灸和艾灸治疗耳源性眩晕是指在中医理论指导下,遵循辨证、辨病、辨经原则,选择合适的针灸方法。常见的针灸方法包括体针、耳针、头针、穴位注射、电针和艾灸。治疗耳源性眩晕选用的针灸穴位众多。根据患者具体情况进行个体化治疗有效且安全,有助于改善患者的眩晕症状和脑血流灌注。

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Contemp Clin Trials Commun. 2023 Nov 17;36:101231. doi: 10.1016/j.conctc.2023.101231. eCollection 2023 Dec.
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Effects of externally-applied, non-pharmacological Interventions on short- and long-term symptoms and inflammatory cytokine levels in patients with knee osteoarthritis: a systematic review and network meta-analysis.外部应用非药物干预对膝骨关节炎患者短期和长期症状及炎症细胞因子水平的影响:系统评价和网络荟萃分析。
Front Immunol. 2023 Dec 14;14:1309751. doi: 10.3389/fimmu.2023.1309751. eCollection 2023.
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Examining the efficacy of treatments for arm lymphedema in breast cancer survivors: an overview of systematic reviews with meta-analyses.评估乳腺癌幸存者手臂淋巴水肿治疗方法的疗效:荟萃分析系统评价综述
EClinicalMedicine. 2023 Dec 22;67:102397. doi: 10.1016/j.eclinm.2023.102397. eCollection 2024 Jan.
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Should acupuncture become a complementary therapy in the treatment of uterine fibroid: a systematic review and meta-analysis of randomized controlled trials.针灸能否成为子宫肌瘤治疗的辅助疗法:随机对照试验的系统评价与荟萃分析
Front Med (Lausanne). 2023 Dec 13;10:1268220. doi: 10.3389/fmed.2023.1268220. eCollection 2023.
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An overview of systematic reviews of acupuncture for neurodegenerative disease.针灸治疗神经退行性疾病的系统评价概述。
Asian J Psychiatr. 2024 Jan;91:103882. doi: 10.1016/j.ajp.2023.103882. Epub 2023 Dec 21.
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Eur Arch Otorhinolaryngol. 2024 Mar;281(3):1603-1608. doi: 10.1007/s00405-023-08387-x. Epub 2023 Dec 27.
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Chin J Physiol. 2023 Nov-Dec;66(6):526-533. doi: 10.4103/cjop.CJOP-D-23-00059.
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