针灸治疗肠易激综合征现代文献分析

发布时间：2018-03-15 20:55

  本文选题：肠易激综合征　切入点：针灸　出处：《山东中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:本研究系统梳理1985-2015年间针灸治疗肠易激综合征的现代文献,总结整理针灸治疗肠易激综合征的取穴、归经、配伍规律等,归纳针灸治疗肠易激综合征的临床应用规律,以期为临床治疗提供参考。方法:本研究采用计算机检索的方法,检索源以相关期刊论文(CNKI)、维普中文期刊数据库(VIP)、万方学术期刊全文数据库(WF)为主,以“肠易激综合征”或“腹泻”或“便秘”并含“针刺”或“针灸”或“灸”为主题或者关键词,对1985-2015年间收录的文献进行检索并筛选,系统梳理符合纳入标准的全部文献。结果:1.针灸治疗肠易激综合征的现代文献数量逐年增加,尤其是近十年文献数量攀升明显。2.肠易激综合征的针灸辨证治疗主要从脏腑辨证入手,肝郁脾虚型、脾肾阳虚型、脾胃虚弱型、脾虚型及肾虚型是当前临床研究涉及的主要证型,其中以肝郁脾虚证和脾肾阳虚证最为多见。3.基于频次-数量比值,针灸治疗肠易激综合征以足阳明胃经经穴、任脉经穴和足太阳膀胱经经穴为主;腧穴选取侧重特定穴,下合穴和募穴最为多见。特定穴中频次前4位者为足三里、天枢、中脘与上巨虚。4.临床研究对肠易激综合征的诊断标准和疗效评定标准多样,诊断标准频次前3位者为罗马Ⅲ标准、罗马Ⅱ标准和《中药新药临床研究指导原则》,疗效标准频次分散。结论:针灸治疗肠易激综合征疗效肯定,有效率高,涉及的经脉、腧穴分布广泛,经脉以足阳明胃经和任脉为主;腧穴以特定穴为主,注重合募并举,兼以腑会。
[Abstract]:Objective: this study systematically combed the modern literature of acupuncture and moxibustion treatment of irritable bowel syndrome from 1985 to 2015, summarized and sorted out the acupoints, meridians and compatibility rules of acupuncture and moxibustion treatment for irritable bowel syndrome, and summarized the clinical application rules of acupuncture and moxibustion in treating irritable bowel syndrome. In order to provide reference for clinical treatment, this study adopted the method of computer retrieval. The main sources of the search were CNKI, Weipu Chinese periodical database and WF-based WF-based academic journal full-text database. Based on "irritable bowel syndrome" or "diarrhea" or "constipation" and containing "acupuncture" or "acupuncture" or "moxibustion" as the subject or key words, the literature collected from 1985 to 2015 was searched and screened. Results 1. The number of modern literature on acupuncture and moxibustion for irritable bowel syndrome increased year by year. Especially in the past ten years, the number of literature has increased significantly .2.Acupuncture and moxibustion dialectical treatment of irritable bowel syndrome mainly starts with syndrome differentiation of zang-fu organs, liver stagnation and spleen deficiency, spleen and kidney yang deficiency, spleen and stomach weakness, and so on. Spleen deficiency type and kidney deficiency type are the main syndromes involved in the current clinical research, of which liver stagnation and spleen deficiency and spleen and kidney yang deficiency are the most common. 3. Based on the ratio of frequency to quantity, acupuncture and moxibustion treatment of irritable bowel syndrome is based on the point of foot yang Ming stomach meridian. Renmai meridian and foot sun bladder meridian were the main points, acupoints focused on specific points, Xianhe acupoints and Jun acupoints were the most common. The top 4 points in the specific acupoints were Zusanli, Tianshu, Zusanli, Tianshu, 4. The diagnostic criteria and therapeutic evaluation criteria for irritable bowel syndrome were varied in clinical study. The first three diagnostic criteria were Rome 鈪，

本文编号：1616767