Journal of Acupuncture and Tuina Science

, Volume 16, Issue 1, pp 59–66 | Cite as

Points selection pattern in acupuncture-moxibustion treatment of gouty arthritis: an analysis based on bibliometrics

Literature Study

Abstract

Objective

To discuss the selection pattern of points and meridians in acupuncture-moxibustion treatment of gouty arthritis (GA) by analyzing clinical literatures related to GA, and to provide reference for acupuncture-moxibustion treatment of GA.

Methods

Clinical literatures related to GA treated with acupuncture-moxibustion published between January 1981 and July 2017 were collected from Chinese databases. The points, meridians, frequency and treatment methods were analyzed.

Results

A total of 78 studies were included. For meridians, the top 5 meridians used were the Spleen Meridian (67 times), Liver Meridian (59 times), Stomach Meridian (53 times), Kidney Meridian (49 times) and Large Intestine Meridian (44 times). For points selection, the leading 5 points were Taichong (LR 3) (79 times), Taibai (SP 3) (68 times), Sanyinjiao (SP 6) (61 times), Taixi (KI 3) (57 times) and Yinlingquan (SP 9) (55 times). For major and adjunct points, the 5 most significant major points were Taichong (LR 3) (79 times), Taibai (SP 3) (68 times), Sanyinjiao (SP 6) (61 times), Yinlingquan (SP 9) (37 times) and Taixi (KI 3) (32 times). The 5 most significant adjunct points were Yanglingquan (GB 34) (31 times), Fenglong (ST 40) (30 times), Xuehai (SP 10) (29 times), Taixi (KI 3) (25 times) and Quchi (LI 11) (21 times). For treatment methods, the top 5 methods used were acupuncture-moxibustion alone for 15 studies, acupuncture combined with medicinal herbs for 11 studies, acupuncture-moxibustion combined with medicinal herbs for 10 studies, acupuncture alone for 7 studies, and electroacupuncture combined with bloodletting for 5 studies.

Conclusion

The main meridians chosen in acupuncture-moxibustion treatment of GA were the Spleen, Liver, Stomach, Kidney and Large Intestine Meridians, conforming to the syndrome differentiation principle of tonifying spleen and kidney, clearing heat and draining dampness. Points mainly locate at lower limbs and feet around the affected area, which was a reflection of peripheral treatment function of points. The data mining results of meridian and point selection in acupuncture-moxibustion treatment of GA conform to the disease and syndrome differentiation theory and provide references for acupuncture-moxibustion treatment of GA.

Keywords

Acupuncture Therapy Moxibustion Therapy Acupuncture-moxibustion Therapy Arthritis Gouty Point Selection Bibliometrics 

基于文献计量学的针灸治疗痛风性关节炎选穴规律分析

摘要

目的

基于文献计量学对针灸治疗痛风性关节炎(GA)的临床文献进行梳理, 分析针灸治疗GA 的择经特点 与选穴规律, 为GA 的针灸临床提供参考依据。

方法

运用文献计量分析法, 对1981 年1 月到2017 年7 月之间 国内中文数据库中针灸治疗GA 的临床研究文献进行搜集和遴选, 对纳入文献中的腧穴种类、归经、使用频次和 治疗方法进行统计分析。

结果

筛选出符合纳入标准的文献78 篇。从择经频次分析, 经脉频次排名前5 位的依 次为脾经(67 次)、肝经(59 次)、胃经(53 次)、肾经(49 次)和大肠经(44 次)。从选穴频次分析, 穴位频次排名前5 位的依次为太冲(79 次)、太白(68 次)、三阴交(61 次)、太溪(57 次)和阴陵泉(55 次)。从主穴、配穴配伍处方分析, 主穴频次排名前5 位的依次为太冲(79 次)、太白(68 次)、三阴交(61 次)、阴陵泉(37 次)和太溪(32 次); 配穴频次 排名前5 位的依次为阳陵泉(31 次)、丰隆(30 次)、血海(29 次)、太溪(25 次)和曲池(21 次)。从治疗方法分析, 排 名前5 位的依次为单独针灸治疗的文献15 篇, 针刺加药物的文献11 篇, 针灸加药物的文献10 篇, 单独针刺文献 7 篇, 电针加放血的文献5 篇。

结论

针灸治疗GA 主要选择脾经、肝经、胃经、肾经和大肠经, 遵循补益脾肾、 清热利湿的辨证论治原则。取穴以足部及下肢穴为主, 主要是局部取穴, 体现了穴位的近治作用。针灸治疗GA 择经取穴具有辨病、辨证相结合的特点和规律, 可为针灸治疗GA 提供参考。

关键词

针刺疗法 灸法 针灸疗法 关节炎 痛风性 选穴 文献计量学 

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Notes

Acknowledgments

This work was supported by Fund Project of Hunan Province Education Office (湖南省教育厅科研基金项目, No. 14C0855); Scientific Fund Project of Health and Family Planning Commission of Wuhan Municipality (武汉 市卫生和计划生育委员会科研基金项目, No. WZ16C03).

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Copyright information

© Shanghai Research Institute of Acupuncture and Meridian 2018

Authors and Affiliations

  1. 1.Hunan University of Chinese MedicineChangshaChina
  2. 2.General Hospital of Yangtze River ShippingWuhanChina

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