摘要
目的 探讨针刺辨证治疗血管性痴呆(VD)的选穴规律.方法 检索中国期刊全文数据库(CNKI)、万方数据知识服务平台(Wanfang)、维普资讯中文期刊服务平台(VIP)数据库中针刺辨证选穴治疗VD的相关文献,检索时限为2012年1月1日至2022年12月31日.采用 Microsoft Excel 2016进行数据整理,应用SPSS Modelerl8.0软件和SPSS 26.0软件分析针刺辨证治疗VD的选穴规律.结果 (1)最终纳入48篇文献,共涉及17种证型,可归为实证、虚证及虚实夹杂证三大类,其中实证以痰蒙清窍证、瘀血阻络证最为常见,虚证以肾精亏虚证、肝肾亏虚证及气血亏虚证最为常见,虚实夹杂证以气虚血瘀证最为常见.(2)使用频次位居前十位的腧穴分别为神庭、百会、四神聪、水沟、足三里、三阴交、太溪、肾俞、风池、血海.(3)穴位关联度最高的组合为百会-神庭-四神聪.(4)聚类分析共得到5个有效聚类群.结论 针刺治疗VD以辨证论治为基本原则,以"百会-神庭-四神聪"为主穴,在此基础上辨证选穴治疗.实证配以"水沟-大椎-风府""气海-血海-足三里",具体辨证加用丰隆、内关等穴;虚证配以"太溪-三阴交-肾俞""气海-血海-足三里",具体辨证加用肝俞、膈俞等穴;虚实夹杂证兼有实证、虚证的特点,兼有二者之用穴,虚则补之,实则泻之.
Abstract
Objective To explore the rules of acupoints selection based on syndrome differentiation and acupuncture treatment of vascular dementia.Methods The acupuncture treatment of vascular dementia based on syndrome differentiation was searched from CNKI,Wanfang and VIP databases.The search period was from Januare 1st of 2012 to December 31st of 2022.The data was organized using Microsoft Excel 2016,managed using SPSS Modeler 18.0 and SPSS 26.0 to analyze the acupoint selection rule based on syndrome differentiation and acupuncture treatment.Results(1)Forty-eight literatures were finally included concerning 17 types of syndrome,and the syndrome could be classified as deficiency syndrome,excess syndrome,deficiency-excess complication syndrome.Among them,the most common excess syndrome are syndrome of phlegm obscuring and clearing the orifices,and syndrome of blood stasis blocking collaterals,the most common deficiency syndrome are kidney essence deficiency syndrome,liver and kidney deficiency syndrome,qi and blood deficiency syndrome,the most common deficiency-excess complication syndromeis qi deficiency and blood stasis syndrome.(2)The top ten acupoints were Shenting(DU 24),Baihui(DU 20),Sishencong(EX-HN1),Shuigou(DU 26),Zusanli(ST 36),Sanyinjiao(SP 6),Taixi(KI 3),Shenshu(BL 23),Fengchi(CB 20)and Xuehai(SP 10).(3)The most correlated acupoints combination is"DU 20-DU 24-EX-HN1".(4)Cluster analysis yielded atotal of five effective clusters.Conclusions The treatment of acupuncture for vascular dementia is based on syndrome differentiation,with"DU 20,-DU 24-EX-HN1"as the main points.The matching points of excess syndrome are"DU 26-DU 14-DU 16,","RN 6-SP 10-ST 36,"and add ST 40 and PC 6 according to syndrome differentiation.The matching points of deficiency syndrome are"KI 3-SP 6-BL 23","SP10-ST36",and add Ganshu(BL 18)and Geshu(BL 17)according to syndrome differentiation.Deficiency-excess complication syndrome has the characteristics of both,sothe acupoints mentioned above were applied,to treating deficiency syndrome with tonifying method,as well as treating excess syndrome with purgative method.
维普
万方数据