从三个著名案例看针灸临床研究的复杂性

Complexity of acupuncture clinical research demonstrated by three well-known acupuncture clinical studies

"孔最穴治疗痔疮"、"迎香透四白治疗胆道蛔虫"、"条口透承山治疗肩周炎"作为当代针灸穴位临床应用新发现的三个代表,对国内外针灸学教科书及针灸临床均产生了深远的影响.本文通过对这三个案例的层层剖析,揭示了这三项针灸治疗经验在传播和研究过程中出现的明显失误,指出了当代针灸临床研究设计,特别是近年来国外著名医学刊物发表的针灸临床研究设计的主要问题,并提出了相应的改进思路.

Three discoveries in modern acupuncture,namely Kongzui（LU6） to treat hemorrhoids,needling from Yingxiang（LI20） through Sibai（ST2） to control the pain of biliary ascariasis,and needling from Tiaokou（ST38） through Chengshan（BL57） to relieve shoulder pain,have had a significant influence on acupuncture textbooks and acupuncture clinics during the past half century.The newly found conclusive evidence presented herein shows that these discoveries are completely incorrect or far from truly novel findings.This demonstrates the complexity of acupuncture clinical research,including research methodology challenges.We also identify the main problems of the design of acupuncture clinical trials,especially those published in famous international medical journals,and offer solutions to these problems.