穴位埋线疗法的优势病种及应用规律

Acupoint catgut-embedding therapy:superiorities and principles of application

目的:分析穴位埋线疗法在临床各科疾病中的优势,并探讨其临床应用规律,为临床治疗提供参考依据。方法:采用现代计算机技术,建立穴位埋线数据库,对近40年来与穴位埋线相关的文献进行筛选、录入、审核、提取、统计分析。结果:①录入1075篇文献,穴位埋线疗法在临床各科均有应用,尤其在内科中治疗病种最多,占所有病种的48.54%(50/103),以治疗胃脘痛为主,频次为102次,肥胖病频次为74次;其次是外科疾病,占所有病种的14.56%(15/103),以治疗腰腿痛为主,频次为79次;皮肤科以治疗牛皮癣为主,频次30次;五官科以治疗重睑术为主,频次为30次。②纳入的文献研究中,穴位选择以近部选穴和远部选穴为主;埋线工具有多种,主要以改制的腰穿针为主,在线的选择上以不同型号羊肠线为多。③疗效分析显示,穴位埋线疗法治疗各科疾病疗效显著,尤其以外科和皮肤科最为突出,总有效率均达90%以上。结论:穴位埋线疗法主要优势病种是内科的胃脘痛、肥胖病、痫证、哮喘、腹痛、面瘫、便秘;外科的腰腿痛;皮肤科的牛皮癣和五官科的重睑术。

Objective To analyze the superiorities of acupoint catgut-embedding therapy, discuss its law of clinical application and provide scientific decision-making for clinical treatment. Methods Literatures on acupoint catgut-embed- ding therapy in the recent 40 years were selected, input, examined and verified, picked up and analyzed by establishing da- tabase with the modern computer technology. Results ① One thousand and seventy-five literatures were input. It shows that the acupoint catgut-embedding therapy has an extensive application in all departments, especially in the internal de- partment, accounting for 48.54 % （50/103） of the total disease category. It has the most extensive application on treat- ment of epigastric pain, with the frequency of 102 times, and obesity of 74 times. The next is surgery, accounting for 14. 56% （15/103）. The major application is on low back pain and leg pain with the frequency of 79 times. Psoriasis, with the frequency of 30 times, holds the major application in dermatological department. And blepharoplasty, with the fre- quency of 30 times, gains the most application in department of ophthalmology and otorhinolaryngology. ② In the inclu- ded literatures, selection of adjacent acupoints and distal acupoints are held as the major method of acupoint selection. The adjusted lumbar puncture needle is taken as the major tool for the acupoim catgut-embedding therapy. And catguts of different sizes are adopted for the operation. ③ Analysis of the therapeutic effect shows that aeupoint catgut-embedding the- rapy has obvious effect in all departments, especially in surgery and dermatology, with the total effective rate over 90%. Conclusion Epigastric pain, obesity, epilepsy, asthma, abdominal pain, facial paralysis and constipation of the internal medicine, low back pain and leg pain of the surgical department, psoriasis of the dermatological department and blepharo- plasty of the department of ophthalmology and otorhinolaryngology are considered as the dominant diseases for acupoint catgut-embedding therapy.