近10年针灸治疗腰椎间盘突出症选穴规律的探讨

Discussion on the regular of acupoint selection of acupuncture and moxibustion for Lumbar disc herniation during recent 10 years

以"腰椎间盘突出症""中医""针灸"为关键词,通过万方、维普、CNKI三大中文数据库对近10年中文文献中针灸治疗腰椎间盘突出症的文献进行检索,共检索出相关文献546篇,排除无效文献后,最终有效文献173篇,主要使用穴位49个。采用分层聚类统计方法分析前20个穴位之间可能存在的内在规律。结果足太阳膀胱经穴(膈俞、小肠俞、肾俞、大肠俞、膀胱俞、关元俞、委中、秩边、承山、昆仑)10个,足少阳胆经穴(环跳、阳陵泉)、督脉穴(腰阳关、水沟)、足阳明胃经穴(足三里、巨髎)、足太阴脾经穴(三阴交、血海)各2个,其余为经外奇穴(华佗夹脊穴)、阿是穴,故腧穴以膀胱经为主,配合胆经、督脉、胃经、脾经腧穴、经外奇穴及阿是穴;选穴所取的部位以腰骶部、腿部腧穴为主,以背部、面部腧穴及阿是穴为辅。

By taking ＂lumbar disc herniation＂, ＂Chinese rnedicine＂, ＂acupuncture and moxibustion＂ as key words Chinese articles about acupuncture for lumbar disc herniation in recent 10 years were searched in three major Chinese databases of Wanfang database, VIP database and CNKI. Totally 546 relative articles were retrieved. Af- ter the eliminalion of invalid articles, 173 were included as valid articles with 49 main acupoints. The hierarchical clustering statistical method was used to analyze the possible rules among the former 20 aeupoints. It turned out that there were 10 most common used acupoints on Bladder Meridian [Geshu （BL 17）, Xiaochangshu （BL 27）, Shenshu （BL 23）, Dachangshu （BL 25）, Pangguangshu （BL 28）, Guanyuanshu （BL 26）, Weizhong （BL 40）, Zhibian （BL 54）, Chengshan （BL 57）, Kunlun （BL 60）1, 2 on Gallbladder Meridian [Huantiao （GB 30）, Yang- lingquan （GB 34）], 2 on Governor Vessel [Yaoyangguan （GV 3）, Shuigou （GV 26）], 2 on Stomach Meridian[Zusanli （ST 36）, Juliao （ST 3）], 2 on Spleen Meridian ESanyiniiao （SP 6）, Xuehai （SP 10）], and the rest were extra points （Huatuo J iaji ） and Ashi points, so a conclusion could be drawn that the most common used acupoints were Bladder Meridian acupoints and supplemented by Gallbladder Meridian, Governor Vessel, Stomach Meridian, Spleen Meridian, extra points and Ashi points. The selected acupoints were most located on the lumbosacral re- gion. leg and fewer located on the face, back and local part.