针灸治疗帕金森病选穴规律的探讨

Exploration of Regularities in Point Selection for Acupuncture Treatment of Parkinson Disease

目的对近30年针灸治疗帕金森病的取穴规律进行分析,为帕金森病的针灸治疗提供参考。方法以"帕金森病"、"震颤麻痹"、"针灸"等为关键词,通过万方、中国知网、维普、中国生物医学文献数据库对近30年中文文献进行检索,并进行主穴、头针头穴的选用、辨证选穴、主穴归经等方面的计量学研究。结果针灸治疗帕金森病主要以督脉、大肠经、胆经等经脉为主,以太冲、百会、合谷、风池等穴位为主穴;头针头穴常选用舞蹈震颤控制区、运动区等。辨证取穴常用丰隆、气海、三阴交、阴陵泉、足三里等穴位。结论现代针灸医师治疗帕金森病时,取穴以太冲、百会、合谷、风池等穴位为主穴,头针头穴应用较多,以督脉为主结合辨证配穴。

Objective To analyze recent 30 years＇ regularities in point selection for acupuncture treatment of Parkinson disease and provide reference for its treatment. Methods Parkinson disease, parkinsonism and acupuncture were used as key words. Recent 30 years＇ Chinese literature was searched using Wanfang, CNKI, VIP and Chinese biomedical literature database. Selection of main acupoints and scalp acupuncture points, syndrome differentiation-based point selection and meridian tropism of main acupoints were metrologically studied. Results The Du meridian, the large intestine meridian and the gallbladder meridian were mainly selected for acupuncture treatment of Parkinson disease. Taichong（LR3）, Baihui（GV20）, Hegu（LI4） and Fengchi（GB20） were used as main points. Chorea-tremor control area, motor area and parietotemporal anterior oblique line were often selected as main scalp acupuncture points. Fenglong （ST40）, Qihai（CV6）, Sanyinjiao（SP6）, Yinlingquan（SP9） and Zusanli（ST36） were often used according to syndrome differentiation-based point selection. Conclusion Modem acupuncture doctors select Taichong（LR3）, Baihui（GV20）, Hegu（LI4） and Fengchi（GB20） as main points, often use scalp acupuncture points and combine points mainly from the Du meridian according to syndrome differentiation in the treatment of Parkinson disease.