针灸治疗高脂血症的选穴用经特点与规律分析

Characteristics and laws of acupoint selection in treatment of hyperlipidemia with acupuncture and moxibustion

提炼并分析针灸治疗高脂血症选穴用经的特点和规律。通过检索主要中英文数据库,纳入有明确选穴的针灸治疗高脂血症的临床研究文献,分析针灸治疗高脂血症选穴用经的特点和规律。发现高脂血症针灸处方的选穴以特定穴为主,选穴频次居于前5位的依次为丰隆、足三里、三阴交、内关和天枢;高脂血症针灸处方的用经包括10条经脉,选用经脉频次较高的为胃经、脾经、任脉、膀胱经和心包经;高脂血症的针灸处方以胃经、脾经、任脉、膀胱经和心包经的特定穴为主。高脂血症的针灸处方体现了"从脾论治、循脾胃经取穴、远近结合""调整脏腑虚实、辨证取穴、前后结合"和"辨症取穴"的选穴特点。

Objective To refine and analyze the characteristics and laws of acupoint selection in treatment of hyperlipidemia with acupuncture and moxibustion.By retrieving the main databases of Chinese and English version,the clinical research literature is included on the definite acupoints for hyperlipidemia treated with acupuncture and moxibustion,and the characteristics and laws are analyzed on the acupoint selection for hyperlipidemia treated with acupuncture and moxibustion.It is found out that the special points have been mainly used in treatment of hyperlipidemia.The first five top acupoints of high frequency use include Fenglong（ST 40）,Zusanli（ST 36）,Sanyinjiao（SP 6）,Neiguan（PC 6）and Tianshu（ST 25）.Totally 10 meridians are involved in acupoint prescriptions.The meridians of higher frequency use include the Stomach Meridian,the Spleen Meridian,the Conception Vessel,the Bladder Meridian and the Pericardium Meridian.The specific points are mainly from the Stomach Meridian,the Spleen Meridian,the Conception Vessel,the Bladder Meridian and the Pericardium Meridian in the treatment of hyperlipidemia.The acupoint prescription of acupuncture and moxibustion for hyperlipidemia is characterized as determining the treating principle based on the spleen theory,selecting the acupoints along the running courses of the spleen and stomach meridians,combining the nearby acupoints with the distal ones,selecting the acupoints for adjusting the deficiency and excess of zangfuand syndrome differentiation,collaborating the acupoints located in the front and on the back,as well as supplementing the acupoints based on symptoms.