针灸丰乳疗效评价与选穴规律探讨

Study on the Evaluation of Curative Effect and the Law of Choosing Acupoints of Acupuncture Treatment for Small Breast Disease

目的探讨针灸丰乳的疗效评价与选穴规律。方法检索中国知网(CNKI)、中国生物医学文献服务系统(SinoMed)、中文科技期刊数据库(维普)、中国学术期刊数据库(万方数据)的临床研究文献,提取纳入文献的疗效与选穴信息,建立现代针灸丰乳临床数据库,采用数据挖掘技术分析,对针灸丰乳疗效及选穴情况进行分析,筛选出使用频次最高的腧穴、腧穴部位及所属经脉,探索并总结现代针灸丰乳的选经用穴的潜在规律。结果纳入的10篇针灸丰乳的临床文献中,针灸丰乳疗效明显优于其他治疗方法,涉及腧穴36个,总取穴频次102次,以三阴交、足三里、膻中、乳根、太冲为主要穴位,穴位多位于下肢及胸部,选经主要以胃经、脾经为主,常选用交会穴、募穴、输穴和原穴。结论针灸丰乳具有一定疗效,取穴以循经选取足阳明胃经、足太阴脾经上的腧穴为主,重视对交会穴、募穴、输穴和原穴的运用,远近配穴为其重要选穴原则。

Objective To analyze evaluation of curative effect and the law of choosing acupoints of acupuncture treatment for small breast disease.Methods The clinical literature on the treatment of small breast disease is collected from China National Knowledge Infrastructure(CNKI),SinoMed,VIP Database for Chinese Technical Periodicals and China Science Periodical Database.We extracted the efficacy and site selection information included in the literature,established acupuncture clinical database of small breast disease,and used the data mining technology to analyze and select the highest frequency used acupoints,acupoints site and meridians.We explored and summarized the potential rule of modern acupuncture in the treatment of small breast disease.Results 10 clinical trials of treating small breast disease by acupuncture are selected.The curative effect of acupuncture and moxibustion is better than that of other treatments.36 acupoints are involved,and the frequency of total acupoints is 102 times,the acupoints with the higher acupoint frequency are Sanyinjiao(SP6),Zusanli(ST36),Danzhong(RN17),Rugen(ST18),Taichong(LR3).The Stomach Meridian of Foot-Yang ming and the Spleen Meridian of Foot-Tai yin are commonly used,commonly used part is the leg and cheast,commonly used specific acupoints are the crossing points,the front-mu points,the shu-points and the original points.Conclusion Acupuncture treatment for small breast disease is mainly based on the Stomach Meridian of Foot-Yang ming and the Spleen Meridian of Foot-Tai yin and attach importance to the application of the crossing points,the front-mu points,the shu-points and the original points.The combination of the local acupoints with the distal ones is predominated.