针灸治疗肾虚督寒型强直性脊柱炎的临床研究进展

Clinical Research Progress of Acupuncture and Moxibustion in the Treatment of Ankylosing Spondylitis of Kidney Deficiency and Governor Meridian Cold Type

强直性脊柱炎是以中轴关节和肌腱韧带骨附着点的慢性炎症为主的自身免疫性全身性疾病,临床症状主要表现为疼痛及活动障碍,除累及脊柱、外周关节外,还可累及眼、心血管、肺等多个器官。中医称其为“大偻”,临床上以肾虚督寒型多见,且症状更重。以“针灸”、“督灸”、“火针”、“肾虚督寒型”、“强直性脊柱炎”为关键词在中国知网、万方、维普数据库中检索近20年的文献,得到43篇,按纳入排除标准,纳入研究23篇,现就近年来强直性脊柱炎的针灸外治疗法概况归纳如下。

Ankylosing spondylitis is an autoimmune systemic disease characterized by chronic inflammation of axial joints and tendon-ligament bone attachment points. The main clinical symptoms are pain and dysfunction. In addition to the spine and peripheral joints, it can also involve multiple organs such as the eyes, cardiovascular system, and lungs. Traditional Chinese medicine calls it “da lyu”. Clinically, it is more common in Kidney Deficiency and Governor Meridian Cold Type, and the symptoms are more serious. Using “acupuncture and moxibustion”, “Du moxibustion”, “fire needles”, “kidney deficiency and cold type” and “ankylosing spondylitis” as keywords, 43 articles were retrieved from CNKI, Wanfang, and Weipu databases in the past 20 years. According to the inclusion and exclusion criteria, 23 articles were included. Now, the general situation of acupuncture and moxibustion treatment for ankylosing spondylitis in recent years is summarized as follows.