基于CiteSpace软件的针灸治疗急性腰扭伤常用腧穴的可视化分析

目的:基于CiteSpace软件分析近30年针灸治疗急性腰扭伤文献,分析常用腧穴,探讨该领域发展趋势及研究热点。方法:检索中国知网数据库中关于针灸治疗急性腰扭伤常用腧穴的相关文献,经Refworks格式转换后,利用CiteSpace软件生成针灸治疗急性腰扭伤常用腧穴相关文献的作者、研究机构及关键词的共现、聚类和突现词图谱,并进行分析。结果:图谱共有251位作者被纳入,其中12位作者发文量≥3篇;共有223个机构被纳入,发文量≥2篇的机构有19个;共有108个关键词被纳入,剔除基础关键词,合并重复关键词后得到25个高频关键词,最常用的穴位是后溪,最常用的施术方法是电针疗法。结论:针灸治疗急性腰扭伤的针刺腧穴依旧是研究的热点,如后溪、腰痛等。随着研究的进一步深入,一些研究者在经穴和奇穴的基础上进行了改良,拓展了新的取穴思路,如扭伤穴、董氏奇穴等,反映了腧穴的选择越来越多元化。

TREATMENT OF SOFT TISSUE INJURY BY PUNCTURING CLEFT-POINTS

Objective: To observe the therapeutic effect of acupuncture of "Xi" (Cleft) points in treatment of soft tissue injury. Methods: 335 cases of soft tissue injury patients were divided into Cleft point group (264 cases) and Ashi point group (control group, 71 cases) randomly. In Cleft point group, the 16 Cleft points were used in combination with Ahshi points. In control group, only local Ahshi points were punctured. The treatment was conducted once every day, with 5 sessions being a therapeutic course. After 2 courses of treatment, the therapeutic effect was analyzed. Results: Results showed that the therapeutic effect of cleft point group was significantly better than that of control group (P<0.05), particularly in treatment of acute soft tissue. Conclusion: Cleft point acupuncture has a better therapeutic effect in treatment of soft tissue injury in comparison with Ashi point.

RECIPROCAL ACTIONS OF ACUPOINTS ON GASTROINTESTINAL PERISTALSIS DURING ELECTROACUPUNCTURE IN MICE

Orthogonal design was used to observe the gastrointestinal peristalsis in normal andatropine-treated mice after electroacupuncture was applied,singly or in combination,atNeiguan(P 6),Pishu(UB 20)and Zusanli(St 36).The results showed that:1)electroacupuncture has no significant effect on the gastrointestinal peristalsis in normalmice;2)Pishu(UB 20)was significantly antagonistic to Zusanli(St 36)in normal mice;3)the decreased gastrointestinal peristalsis in atropine-treated mice was markedly promotedby electroacupuncture at Zusanli(St 36);and 4)Neiguan(P 6)was significantlyantagonistic to Pishu(UB 20)in atropine-treated mice.The results indicated that thereciprocal actions among acupoints should be taken into consideration for pointprescription.

Point selection characteristics and rules of acupuncture in treatment of depression based on data mining

Objective To discuss the point selection characteristics and rules of prescription for acupuncture in treatment of depression. Method Clinical literature on acupuncture in treatment of depression in recent five years were retrieved by retrospective document research; the number of point and use frequency were calculated, and their characteristics and rules were analyzed by means of bibliometrics. Result One hundred and seventy-seven papers about acupuncture in treatment of depression were retrieved with 158 acupoints used for 1 630 times in total, including B ihuì（百会 GV 20）, Tàichōng（太冲 LR 3）, Sānyīnjiāo（三阴交 SP 6）, and Shénmén（神门 HT 7）, which were used most frequently. In view of meridians, governor vessel, the foot-taiyang bladder meridian and the foot-jueyin liver meridian were used most frequently, fiveshu points were used frequently in specific points, and the most frequently used point combination was distal and local point combination. Conclusion The primary prescription for acupuncture in treatment of depression is GV 20 in combination with distal LR 3, SP 6, HT 7, and other points.

Discussion on “analogical acupoints”

To point out that ＂analogical acupoint＂ is the acupoints with same indication effect by describing the concept of analogical acupoint, as well as its relationship with combination and prescription. ＂Analogical acupoint＂ is the basic element for acupoint combination, while the acupoint combination is the foundation of acupuncture prescription. Finally, to make future prospect for the research thought of ＂analogical acupoint＂.

Virtual three-dimension reconstruction of Sidu(四渎 TE 9)

Objective Aim to create a three-dimension（3D） reconstruction of acupuncture needling at Sidu（四渎 TE 9）.Methods First,the skin,subcutaneous tissue,muscles,the blood vessels and nerves near TE 9 were defined in anatomical terms.Second,the above anatomical structures including the dissected muscles associated with at TE 9,the underlying blood vessels and nerves were reconstructed in 3D.Third,the process of acupuncturing TE 9 on a virtual human body was simulated using the VOXEL-MAN technology.Results Both the local anatomy of the point and the process of acupuncture needling at TE 9 were reconstructed.Different layers of tissues were visualized during the process of needling,as the needle was inserted and manipulated at the point.Conclusions Virtual 3D reconstruction can contribute to research on the anatomical structure of acupoints and the visualization of the acupoints.We recommend that it be fully utilized in acupuncture research.