Mechanism of Scalp Acupuncture Combined with Distal Acupoint Selection in the Treatment of Vascular Headache Caused by Hyperactivity of Liver-Yang

The clinical effect of acupuncture on vascular headache caused by hyperactivity of liver-yang has been shown, but the specific mechanism is not yet clear. This paper is intended to discuss the etiology and pathogenesis of vascular headache caused by hyperactivity of liver-yang and the mechanism of acupuncture, so as to provide a certain reference for clinical diagnosis and treatment of scalp acupuncture treatment of vascular headache caused by hyperactivity of liver-yang.

HOW TO MASTER THE DIFFERENTIATION OF SYNDROMES AND THE SELECTION OF ACUPOINTS QUICKLY

Differentiation of syndromes can be done by three steps:First to differentiate thenature of disease,second to differentiate the location of disease,third to analyse comprehensively thenature and location of disease.Depend on complete differentiation of syndromes,the acupoints are selected.Three cases are analysed to explain how to dominate preceding contents.

The research on rule of Acupoints and Massage Manipulations selection for Post-ischemic Stroke Constipation based on association rule and entropy clustering analysis

Constipation is a common complication of stroke,and it is increasing year by year,which is worthy of attention.In fact,as an effective treatment for Post-ischemic Stroke Constipation,massage has been recognized by doctors at home and abroad.However,In the known research reports,massage prescriptions are complicated,therefore,a simple and effective massage prescription is urgently needed to effectively guide the clinic and promote it.In this study,we used association rule and entropy clustering analysis methods to mine clinical literature on Post-ischemic Stroke Constipation in 7 databases,and combined with data analysis,traditional chinese massage theory and clinical practice,a core new prescription is summarized.The core new prescription of massage in treating Post-ischemic Stroke Constipation take tonifying spleen,nourishing Qi and generating Body Fluid,promoting Qi,invigorating the circulation of blood and eliminating phlegm as the principle of treatment,which is accord with the pathogenesis of this disease,can better guide the clinical practice and facilitate the popularization and application of massage therapy.

Research on law of acupoints selection for acupuncture treatment of postpartum depression based on data mining method

Objective:To obtain the rules of acupoint use and compatibility methods from RCT literature of acupunctureand moxibustion in the treatment of postpartum depression through data mining,so as to provide effective acupoints for clinical reference.Methods:a total of 557 clinical literatures on acupuncture and moxibustion in the treatment of postpartum depression were retrieved through China knowledge Network Database,Wanfang Database and Chongqing VIP Database,and 44 articles were obtained through inclusion and exclusion criteria.Statistical analysis was carried out with the help of SPSS20.0 and SPSS Modeler18.1.Results:the most commonly used acupuncture points for postpartum depression are Baihui,Taichong,Sanyinjiao,Zusanli,Neiguan,Governor Meridian,foot Jueyin liver Meridian and foot Sun bladder Meridian,which are closely related to the treatment of postpartum depression.most doctors'clinical acupuncture treatment sites are head,limbs and back.The correlation analysis results obtained by SPSS Modeler software are Taichong-Neiguan-Zusanli,Taichong-Neiguan and Neiguan-Zusanli.Finally,the high-frequency acupoints are clustered and classified into four clusters,namely Taichong,Neiguan,Sanyinjiao and Zusanli.Hegu,Sishencong;Baihui,Shenmen;Pishu and Guanyuan.Conclusion:the rule of acupoint use of acupuncture and moxibustion in the treatment of postpartum depression through data mining can provide some reference for the clinical treatment of postpartum depression in the future.

Acupoint selection rules for acupoint application in lung diseases in the post-epidemic era

Objective:To summarize the rules of acupoint selection of acupoint application to prevent and treat lung diseases under the background the post-epidemic era using data-mining technology.Method:The CNKI,Wanfang database,and VIP database were searched for clinical study articles on lung diseases treated by acupoint application published in the past 5 years.Data-eligible papers were extracted to establish a database of acupoint application for lung disease using Microsoft Excel 2019,with the goal of analyzing the frequency of acupoints,acupoint-meridian association,acupoint-location association,specific acupoint frequency,and cluster analysis.Association rules,consisting of acupoints with an application frequency of≥10,were devised by the Apriori algorithm to explore the correlation between acupoint groups and to analyze the rules of the compatibility of acupoint prescriptions.Results:A total of 229 eligible papers met our inclusion criteria.Forty-seven acupoints were applied,for a total frequency of acupoints of 1,035 times.Among these,acupoints for lung diseases were primarily distributed in the back-and-waist and chest-and-abdomen areas.From the analysis of the association rules,we obtained four groups of acupoint association rules based on acupoint clusters with a frequency≥10 and found that Feishu(BL 13),Tiantu(CV 22),Dazhui(GV 14),Dingchuan(EX-B1),and Danzhong(CV 17)constitute the core acupoints of prescriptions for clinical acupoint application to prevent and treat lung diseases.Conclusion:It is clearly shown that the core acupoints are relatively concentrated and that the selected acupoints were mainly locally selected,which could be a matching reference for the long-term prevention and treatment of lung diseases,including COVID-19.

Acupoint Selection Standards of Auricular Therapy in the Treatment of Maintenance Hemodialysis Insomnia Based on Data Mining

Background:Insomnia is a high-incidence complication in patients undergoing maintenance hemodialysis(MHD).Auricular therapy can effectively improve sleep with few adverse effects.Acupoint selection affects the impact of auricular therapy.However,there is currently a lack of analysis on the standards of acupoint selection.Our study used data mining technology to investigate the acupoint selection principles and characteristics of auricular therapy for the treatment of MHD-related insomnia.Objective:The objective of the study is to explore the standards of acupoint selection in auricular therapy for the treatment of MHD-related insomnia through data mining technology.Materials and Methods:We searched three English(PubMed,WOS,and Embase)and four Chinese(CNKI,VIP,Wangfang,and CBM)databases for studies on auricular therapy for MHD-related insomnia from self-establishment to November 14,2022.Results:Eighty-one publications were involved,which included 33 acupoints.The most common auricular points in patients with MHD-related insomnia were the Shenmen,heart,and kidney points.More applications involved the visceral,nervous system,and specific acupoints.Five effective clusters and two clusters were obtained through cluster analysis,including specific auricular points for insomnia,such as the multi-dream area,neurasthenia area,deep sleep point,and anterior ear lobe.Complex network analysis showed that the core auricular acupoint combinations for the intervention of MHD-related insomnia were Shenmen with kidney,Shenmen with heart,heart with kidney,heart with Shenmen,and heart and Shenmen with subcortex.Conclusions:The selection of auricular points for the treatment of MHD-related insomnia was guided by the heart theory of traditional Chinese medicine.Clinical treatment attaches importance to the use of the multi-dream area,neurasthenia area,and other acupoints.

Acupoint Exploration A PRELIMINARY EXPLORATION OF THE CHARACTERISTICS OF SELECTING ACUPOINTS FOR EIGHT CATEGORIES OF PATTERNS OF IMBALANCE

With the help of computers,we have made statistics as to the frequency of se-lecting points for the eight categories of patterns of imbalance.We suggest that for the heat syn-drome,the points in the upper part should usually be selected,for the cold syndrome,the points inthe lower part should generally be adopted;for the exterior syndrome,the points on the yang surfaceshould mostly be selected,for the interior syndrome,the points on the yin surface should generally beadopted;for the asthenic syndrome,the points in the trunk should mostly be selected,for the sthenicsyndrome,the points at the extremities generally be adopted.

Comparison of clinical efficacy of neddle knife at acupoints selected from recent regions along meridians and according to anatomical structures in treating early and middle stage knee osteoarthritis

Objective:To stimulate tenderness points around knee joint in two metholds-corresponding acupoints selected from recent regions along meridians and anatomical structures,to compare the clinical efficacy of neddle knife of to cure early and middle stage knee osteoarthritis.Method:70 patients were randomly(Random Number Tables)divided into test group(acupoints selected from recent regions along meridians,n=35)and control group(anatomical structures,n=35),who were diagnosed as knee osteoarthritis.Observe the VAS(visual analogue scale),Lysholm,WOMAC(the Western Ontario and McMaster Unive rsities Osteoarthritis Index)and ROM(rang of motion)between two groups in first week,first month,third month after treatment.Recording the degree of improvement of knee joint’s pain,dysfunction and symptoms of osteoarthritis and rang of motion.Results:Within groups,the VAS,Lysholm,WOMAC and ROM were obviously different from pre-therapy scores in the third,sixth and twelfth week post-therapy(P<0.05).Between groups no significant difference were observed in the third week post-therapy about VAS,Lysholm,WOMAC scores(P>0.05).However,there were differences in the sixth,twelfth weeks post-therapy(P<0.05);compared with control group,the ROM of test group were difference in the third,sixth,twelfth weeks post-therapy(P<0.05).Conclusion:The clinical efficacy of stimulating corresponding acupoints tenderness points selected from recent regions along meridians to treat early and middle stage knee osteoarthritis was superior to anatomical structures,which can effectively relieve pain,dysfunction,symptoms of osteoarthritis of knee joint and rang of motion.

通络祛痛膏循经取穴贴敷对腰间盘突出患者止痛效果的随机对照研究

目的通过随机对照研究通络祛痛膏循经取穴贴敷对腰间盘突出患者止痛效果。方法110例腰间盘突出患者,采用随机数字表法分为观察组和对照组,每组55例。观察组采用循经取穴贴敷通络祛痛膏,对照组采用常规阿是穴贴敷通络祛痛膏。比较两组患者治疗前后及随访期间视觉模拟评分法(VAS)评分、伴随症状缓解效果、安全性。结果治疗前,观察组患者VAS评分(5.98±1.84)分与对照组的(6.10±2.20)分比较,无明显差异(P>0.05)。治疗后,两组患者VAS评分均低于治疗前,且观察组患者VAS评分(2.93±1.30)分低于对照组的(3.97±2.29)分(P<0.05)。观察组治疗后2周、1个月、3个月随访VAS评分分别为(2.79±1.68)、(2.67±1.38)、(2.37±1.95)分,均低于治疗前(P<0.05),略低于治疗后,但无明显差异(P>0.05)。对照组患者治疗后2周、1个月、3个月随访VAS评分分别为(3.67±2.54)、(4.67±2.63)、(4.59±2.98)分,治疗后2周随访VAS评分略低于治疗后,治疗后1、3个月随访VAS评分均高于治疗后,但均无明显差异(P>0.05)。观察组治疗后2周、1个月、3个月随访VAS评分均低于对照组(P<0.05)。观察组患者伴随症状缓解显效率94.6%高于对照组的76.4%(P<0.05)。观察组与对照组患者伴随症状缓解总有效率均为98.2%,无明显差异(P>0.05)。治疗过程中两组各发生轻度皮肤瘙痒3例,局部涂抹药膏后缓解,局部皮肤后期有轻微结痂,无感染及瘢痕产生。两组均未发生严重安全性问题,两组安全性比较无明显差异(P>0.05)。结论通络祛痛膏循经取穴贴敷疗法对腰间盘突出患者止痛效果及远期疗效优于常规阿是穴贴敷,且在改善伴随症状上循经取穴贴敷显效率高于阿是穴贴敷。

基于数据挖掘对针灸治疗混合痔术后尿潴留的取穴规律分析

目的:基于数据挖掘分析针灸治疗混合痔术后尿潴留的取穴特点。方法:以混合痔、术后尿潴留、针刺、针灸、灸法与电针为主题词,检索2000年1月1日—2023年1月1日中国期刊全文数据库(CNKI)、万方数据库和维普网(VIP)数据库关于针灸治疗混合痔术后尿潴留的所有文献,共69篇,针灸处方69个,运用SPSS 20.0、SPSS modeler 18.0软件对针灸治疗混合痔术后尿潴留的取穴特点进行统计分析。结果:针灸治疗混合痔术后尿潴留针刺选穴使用频次从高到低依次为中极、关元、气海、三阴交、阴陵泉、足三里、水道和神阙等;经脉以任脉、脾经、胃经和膀胱经为主;部位以下腹部、下肢及腰背腧穴最多;特定穴以募穴、原穴、合穴及背俞穴最常用;关联分析显示相关性较高的穴位组合:三阴交-阴陵泉、中极-阴陵泉、中极-气海-关元、中极-三阴交、中极-气海、关元-气海、关元-中极-气海和中极-关元;对高频主穴进行聚类分析得到3个聚类群,分别为中极-关元-气海、承山-二白-水道-膀胱俞和血海-太溪-足三里-阴陵泉-三阴交。结论:针灸治疗混合痔术后尿潴留穴位选择以局部取穴为主,配合远近配穴法、俞募配穴法等,符合临床选穴规律。

王麟鹏教授“逐邪通络”法治疗原发性三叉神经痛

总结王麟鹏教授运用“逐邪通络”法治疗原发性三叉神经痛的学术思想。王麟鹏教授通过总结前人经验,提出“逐邪通络”针刺法,分期治疗原发性三叉神经痛;强调应根据邪气的致病特点、发作分期、正邪盛衰确定不同的针刺方案,提出局部取穴应用经络辨证为主;主张疼痛发作期以祛邪为要,缓解期主张扶正与祛邪兼而有之,重视调理脏腑、疏通经络,慎用扳机点的治疗理念,获得很好的临床效果。

补肾壮骨温经汤配合针刺循经取穴治疗类风湿性膝关节炎的疗效研究

目的观察补肾壮骨温经汤配合针刺循经取穴治疗类风湿性膝关节炎(RG)的疗效。方法选取2020年6月至2022年6月宝鸡市中医医院收治的102例RG患者作为研究对象,按随机数表法分为联合组、对照1组与对照2组各34例。对照1组患者给予常规西药治疗,对照2组患者给予常规西药联合针刺循经取穴治疗,联合组患者则在对照2组基础上予以补肾壮骨温经汤联合治疗。治疗3个月后,比较三组患者的临床疗效及治疗前后的临床证候评分、骨关节炎指数(WOMAC)评分以及血清学指标[类风湿因子(RF)、红细胞沉降率(ESR)、抗环状瓜氨酸抗体(CCP)]水平;同时比较三组患者治疗期间的不良反应的发生情况。结果联合组患者的临床治疗总有效率为91.18%,明显高于对照1组的64.71%和对照2组的70.59%,差异均具有统计学意义(P<0.05),但对照1组与对照2组患者的治疗总有效率比较差异均无统计学意义(P>0.05);治疗3个月后,联合组患者的关节冷痛、屈伸不利、肿胀、头晕耳鸣以及肢体沉重各临床证候评分明显低于对照1组与对照2组,差异均具有统计学意义(P<0.05),但对照1组与对照2组患者的临床证候评分比较差异均无统计学意义(P>0.05);联合组患者的WOMAC评分为(38.45±11.48)分,明显低于对照1组的(45.58±12.71)分和对照2组的(44.34±12.06)分,且联合组患者的RF、ESR及CCP水平分别为(86.37±14.74)IU/mL、(32.27±3.38)mm/h、(187.34±19.08)IU/mL,明显低于对照1组的(103.22±16.75)IU/mL、(43.16±5.25)mm/h、(219.58±21.77)IU/mL和对照2组的(98.41±15.28)IU/mL、(41.83±5.19)mm/h、(210.66±19.48)IU/mL,差异均有统计学意义(P<0.05),但对照1组与对照2组患者的WOMAC评分、RF、ESR及CCP水平比较差异均无统计学意义(P>0.05);治疗期间三组患者的不良反应总发生率比较差异无统计学意义(P>0.05)。结论补肾壮骨温经汤配合针刺循经取穴治疗RG可有效缓解患者的相关临床症状,改善膝关节功能及血清学指标水平,临床疗效确切,具有临床应用价值。

基于数据挖掘技术探讨针刺治疗脑卒中肩手综合征的取穴规律

目的 基于数据挖掘技术探讨针刺治疗卒中后肩手综合征(SHS)的取穴规律。方法 搜索中国知网、万方数据知识服务平台和维普数据库,筛选有关针刺治疗SHS的文献,建立处方数据库。用Excel建立矩阵数据进行腧穴规范化处理、频次统计和穴位归经,对特定穴位使用情况进行频次分析,建立矩阵数据库,再将矩阵转化为数据透视表后导入SPSS Modeler 18.0统计学软件进行腧穴复杂网络可视化展示,并运用Apriori算法进行高频腧穴间的关联规则分析;运用Origin 2021软件中的层次聚类分析方法对高频腧穴进行聚类分析。结果 纳入101篇文献,共提取出处方101条,涉及腧穴67个,所有腧穴累计出现总频次为815次。应用频次排名前5的腧穴依次为肩髃(86次)、合谷(70次)、曲池(69次)、外关(69次)、手三里(49次)。关联规则分析结果显示,曲池-合谷、外关-合谷、肩髃-合谷支持度最高;通过聚类分析得到4个有效聚类组,分别为肩髃-肩髎-合谷-外关-曲池-手三里-臂臑、肩贞-八邪-天宗-肩井、后溪-中渚、内关-尺泽-极泉-肩前-阿是穴。结论 针刺治疗中风后SHS取穴以局部取穴和手三阳经穴为主,这些穴位的使用和组合规律可能是治疗SHS最简便有效的针刺方案。

针刺治疗银屑病的选穴规律分析

目的:运用数据挖掘技术分析针刺治疗银屑病的选穴规律。方法:采用计算机检索维普数据库、万方数据知识服务平台和Embase数据库自建库至2021年10月30日收录的针刺治疗银屑病的相关文献,利用Microsoft Excel 2019建立数据库,运用数据挖掘技术对穴位进行描述性分析、相关性分析以及年代分析。结果:本研究共纳入文献45篇,共计56个穴位,总频次477次。使用频次前5位的穴位是曲池(46次)、三阴交(37次)、血海(36次)、肺俞(34次)、膈俞(32次);归经多属足太阳膀胱经、足太阴脾经、手阳明大肠经、督脉以及足阳明胃经等,使用频次最多的经脉是足太阳膀胱经;与其他穴位共现频次前5位的穴位为曲池(310次)、三阴交(274次)、血海(255次)、肺俞(225次)、足三里(221次);曲池、血海、三阴交等穴位在纳入文献所在年份中出现次数较多,选择率较高。结论:针刺治疗银屑病对于穴位的选择有一定规律性,可考虑以“曲池、三阴交、血海、肺俞、膈俞、足三里”为主穴制定治疗方案。

基于从阴引阳从阳引阴浅谈腰痛治腹临床应用

目前临床上针对各种原因导致的腰背疼痛,主要采用单纯背腰部取穴治疗。临床发现,许多腰痛患者在腹部表现出阳性反应点,通过查阅古籍和阅读相关文献,还可采取以“从阴引阳,从阳引阴”理论为基础的腹部取穴法来治疗腰部疼痛疾病,从整体观念出发,平衡阴阳,有助于提高临床疗效。此文通过探讨《黄帝内经》中“从阴引阳”理论和腰痛治腹的指导思想,以期拓宽临床诊疗思路。

结合功能解剖选穴电针治疗脑卒中痉挛期步行功能障碍的临床效果

目的 观察结合功能解剖选穴电针治疗脑卒中痉挛期患者步行功能障碍的临床效果。方法 随机将130例脑卒中痉挛期步行功能障碍患者(2020年5月至2021年10月江油市中医医院心脑血管病科、神经外科、针灸康复科收治)分为观察组(66例)和对照组(64例)。对照组采取基础治疗加常规取穴电针治疗,观察组采取基础治疗加结合功能解剖选穴电针治疗,每次30 min,每日1次,6次/周。治疗前、治疗4周后进行偏瘫步行能力评定量表(FAC),简化Fugl-Meyer运动功能评分表下肢部分(FMA),Tinetti步态评估量表(TGA),日常生活活动能力评分表(改良Barthel指数)(MBI),髋、膝、踝主动关节活动度(AROM)评定。结果 两组治疗前各指标比较,差异无统计学意义(P> 0.05),治疗后两组各观察指标得分均较治疗前有显著增加(P <0.05),观察组治疗后的FMA、髋前屈/外展、膝屈曲、踝跖屈AROM优于对照组(P <0.05)。结论 结合功能解剖选穴电针疗法在FMA、髋前屈/外展、膝屈曲、踝跖屈AROM等几个方面优于常规取穴电针疗法。

子午流注针法对痰热型失眠合并高血压患者睡眠及血压水平的影响

目的:探讨子午流注纳子法针刺对痰热型失眠合并原发性高血压患者的睡眠及血压水平的影响。方法:将67例痰热型失眠合并原发性高血压患者随机分为观察组33例和对照组34例。对照组予苯磺酸氨氯地平片和艾司唑仑片口服,观察组在对照组治疗的基础上加用子午流注纳子法针刺治疗,共治疗4个疗程。观察并比较两组治疗前后匹兹堡睡眠质量指数、症状、动态血压、血压变异性、平滑指数。结果:治疗后2组匹兹堡睡眠质量指数评分较治疗前下降(P<0.05),且观察组低于对照组(P<0.05)。两组治疗后的所有单项症状积分均较治疗前下降(P<0.05),除头重、胸闷外余各项症状评分观察组下降程度大于对照组(P<0.05)。两组治疗后动态血压、血压变异性各指标均低于治疗前(P<0.05),且观察组夜间平均收缩压、白天平均收缩压、夜间收缩压变异性、白天收缩压变异性均低于对照组(P<0.05);两组治疗后的平滑指数高于治疗前(P<0.05),且观察组的夜间收缩压平滑指数、白天收缩压平滑指数均高于对照组(P<0.05)。结论:子午流注纳子法针刺治疗失眠合并高血压患者疗效确切,可明显改善临床症状,降低血压变异性,平稳降压。

基于数据挖掘探讨针刺治疗乳腺增生症选穴规律

目的 采用数据挖掘技术探讨针刺治疗乳腺增生症(MGH)选穴规律,为规范临床针刺治疗MGH选穴提供理论依据。方法 检索中国知识资源总库(CNKI)、中国学术期刊数据库(万方数据)、中文科技期刊数据库(VIP)、PubMed 2013年8月27日-2023年8月27日收录的针刺治疗MGH临床研究文献,提取针刺处方并录入Excel2019建立数据库,运用SPSS25.0、SPSS Modeler 18.0、R studio4.2.2对数据进行描述性分析、聚类分析和关联规则分析并绘制关联网络图,运用Cytoscape3.9.1软件将网络图可视化。结果 共纳入95篇文献,提取针刺处方95条,涉及腧穴65个,总使用频次为658。高频腧穴有膻中、足三里、乳根等,常用经脉为足阳明胃经、任脉和足厥阴肝经,腧穴分布部位以胸腹胁部和下肢部为主,高频特定穴为募穴、五输穴、八会穴。聚类分析得到2个有效聚类群,关联规则分析得到膻中-足三里、膻中-乳根、膻中-三阴交3个核心组合。结论 针刺治疗MGH选穴集中在胸腹胁部,以肝经、任脉、胃经腧穴为主,重视特定穴使用,遵循“远近配穴”原则,重视从肝、脾、胃论治。

基于数据挖掘技术探讨中医外治法治疗中枢性呃逆的选穴规律

目的:运用数据挖掘技术探讨中医外治法治疗中枢性呃逆的选穴规律。方法:以相关中英文主题词,从中国知网(CNKI)、中文科技期刊数据库(维普)、中国生物医学文献数据库(CBM)、万方数据知识服务平台检索并下载相关文献,阅读并筛选文献后摘录处方,形成数据库,通过SPSS 25.0软件进行高频选穴、特定穴、分布部位、归经频次、关联规则和系统聚类分析。结果:纳入文献272篇,处方296首,腧穴111个,总频次为1 462次,涵盖毫针、电针、皮内针、灸法、穴位按摩等疗法。高频选穴由高到低排列为足三里、内关、中脘、膈俞、攒竹;选穴归经以任脉、足阳明胃经、手厥阴心包经、足太阳膀胱经等为主。特定穴通常选用五输穴、八会穴、络穴等。选穴主要分布在下肢。高频选穴组合为内关+足三里,内关+中脘,足三里+中脘。结论:中医外治法治疗中枢性呃逆选穴多从顾护胃气、和畅血行的角度考虑,可为临床提供切实可行的治疗思路。

对电针治疗脓毒症的疗效和有效处方初探

脓毒症是临床危重症,病死率高。电针是脓毒症的重要辅助治疗手段,能减轻脓毒症炎症反应、调节患者免疫功能、预防多系统器官损伤,但系统性综述未见报道。本文通过检索PubMed、中国知网等数据库,对电针治疗脓毒症及其并发症的临床研究文献进行系统性整理,综述电针在脓毒症及其并发症领域的临床应用情况,分析其临床疗效,总结有效的穴位处方。最终确定电针在单纯脓毒症以及脓毒症并发消化道、肺、心肌、脑损伤的应用中获得了有效临床证据,并推荐如下有效穴位处方:①单纯脓毒症推荐“足三里+关元”“足三里+天枢+上巨虚+下巨虚”;②合并消化道损伤,推荐“足三里+上巨虚+天枢”“足三里+天枢+上巨虚+下巨虚”;③合并肺损伤,推荐“足三里+尺泽”;④合并心肌损伤,推荐“内关+足三里+神门+太冲+血海+膈腧+三阴交+合谷”;⑤合并脑损伤,推荐“百会+水沟”。研究结果能为电针应用于脓毒症及其并发症的临床治疗提供初步临床指导。