文献类型：期刊文献

中文题名：针灸推拿法治疗功能性消化不良的研究进展

英文题名：Research progress on treating functional dyspepsia by acupuncture and massage

作者：黄蜜[1];丁晓华[2];徐小艳[3];潘玮华[2]

第一作者：黄蜜

机构：[1]甘肃中医药大学,甘肃兰州730000;[2]甘肃省妇幼保健院,甘肃兰州730050;[3]甘肃中医药大学附属医院,甘肃兰州730020

第一机构：甘肃中医药大学

年份：2018

卷号：10

期号：21

起止页码：89

中文期刊名：中医临床研究

外文期刊名：Clinical Journal Of Chinese Medicine

基金：2016年甘肃省中医药管理局科研课题(GZK-2016-41)

语种：中文

中文关键词：功能性消化不良;针灸推拿法;研究进展

外文关键词：Functional dyspepsia;Acupuncture and massage therapy;Research progress

摘要：功能性消化不良(Functional Dyspepsia,FD)是临床上常见的胃肠道疾病。该病发病率较高,严重影响患者的身心健康,给社会造成了较大的经济负担。目前,西医主要用对症治疗,效果不甚满意,且有一定的副作用。其相比较而言,中医对于FD的辨证治疗效果显著,尤其是近年来针灸推拿法以成本低、有效避免口服西药及药物不良反应、易操作、治疗方法多样化等优势对FD的治疗方面效果显著。为进一步探究最适宜于临床开展且经济可行的新型中医外治治疗的方法,本文将通过文献回顾的方式,从针灸治疗、推拿疗法和联合疗法等方面对FD的针灸推拿治疗最新进展做以下综述。针灸治疗方法有针法、灸法、穴位埋线、穴位注射和穴位贴敷。其中,针法主要治疗方法有毫针疗法、电针疗法和腹针疗法,针法能改善FD临床症状,但依存性较差。灸法治疗方法有热敏灸、温和灸和天灸,灸法可有效提高依存性,作用温和且无创,但相关临床研究较少。推拿疗法主要有脊柱推拿、腹部推拿和捏脊。就推拿治疗方面,文中列举了王晓伟、纪晓松和杨显清的对照试验。在捏脊方面,本文介绍了韩志瑾的捏脊联合药物治疗的对照试验。联合疗法有穴位贴敷配合艾灸、中药足浴与穴位敷贴和温和灸配合穴位敷贴。在联合治疗方面,文中介绍了陈丽荣、王凤丹和金国栋利用联合疗法成功治疗FD的临床试验。
Functional dyspepsia(FD)is a clinically common gastrointestinal disease.The high incidence of the disease seriously affects the physical and mental health of the patients,causing a greater social and economic burden.At present,Western medicine mainly was applied symptomatic treatment,the effect is not satisfactory,and there are certain side effects.In comparison,traditional Chinese medicine has a significant effect on the differentiation of FD.Especially in recent years,acupuncture and massage have been used in the treatment of FD because of low cost,effective avoidance of oral medicine,less toxic side effects,easy operation,and diversified treatment.In order to further explore the methods that are most suitable for clinically-developed and economically feasible new external treatments for TCM,this article will review the latest progress of acupuncture and massage therapy in treating FD from the aspects of acupuncture,massage therapy and combination therapy through literature review.Acupuncture include acupuncture,moxibustion,acupoint embedding,acupoint injection and acupoint application.Among them,the main acupuncture treatment methods are acupuncture therapy,electroacupuncture therapy and abdomen acupuncture therapy,acupuncture can relieve the clinical symptoms of FD,but the dependence is poor.The moxibustion treatment methods include heat-sensitive moxibustion,mild moxibustion,and moxibustion.The moxibustion can effectively increase the dependence,and the effect is mild and non-invasive.However,there are few clinical studies.Massage therapy mainly includes spine massage,abdominal massage and chiropractic.In terms of massage therapy,the article cites Wang Xiaowei,Ji Xiaosong,and Yang Xianqing’s controlled trials.In terms of chiropractic,this article describes the controlled trial of Han Zhijini’s Chiropractic combined with drug treatment.The combination therapy includes acupoint application with moxibustion,Chinese medicine foot bath and acupoint application and mild moxibustion combined with acupoint application.In terms of combination therapy,the clinical trials of Chen Lirong,Wang Fengdan,and Jin Guodong for the successful treatment of FD using combination therapy are introduced.