【作者】 张心悦； 姚琴； 安雨； 欧阳夏荔； 赵百孝；

【Author】 ZHANG Xinyue;YAO Qin;AN Yu;OUYANG Xiali;ZHAO Baixiao;School of Acupuncture and Moxibustion,Beijing University of Chinese Medicine;School of Traditional Chinese Medicine,Beijing University of Chinese Medicine;

【机构】 北京中医药大学针灸推拿学院； 北京中医药大学中医学院；

【摘要】 目的:对国内外针刺治疗癫痫的相关文献进行分析,探讨针刺治疗癫痫的诊疗特点及诊疗规律。方法:电子检索中国知网(CNKI,1958～2018)、维普医学资源数据(VIP,1958～2018)、中国生物医学光盘数据库(CBM,1958～2018)以及PubMed(2000～2018)中针刺治疗癫痫的文献,分析总结常用的针刺治疗选穴及配穴特点、频次、疗程及疗程间隔、疗效、随访及安全性等。结果:共纳入26篇文献,其中1篇为辨证分型选穴(1/26,3.8%),25篇为辨病选穴(25/26,96.2%)。使用频次最高的5个穴位是百会(17/26,65.4%)、丰隆(14/26,53.8%)、大椎(12/26,46.2%)、内关(11/26,42.3%)、风池(10/26,38.5%),常用穴位组合是百会丰隆9篇(9/26,34.6%),大椎丰隆9篇(9/26,34.6%),百会大椎8篇(8/26,30.8%)。治疗频次为每日一次占80.8%(21/26),疗程3-4个占23.1%(6/26),疗程间隔为0天占34.6%(9/26)。26篇文献的平均有效率为91.07%,仅有2篇文献提及不良反应,占7.7%(2/26),仅有8篇提及随访时间,占30.8%(8/26)。结论:针刺治疗癫痫以辨病选穴为主,常用穴位有百会、丰隆、大椎、内关、风池,常用的穴位组合为百会和丰隆、丰隆和大椎以及百会和大椎。针刺治疗的频次以每日一次为主,疗程主要是3-4个,常不设疗程间隔或设为3天。针刺治疗的有效率较高,且安全性较好,但长期疗效仍需进一步观察。更多还原

【Abstract】 Objective To explore the characteristics of diagnosis and treatment of acupuncture for epilepsy. Methods We electronically searched literatures related to acupuncture for treating epilepsy in the following databases: CNKI(1958-2018), VIP(1958-2018), CBM(1958-2018), PUBMED(2000-2018) to analyze and summarize the clinical characteristics of syndrome differentiation, acupuncture points selection method, acupuncture frequency, course of treatment, treatment interval, treatment effect and treatment safety in treating epilepsy by acupuncture. Results In the collected 26 articles, the percentage of acupuncture points selection method by differentiation of disease was 96.2%(25/26). The main acupuncture points chosen in the 26 articles in the frequency order are Baihui(DU 20,17/26,65.4%), Fenglong(ST 40. 14/26,53.8%), Dazhui(DU 14. 12/26,46.2%), Neiguan(PC 6. 11/26,42.3%), Fengchi(GB-20. 10/26,38.5%); the percentage of the combination of Baihui(DU 20)and Dazhui(DU 14) was 34.6%(9/26); the percentage of treating frequency of once a day was80.8%(21/26); 23.1%(6/26)cases accepted 2 course of therapy; 34.6%(9/26)cases didn’t have interval days between two treatment courses. The average effective percentage was 91.07%.Only 7.7%(2/26)of the articles mentioned adverse effect. And 30.8%(8/26)of the enrolled articles recorded the follow-up time. Conclusion Acupuncture points selection method bydifferentiation of disease is the main method in the treatment of epilepsy. The main acupuncture points applied for epilepsy are DU20, ST40, DU14, PC6 and GB20. The combination of DU20 and DU14 is the most common used. In the clinical practice for treating epilepsy by acupuncture,once a day, 3-4 treatment courses without interval days is regularly and widely used. The short-term efficacy of acupuncture for epilepsy is satisfying, but the long-term efficacy and its safety still need further evaluation.更多还原