Abstract
Objective
To analyze and summarize the characteristics and pattern in the selection of points and meridians by searching the clinical research literature about acupuncture-moxibustion treatment of amblyopia in the recent 17 years.
Methods
By searching Chinese and English databases, such as China National Knowledge Infrastructure (CNKI), PubMed, etc., the points in 52 articles in conformity with the requirements were analyzed by frequency statistics by the order of meridians, major points, and adjunct points to summarize the rules and characteristics of the point selection.
Results
In 52 articles, there were 21 articles on ear acupuncture and 31 articles on acupuncture-moxibustion treatment. Ten meridians were involved in acupuncture-moxibustion treatment of amblyopia, and the leading 3 meridians were the Bladder, Stomach and Gallbladder Meridians. There were 34 points, 10 extraordinary points and 37 ear points were used in acupuncture-moxibustion treatment of amblyopia. The top 10 major points were **gming (BL 1), Taiyang (EX-HN 5), Cuanzhu (BL 2), Fengchi (GB 20), Baihui (GV 20), Hegu (LI 4), Guangming (GB 37), Sibai (ST 2), Chengqi (ST 1) and Sizhukong (TE 23). The top 5 adjunct points were Zusanli (ST 36), Shenshu (BL 23), Ganshu (BL 18), Sanyinjiao (SP 6) and Taixi (KI 3).
Conclusion
Acupuncture-moxibustion treatment of amblyopia is characterized by the selection of the points mainly from yang meridians, based upon syndromes differentiation plus personal experience, and the points mainly around the eyes and by stressed use of ear points.
摘要
目的
检索** 17 年来针灸治疗弱视的临床研究文献, 对针灸治疗弱视的选穴用经特点和规律进行分析和总结。
方法
通过检索**知网(CNKI)、 PubMed 等中英文数据库, 采用频数统计的方法对筛选出的符合要求的 52 篇文献中的腧穴按照归经、 主穴、 配穴进行频数统计分析, 总结选穴规律及特点。
结果
在52 篇文献中, 以 耳穴治疗为主的文献有21 篇, 针灸治疗31 篇; 针灸治疗弱视涉及10 条经脉, 以膀胱经、胃经和胆经为主; 涉及 34 个经穴、10 个常用奇穴和37 个耳穴。 主穴使用频次居前十位的腧穴依次为睛明、 太阳、 攒竹、 风池、 百会、 合谷、 光明、 四白、 承泣和丝竹空。 配穴使用频次居前五位的腧穴依次为: 足三里、 肾俞、 肝俞、 三阴交和太溪。
结论
针灸治疗弱视具有选经以阳经取穴为主, 辨证取穴结合经验配穴, 选穴以眼周为主, 重用耳穴的特点。
Similar content being viewed by others
References
Amblyopia and Infantile Ophthalmology Group, Ophthalmology Society of Chinese Medical Association. Experts consensus on diagnosis of amblyopia (2011). Zhonghua Yanke Zazhi, 2011, 47(8): 768.
Liu JQ. Practical Ophthalmology. Bei**g: People’s Medical Publishing House, 2010: 595.
He M, Huang W, Zheng Y, Huang L, Ellwein LB. Refractive error and visual impairment in school children in rural southern China. Ophthalmology, 2007, 114(2): 374–382.
He M, Zheng J, Liu Y, Xu J, Pokharel GP, Ellwein LB. Refractive error and visual impairment in urban children in southern China. Invest Ophthalmol Vis Sci, 2004, 45(3): 793–799.
Xu JS, Wang HW. Progress of treatment for amblyopia in children. Guoji Yanke Zazhi, 2013, 13(2): 302–305.
Wu L, Zhang GL, Yang YX, Hu XD, Wu D, Wu DL, Luo CC, Zhang SM, Cui GF. Clinical study on electrical plum-blossom needle for treatment of amblyopia in children. Zhongguo Zhongxiyi Jiehe Zazhi, 2011, 31(3): 342–345.
Lam DS, Zhao J, Chen LJ, Wang Y, Zheng C, Lin Q, Rao SK, Fan DS, Zhang M, Leung PC, Ritch R. Adjunctive effect of acupuncture to refractive correction on anisometropic amblyopia: one-year results of a randomized crossover trial. Ophthalmology, 2011, 118(8): 1501–1511.
Vanzini M, Gallamini M. Amblyopia: can laser acupuncture be an option? J Acupunct Meridian Stud, 2016, 9(5): 267–274.
Zhao JH. Study of amblyopia definition. Zhongguo Zhongyi Yanke Zazhi, 2014, 24(5): 353–359.
Duan JG. Ophthalmology of Integrated Traditional Chinese and Western Medicine. Bei**g: China Press of Traditional Chinese Medicine, 2005: 320.
Ge HL, Liu SQ. Observation of intractable amblyopia treated by acupuncture. Shijie Zhongxiyi Jiehe Zazhi, 2009, 4(8): 567–569.
Liu Y. Complete Compendium of Chinese Extraordinary Points. Shanghai: Shanghai Scientific and Technical Publishers, 2001: 119–125.
Yin LX, Duan L. Clinical observation of acupuncture at local points for optic atrophy. Baotou Yixueyuan Xuebao, 2012, 28(6): 93.
Chen C, Cui HF, Yan XK, Wang FC. Clinical study progress of acupuncture-moxibustion for amblyopia. Shanghai Zhenjiu Zazhi, 2011, 30(1): 64–67.
Xu XD, ** LZ, Lou XF, Sun SH, Jiang SH. Anatomical study on **gming (BL 1). Zhongguo Zhen Jiu, 2006, 26(6): 415–416.
Wang SJ. Experience on application of **gming (BL 1). Shanghai Zhenjiu Zazhi, 2009, 28(7): 426–427.
Zhang CH, Ma XP, Wu DW, Liu ZW. Rules of acupoints for treating eyes disorder in acupuncture verses. Shanghai Zhenjiu Zazhi, 2011, 30(3): 195–197.
Zhang CH, Zhang LL, Ma XP, Yang L, Hong J, Liu J, Wu LX. Research on acupuncture-moxibustion for dry eye syndrome. J Acupunct Tuina Sci, 2013, 11(2): 72–78.
Zhao JH, Lam DS, Chen LJ, Wang Y, Zheng C, Lin Q, Rao SK, Fan DS, Zhang M, Leung PC, Ritch R. Randomized controlled trial of patching vs. acupuncture for anisometropic amblyopia in children aged 7 to 12 years. Arch Ophthalmol, 2010, 128(12): 1510–1517.
Chen RX. Experimental Acupuncture Science. Bei**g: Science Press, 2004: 6.
Miao CY, Chen RX, Pei CG, **ong ML. Efficacy observation of heat-sensitive moxibustion for older children’s amblyopia. Zhonghua Zhongyiyao Zazhi, 2013, 26(3): 461–463.
Wan J. Observation on clinical effects of acupuncture plus amblyopia apparatus for amblyopia. Zhongguo Shiyong Yixue, 2016, 11(8): 269–270.
Wang L, Zhou ZY. Observation on clinical effects of intradermal needle embedded at Ganshu (BL 18) plus bird-pecking moxibustion for children with amblyopia. Zhongguo Yiyao Zhinan, 2014, 12(32): 286–287.
Lin ZH, Wei LJ, Zhou D, Zheng W. Clinical observation of acupuncture treatment of amblyopia based on “tonifying after dredging stasis” theory. Changchun Zhongyiyao Daxue Xuebao, 2014, 30(2): 331–333.
Li PQ. Observation on clinical effects of acupuncture at **nming (Extra) in treatment of 698 cases with optic atrophy. Zhongguo Zhen Jiu, 1989, 9(2): 1–4.
Round R, Litscher G, Bahr F. Auricular acupuncture with laser. Evid Based Complement Alternat Med, 2013, 2013: 984763.
Gong PY, Zhang QL. Treatment of 60 children with amblyopia by ear point-embedding method. Changchun Zhongyiyao Daxue Xuebao, 2007, 23(1): 55–56.
Gu SG, Cheng HF, Gu ZH, Dong J, Lü SL, Pei ZZ, Wang KJ. Treatment of 45 children with amblyopia by plumblossom needle plus ear point-embedding method. Zhongguo Minjian Liaofa, 2005, 13(10): 45–46.
Liu HY. Treatment of children with amblyopia by herbal seed-embedding method. Zhongguo Linchuang Kangfu, 2003, 7(10): 1615.
Miao CY, Chen RX. Treatment of 25 children with amblyopia by magnet therapy at ear points. Jiangxi Zhongyiyao, 2000, 31(6): 46.
Acknowledgments
This work was supported by National Natural Science Foundation of China ( 国家自然科学基金项目, No. 81660816, No.81260560); Science Fund Project for Middle-young Age of Gansu University of Chinese Medicine (甘肃中医药大学中青年科研基金项目, No. ZQ2015-1).
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Cao, Zx., Liu, Ag., Yan, Xk. et al. Analysis of point-selection pattern in acupuncture-moxibustion treatment of amblyopia. J. Acupunct. Tuina. Sci. 16, 127–132 (2018). https://doi.org/10.1007/s11726-018-1028-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11726-018-1028-0
Keywords
- Acupuncture-moxibustion Therapy
- Acupuncture Therapy
- Moxibustion Therapy
- Acupuncture
- Ear
- Auricular Point Sticking
- Amblyopia
- Point Selection
- Point Combination