| 引用本文:姚琴1，王伟明2，和蕊1，穆韵浓1，赵百孝1.穴位放血疗法治疗慢性荨麻疹的诊疗特点[J].世界中医药,2019,(02):. |
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| 穴位放血疗法治疗慢性荨麻疹的诊疗特点 |
| Analysis of the Characteristics of Diagnosis and Treatment of Acupoint Blood-Letting Therapy for Chronic Urticaria |
| 投稿时间：2018-03-05 |
| DOI：10.3969/j.issn.1673-7202.2019.02.022 |
| 中文关键词: 放血疗法 慢性荨麻疹 文献分析 综述 诊疗特点 补充代替疗法 皮肤病 临床试验 |
| English Keywords:Acupoint blood-letting therapy Chronic urticaria Literature analysis Review Diagnosis and treatment characteristics Complementary and alternative therapy Dermatology Clinical trials |
| 基金项目:国家自然科学基金面上项目(81574068）；国家国际科技合作专项项目(2011DF31370) |
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| 中文摘要: |
| 目的:探讨穴位放血疗法治疗慢性荨麻疹的诊疗特点。方法：选取中英文数据库中穴位放血疗法治疗慢性荨麻疹的临床研究文献,分析总结穴位放血疗法治疗慢性荨麻疹的辨证特点、干预措施、选穴、疗效、安全性等，并对纳入的随机对照试验进行分析。结果：纳入的41篇文献中，采用辨病选穴的有33篇；31篇使用了三棱针，24篇使用拔罐辅助；频次最高的5个穴位依次是大椎、肺俞、血海、曲池、膈俞；16篇单纯放血疗法治疗慢性荨麻疹的有效率为63.33%～100%，25篇使用放血联合疗法治疗该病有效率为80.0%～100%；仅有1篇文献提及放血拔罐时使患者皮肤出现小水疱。结论：穴位放血疗法治疗慢性荨麻疹辨证特点以辨病为主，以三棱针辅以拔罐为最常见放血方式，常用穴位有大椎、肺俞、血海、曲池、膈俞。穴位放血疗法治疗慢性荨麻疹的近期疗效肯定，远期疗效和安全性有待进一步评价。 |
| English Summary: |
| To explore the diagnosis and treatment of acupoint blood-letting therapy for chronic urticaria.Methods:We electronically searched literatures related to acupoint blood-letting therapy for chronic urticaria in the following databases：CNKI (1979-2017)，VIP (1989-2017)，CBM (1979-2017)，PUBMED (1966-2017).Then the clinical characteristics of syndrome differentiation，intervene measures related to acupoint blood-letting therapy，acupuncture points selection method，treatment effect，safety in treating chronic urticaria by acupoint blood-letting therapy，etc.were summarized and analyzed.Results:In the collected 41 articles，blood-letting points selection method by differentiation of disease was 33 (33/41，80.5 %) articles.Triangle-edged needle was involved in 31 (31/41,75.6%) articles and cupping therapy was referred in 24 (24/41,58.5%） articles.The main acupuncture points chosen in the 41 articles in the frequency order were GV14 (Dazhui)，BL13 (Feishu)，SP10 (Xuehai)，LI11 (Quchi)，BL17 (Geshu).The effective rate varied from 63.33% to 100% when blood-letting therapy was conducted alone while the effective rate varied from 80.0% to 100%.Blisters appeared after cupping was reported in 1 study.Conclusion:Acupoint blood-letting points selection method by differentiation of disease was the main method in the treatment of aucpoint blood-letting therapy for chronic urticaria.Triangle-edged needle and cupping is widely used for blood-letting.The main acupuncture points applied in acupoint blood-letting therapy for chronic urticaria were GV14，BL13，SP10，LI11，BL17.The short-term efficacy of acupoint bloodletting therapy for chronic urticaria was effective.But the long-term efficacy and its safety need further evaluation. |
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