Regularity Of Selectmg Points Of Acupuncture And Moxibustion In The Treatment Of Sudden Deafness

This paper is research for many years the basis of the clinical research of acupuncture and moxibustion treatment of sudden deafness.Sudden deafness is a common clinical sudden fluctuations,reason is unknown,the sexy voice sensorineural deafness,its characteristic is come on urgent,progress fast,generally within minutes,hours or 3 d led to a steep decline in patients with hearing on the audiogram can show the connected to at least two frequency hearing loss more than 20 db,deafness can be divided into mild,moderate or severe degree,even total deafness,the disease often unilateral attack,occasionally also have ears attack at the same time,the disease can be associated with or not with vertigo,tinnitus,symptoms such as nausea and vomiting,ear MenZhang feeling,and only tired and 8 of cranial nerves,and no other cranial nerve injury.Acupuncture treatment of deafness diseases has a long history,as early as in neijing relevant detailed records,patients with the clinical curative effect was most certainly.But there are also many problems,such as the type,clinical find,diagnosis and curative effect of standard has not been unified,and in the process of acupuncture treatment is often mixed with other treatments(western medicine,etc.),clinical design,statistical method is too simple,poor repeatability,and can’t wait for effective clinical validation,lead to can not be objective and effective evaluation of clinical curative effect.To this end,the author through to retrieve published in domestic journals in recent years mainly by acupuncture in the treatment of sudden deafness literature,sorting out the treatment of sudden deafness acupoints in application of the law,so as to provide basis and reference for clinicians to treat the disease,and provide reference for further basic research.Objective:Based on the previous clinical studies,on the basis of this research mainly through the relevant literature of acupuncture and moxibustion treatment of sudden deafness patients through statistical analysis,clear the selected point rule of acupuncture in the treatment of the disease process,to guide clinical practice and further study the mechanism of action of acupuncture and moxibustion for the disease.Methods:1.The retrieval with "sudden deafness" or "of sudden deafness" +"acupuncture" or "needle" inscription,CNKI,ten thousand party,weipu database in Chinese.2.The inclusion criteria:(1)the object of study must be acupuncture for patients with this disease,and clinical observation index for curative effect,the basic research;(2)the treatment object on the basis of clear,recognized diagnostic criteria for diagnosis of sudden deafness;(3)treatment mainly by acupuncture and moxibustion therapy,decision criteria and have the exact curative effect;(4)in the literature to have a clear prescription treatment,prescription or parting differentiation;(5)the curative effect of treatment outcome decision criteria must be domestic or international recognized industry,adopted by the general.Exclusion criteria:(1)on drug treatment,acupuncture and moxibustion for auxiliary treatment of related literature;(2)in the treatment adopted have affect judge the curative effect of acupuncture and other treatments,such as needle medicine and etc.;(3)not explicitly listed acupuncture prescription specific acupoints of related literature;(4)a variety of literature has repeated references to the same text take only once;(5)in the relevant literature review and have to repeat part of the retrieved literature,and takes only once;6 Wen Xianxing reviews and case reports;All landowners animal experimental research literature;Today study method,the diagnosis and curative effect evaluation standard is not recognized as literature;Pet-name ruby results no significant statistical differences of the literature.4.The data extraction:the retrieved literature into Noteexpress for rechecking after initial treatment,respectively,by the four professional title,abstract,and the full text of the retrieved literature reading,determine into standard literature,and based on the standard of data extraction,and check each other,such as disputes exist in the process of research,can be solved by discussion results:Results:1.Based on CNKI,wangfang,weipu database according to the retrieval of retrieval strategies,such as searching with 230 references.Among them,the CNKI retrieval out 135 articles;Ten thousand party to retrieve a total of 100 articles;VIP searching 40 articles.Finally,by importing Noteexpress will be retrieved documents after rechecking finally effectively with 121 references;After reading the titles and the 61 exclude literature references;After reading the full text again ruled out with 20 references,finally conforms to the analysis of a total of 40 references.2.In the final 40 effective papers on the communist party of China(including 60 points,including the total frequency of usage for the meridians 1358 times.Many application frequency points mainly to listen to the palace,hearing,yifeng,portals,ZhongZhu,wind pool,the bone,guan,valley,lr 3,etc.And,as the main point in clinical practice application frequency more also for local disease ear acupoint,such as portals,listen to the palace,hearing,etc.,followed by the remote find,such as valley,outside clearance,vaginal intercourse,three li 11,etc.3.Acupuncture treatment of sudden deafness made points:fourteen meridians acupoints have been involved;Among them,the foot shaoyang gallbladder meridian acupoints is more,a total of 14;Taken by hand Yang the sanjiao(triple energizer)is less meridians acupoints in second place,there are 9,but the selection of acupoints most frequency,for 315 times,and its main point use frequency is highest,for 222 times;Second,selects the total frequency of acupoints more and bladder by the sun,and mainly as a side hole to choose;With acupuncture point selection frequency is higher and the meridian of yangming foot and fa jue Yin liver meridian;Acupoints selected frequency less have foot lunar spleen,hand little Yin theheart sutra,lung meridian and ren meridian,the corresponding main point and with hole is relatively less.4.According to the points of the parts were analyzed,and the proportion of head neck(606,69.9%),the largest,and given priority to with ear weeks meridians;Followed by double arm(133,15.3%);Double lower limbs(107,12.3%);The proportion of hindquarters cadres at least.Conclusion:Acupuncture in patients with sudden deafness has good treatment effect,treatment process follow tired often find,dialectical find out,and the principle of local find,as the research results show that the disease in acupuncture treatment more choose foot shaoyang bile,bladder,hand less sufficient sun Yang the sanjiao(triple energizer)is the main point,ren meridian and du are used and feet shaoyin kidney meridian,hand jue the pericardium meridian acupuncture point to match point;Treatment of this disease is the most commonly used acupuncture points as portals,listen to the palace,hearing and other local acupointprimarily.These conclusions obtained can be reference for clinical doctors in clinical practice,also can be used to provide the basis of the further study.