摘要
耳穴是分布于耳廓上的反应点,目前被广泛应用于中医临床。耳穴疗法具有简便、无创、安全、效佳等优势,对于内、外、妇、儿等多学科疾病起到了满意的诊疗效果。耳穴阳性反应点是指人体脏腑或机体发生病变时,在耳廓相应部位发生颜色、形态、电阻值等的异常表现。耳穴阳性反应点在不同的疾病、不同的个体或同一疾病、同一个体的不同阶段中往往具有差异性和特异性,可呈现出不同的理化特性。在传统的耳穴基础上,通过观察、触诊、电测法等手段精准探测其阳性反应点,从而更加个体化、更加精准地指导临床研究和实践,是目前耳穴领域的研究趋势之一。大量临床试验证明,耳穴阳性反应点对于治未病、诊断和治疗疾病意义重大,但目前对于耳穴阳性反应点的研究与应用缺乏规范性,如作用机制尚无统一定论,且如何做到耳穴精准探测尚未完善等。因此,该领域仍需相关学者进一步研究以指导临床实践,提高临床疗效。该文通过查阅近20年来耳穴阳性反应点相关文献,了解耳穴阳性反应点的研究进展,从耳穴的中医渊源、西医发展、现代机理探讨、耳穴探测手段、取穴规律、临床意义等方面加以归纳总结,并进行思考与讨论。
Auricular points are reaction points distributed on the auricle and are currently widely used in clinical TCM.Auricular acupuncture therapy has the advantages of simplicity,non-invasiveness,safety and good effect,and has achieved satisfactory diagnosis and treatment results for internal,external,gynecological,pediatric and other multidisciplinary diseases.Positive reaction points at auricular points refer to abnormal manifestations of color,shape,resistance value,etc.in the corresponding parts of the auricle when lesions occur in the human organs or body.Positive reaction points at auricular points are often different and specific in different diseases,different individuals,or the same disease or the same individual at different stages,and can show different physical and chemical properties.On the basis of traditional auricular acupoints,it is one of the current research trends in the field of auricular acupoints to accurately detect their positive reaction points through observation,palpation,electrometry and other means to guide clinical research and practice in a more individualized and precise manner.A large number of clinical trials have proven that the positive reaction points of auricular points are of great significance for the prevention,diagnosis and treatment of diseases.However,the current research and application of positive reaction points of auricular points lacks standardization.For example,there is no unified conclusion on the mechanism of action,and how to achieve accurate auricular points.Detection is not yet perfect,etc.Therefore,this field still requires further research by relevant scholars to guide clinical practice and improve clinical efficacy.This article reviews the literature on positive reaction points at auricular points in the past 20 years to understand the research progress on positive reaction points at auricular points,and summarizes the origin of auricular points in traditional Chinese medicine,the development of Western medicine,the discussion of modern mechanisms,auricular po
作者
李晓倩
程素仪
马海燕
艾炳蔚
LI Xiaoqian;CHENG Suyi;MA Haiyan;AI Bingwei(Affiliated Hospital of Nanjing University of Chinese Medicine,Jiangsu Nanjing 210029,China;Jiangsu Province Hospital of Chinese Medicine,Jiangsu Nanjing 210004,China)
出处
《中医药临床杂志》
2024年第1期1-6,共6页
Clinical Journal of Traditional Chinese Medicine
基金
省部共建中医湿证国家重点实验室专项项目(SZ2021ZZ08)。
关键词
耳穴
阳性反应点
敏感点
研究进展
Auricular points
Positive reaction points
Sensitive points
Research progress
