Research: HE and COLLEAGUES 

Listed in Issue 279

Abstract

HE and COLLEAGUES,  1 First Clinical Medical College, Guangzhou University of CM, Guangzhou 510405, Guangdong Province, China; Lingnan Medical Research Center, Guangzhou University of CM, Guangzhou 510405, Guangdong Province, China; Key Laboratory of Prevention and Treatment of Chronic Heart Failure with TCM, Guangzhou University of CM, Guangzhou 510405, Guangdong Province, China; 2 Key Laboratory of Prevention and Treatment of Chronic Heart Failure with TCM, Guangzhou University of CM, Guangzhou 510405, Guangdong Province, China; First Affiliated Hospital of Guangzhou University of CM, Guangzhou 510405, Guangdong Province aimed to explore the rules of acupoint selection and drug use in treatment of hypertension with acupoint application therapy.

Background

The authors’ objective was to explore the rules of acupoint selection and drug use in treatment of hypertension with acupoint application therapy.

Methodology

The articles of the clinical research of hypertension treated with acupoint application therapy were retrieved from Chinese journal full-text database (CNKI), VIP database (VIP) and Wanfang databases from the time of establishment to January 20, 2019. The database was set up with Microsoft Excel 2010. Using the cloud platform of the ancient and modern medicine record, the frequency statistical and clustering analyses were conducted. A total of 117 articles were collected, including 191 prescriptions, 60 acupoints and 236 kinds of herbal drugs. It was found in the frequency statistical analysis that the top 6 acupoints in use frequency were Yongquan (KI 1), Quchi (LI 11), Taichong (LR 3), Shenque (CV 8), Sanyinjiao (SP 6) and Neiguan (PC 6). According to the correlation analysis, corresponding to these top 6 acupoints, the pairs of acupoints were Sanyinjiao (SP 6) and Yongquan (KI 1), Shenque (CV 8) and Yongquan (KI 1), Neiguan (PC 6) and Yongquan (KI 1), Zusanli (ST 36) and Sanyinjiao (SP 6), Sanyinjiao (SP 6) and Neiguan (PC 6) with Yongquan (KI 1), as well as Yongquan (KI 1) and Neiguan (PC 6) with Sanyinjiao (SP 6).

Results

The dominant meridians were the kidney meridian, the conception vessel and the bladder meridian. The special acupoints referred to yuan-source point, luo-connecting point, back-shu point and front-mu point. The top 3 herbal drugs in use frequency included fructus evodiae, semen sinapis and rhizoma chuanxiong. The herbs used were mainly warm and slight cold in nature and neutral in property. The frequencies of the drug use were similar in the application for cold and heat purposes. The common flavours of the herbal medicines were pungent, sweat and bitter and the liver, kidney and spleen meridians were generally involved in meridian tropism.

Conclusion

In treatment of hypertension with acupoint application therapy, the commonly used single acupoint is Yongquan (KI 1), which is generally combined with Sanyinjiao (SP 6), Shenque (CV 8), Neiguan (PC 6) and Zusanli (ST 36). The correlation is emphasized on the application of special acupoints, meridian points and zangfu organs. The vesicatory herbal drugs are predominant in the drug use. In generally, this therapy embodies the treatment principles as tonifying for the deficiency and reducing for the excess, as well as balancing of cold and heat.

References

Ya-Qi He  1 , Bing-Xue Liang  1 , Wen-Yue Feng  1 , Shao-Xiang Xian  2.  [Rules of acupoint selection and drug use in clinical treatment of hypertension with acupoint application therapy]. Zhongguo Zhen Jiu  12;40(5):565-9. doi: 10.13703/j.0255-2930.20190325-k0002. May 2020.

[Article in Chinese]

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