中医正骨2025，Vol.37Issue(3)：46-52,7.
基于德尔菲法构建针灸治疗痉挛性斜颈的取穴方案
Constructing an acupoint selecting protocol for acupuncture and moxibustion treatment of spasmodic torticollis based on Delphi method
摘要
Abstract
Objective:To construct an acupoint selecting protocol for acupuncture and moxibustion treatment of spasmodic torticollis(ST).Methods:An item pool of acupoint selecting protocol for acupuncture and moxibustion treatment of ST was constructed through liter-ature research and clinical investigation,and the Delphi method was employed to establish the final acupoint selecting protocol.Results:Forty-two experts were selected.Through literature research and clinical investigation,an item pool of acupoint selecting protocol for acu-puncture and moxibustion treatment of ST was formed,including 6 primary items and 21 secondary items.In the first round of the expert sur-vey,42 questionnaires were handed out,all of which were returned and valid,with an expert response rate of 100％,an expert authority coef-ficient of 0.87,and an expert coordination coefficient of 0.23.Five acupuncture and moxibustion therapies(filiform needle acupuncture,electroacupuncture,moxibustion with moxa stick,needle-warming moxibustion,and scalp acupuncture)and 20 acupoint selecting protocols were selected.The items failed to meet the inclusion criteria and the ones suggested for modification or supplementation by experts were in-cluded in the second round of expert survey.In the second round of the expert survey,42 questionnaires were handed out,all of which were returned and valid,with an expert response rate of 100％,an expert authority coefficient of 0.92,and an expert coordination coefficient of 0.28.After the second round of expert survey,no further modifications were proposed by the experts,and the final acupoint selecting proto-col for acupuncture and moxibustion treatment of ST was established.Conclusion:The acupuncture and moxibustion therapies for ST mainly include filiform needle acupuncture,electroacupuncture,moxibustion with moxa stick,needle-warming moxibustion,and scalp acupuncture.The overall acupoint selecting protocol follows the principle of prioritizing local acupoints and supplemented by distal acupoints.For filiform needle acupuncture therapy,the main acupoints include Baihui(GV20),Shuigou(GV26),Fengchi(GB20),Tianzhu(BL10),Hegu(LI4),and Taichong(LR3),with personalized combinations based on meridian differentiation,syndrome differentiation,and empirical acupoint se-lection.The electroacupuncture therapy focuses on stimulating the origin and insertion points of neck spastic muscle group,mainly selecting the acupoints such as Dazhui(GV14),Fengchi(GB20),Jingjiaji(C4-C6),Hegu(LI4),and Taichong(LR3).Moxibustion with moxa stick therapy adopts manipulations such as sparrow-pecking moxibustion,mild moxibustion,and circling moxibustion,mainly acting on the acupoints such as Fengchi(GB20)and Futu(LI18).Dazhui(GV14)and Jingbi are commonly selected in needle-warming moxibustion thera-py,and acupoints such as Lieque(LU7)and Jinsuo(GV8)are added according to the syndrome.Scalp acupuncture therapy mainly targets Baihui(GV20)and acupoints in the specific stimulation areas such as the emotional and motor regions.关键词
斜颈/针灸疗法/取穴/德尔菲技术Key words
torticollis/acupuncture moxibustion therapy/acupoint locating/Delphi technique引用本文复制引用
张海宁,范顺,王晓宇,李华南,张玮,包安,王君实,王建伍,王金贵..基于德尔菲法构建针灸治疗痉挛性斜颈的取穴方案[J].中医正骨,2025,37(3):46-52,7.基金项目
天津市中医药重点领域科研项目(2024001) （2024001）
天津市南开区中医药传承创新发展示范试点项目(20240204001) （20240204001）
天津中医药大学第一附属医院"拓新工程"基金科研课题(YB202118) （YB202118）
