世界中医药2025，Vol.20Issue(2)：266-274,9.DOI:10.3969/j.issn.1673-7202.2025.02.012
近十年针刺频次与疗程的研究现状及其量效规律
Research Status and Dose-effect Relationship of Acupuncture Frequency and Treatment Course in Past Decade
摘要
Abstract
Objective:To summarize the research on acupuncture stimulation frequency over the past decade,analyze the dose-effect characteristics of acupuncture frequency and treatment duration,and provide reference for selecting clinical acupuncture time parameters.Methods:Literature related to acupuncture frequency and treatment duration dose-effect studies from March 2013 to March 2023 was retrieved from PubMed,Embase,Scopus,China National Knowledge Infrastructure(CNKI),China Science Periodi-cal Database(CSPD),and Chinese Sci-tech Journal Database(CCD).Acupuncture optimal timing dose,onset timing dose,etc.,were summarized and analyzed based on disease categories and clinical stages.Results:A total of 62 clinical studies were included."Acupuncture frequency""pain",and"chronic stage"were the most frequently discussed topics.Acupuncture frequency:within a certain treatment course,efficacy is positively correlated with acupuncture frequency.Increasing frequency leads to faster onset,and low-frequency acupuncture has a slower onset,but with longer courses and the same number of treatments,it may achieve better ef-ficacy.In specific treatment durations,efficacy may not be related to acupuncture frequency(≥2 times/week).The optimal acu-puncture frequency varies with the clinical stage of the disease.For acute idiopathic facial neuritis,it is recommended to be ≥ 3 times/week;for subacute ischemic stroke,≥5 times/week;for stable chronic diseases,3 to 4 times/week.Acupuncture course and times:the acupuncture course for chronic stage is longer than that for acute or subacute stages;for pain and gynecological diseases,1 to 2 weeks and 2 to 6 acupuncture sessions are sufficient,whereas for neurological damage or complex internal diseases,more than 4 weeks and over 10 sessions are needed to achieve efficacy.Conclusion:Acupuncture should aim for a medium to high frequency to achieve rapid efficacy.Once the peak effect is reached,low-frequency acupuncture can be used to prolong the treatment and con-solidate the efficacy.The dose for onset and optimal time varies across diseases,and commonalities for optimal acupuncture frequen-cy exist for diseases at the same clinical stage.关键词
针刺/量效规律/针刺次数/针刺频率/针刺疗程/疼痛/临床分期/文献分析Key words
Acupuncture/Dose-effect rule/Acupuncture times/Acupuncture frequency/Acupuncture duration/Pain/Clinical stages/Literature analysis分类
中医学引用本文复制引用
罗钦,梁繁荣,孙铭声,田昊,徐桂兴,杨春滟,黄柳杨,李茜,刘亦琳,冀来喜..近十年针刺频次与疗程的研究现状及其量效规律[J].世界中医药,2025,20(2):266-274,9.基金项目
国家中医药管理局中医药创新团队及人才支持计划项目(ZYYCXTD-D-202003) （ZYYCXTD-D-202003）
