摘要穴位贴敷可改善心力衰竭相关症状、提高患者生活质量。穴位贴敷治疗心力衰竭选穴可单穴应用,也可双穴或多穴配伍运用,主要有任脉的膻中、神阙,督脉的至阳,手少阴心经的神门、阴郄,手厥阴心包经的内关,足太阳膀胱经的心俞、厥阴俞、膈俞、脾俞、肾俞,足少阴肾经的涌泉,足阳明胃经的足三里、丰隆等穴;用药以经验效方最为常见,也应用经典古方与民族医药;或于疾病发作时每日贴敷,或于三伏天贴敷;穴位贴敷治疗心力衰竭兼症如便秘、胃肠功能不全、睡眠障碍、汗证等亦有较好疗效。今后应开展大样本临床研究,并规范疗效判定标准。
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abstractsAcupoint application can improve heart failure related symptoms and improve the quality of life of patients. Acupoint application for heart failure can be applied with single acupoint or combination, mainly including Tanzhong (RN17) and Shenque (RN8) of Ren meridian, Zhiyang (DU9) of Du meridian, Shenmen (HT7) and Yinxi (HT6) of hand Shaoyin heart meridian, Neiguan (PC6) of hand Jueyin pericardium meridian, Xinshu (BL15), Jueyinshu (BL14), Geshu (BL17), Pishu (BL20) and Shenshu (BL23) of foot m bladder meridian, Yongquan (KI1) of foot Shaoyin kidney meridian, Zusanli (ST36) and Fenglong (ST40) of Foot Yangming stomach meridian. The most common TCM medication is experiential prescription, which can also be applied with classic ancient prescriptions and ethnic medicine. It can be applied daily when the disease breaks out, or in dog days. Acupoint application can also be used to treat heart failure complications such as constipation, gastrointestinal insufficiency, sleep disorders, and sweating syndrome. In the future, we should carry out large sample clinical observation and study, and standardize the criteria for evaluation.
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