针灸治疗糖尿病的基础知识-糖尿病-君健网

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针灸治疗糖尿病的基础知识

发布时间：2009-07-13 05:20 来源：君健网

(2)灸法选穴。灸法治疗糖尿病常用穴位有：①承浆、意舍、关冲、然谷(《普济方》)。② 水沟、承浆、金津、玉液、曲池、劳宫、太冲、行间、商丘、然谷、隐白(《神应经》)。③ 承浆、太溪、支正、阳池、照海、肾俞、小肠俞、手足小指尖(《神灸经论》)。

(3) 耳针选穴。耳针治疗糖尿病常选用的穴位有：①胰、内分泌、肾、三焦、耳迷根、神门、心、肝。针法为轻刺激。每次取3～5穴，留针20分钟，隔日一次，10 次为一疗程。②主穴为胰、胆、肝、肾、缘中、屏间、交感、下屏尖。配穴为三焦、渴点、饥点。根据主证及辨证分型，每次选穴5～6个。针法：捻转法运针1分钟，留针1～2小时，留针期间每30分钟行针1次。隔日1次，两耳交替，10次为1疗程。疗效：治疗25例，疗后三多症状减轻，血糖、尿糖均明显下降，经统计学处理有显著差异。

针灸注意事项

唐代孙思邈指出：“凡消渴病经百日以上者，不得灸刺，灸刺则于疮上漏脓水不歇，遂成痈疽。” 告诫后人，针灸治疗糖尿病时应严格掌握适应证及禁忌证。一般在下列情况下不宜针刺：

①糖尿病急性代谢紊乱时如糖尿病酮症酸中毒或糖尿病高渗昏迷时不宜针灸。

②糖尿病合并有皮肤感染、溃疡者不宜针灸。

③饥饿、疲劳、精神紧张时不宜马上针刺。

④糖尿病孕妇。

⑤晕针者不宜针刺。

另外，针刺前要认真检查针具，严格消毒，根据所取部位，让病人尽量采取舒适的体位，针刺应避开血管。针刺的方向、角度、深度，都要适当掌握，以免发生意外事故。

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