Objective: To analyze the literature of acupuncture and moxibustion for diseases in the recent 5 years, and discuss the spectrum and indications of acupuncture and moxibustion.
Methods: The literature on acupuncture and moxibustion for diseases in CNKI, Wanfang and VIP databases from January 1, 2015 to December 31, 2019 was searched, summarized and analyzed, and the disease spectrum was summarized. At the same time, the literature from 2015 to 2019 (group A), 1978 to 2005 (group B), and 1949 to 2005 (group C) was compared, and the indications of acupuncture and moxibustion therapy were summarized.
Results: There were 32 011 articles on acupuncture and moxibustion for diseases in the recent 5 years, including 377 kinds of indications. These indications can be mostly classified as neurology (9384), orthopedics and traumatology (7765), gastroenterology (3529) and obstetrics and gynecology (2283). The types of diseases were mostly gastroenterology (52 types), neurology (47 types), ophthalmology and otorhinolaryngology (47 types), and obstetrics and gynecology (42 types). The first-class indications of acupuncture and moxibustion therapy in the recent 5 years were hemiplegia, lumbar disc herniation, cervical spondylosis, knee osteoarthritis, insomnia, constipation and cerebrovascular diseases; the second-class were facial neuritis, shoulder pain and headache; the third-class were dysphagia, dysmenorrhea and depression; the forth-class were asthma, urinary retention, cerebral palsy, hypertension, dementia, side effects of radiotherapy and chemotherapy, infertility, allergic rhinitis, vertigo, shoulder-hand syndrome, diabetic neuropathy, herpes zoster, pain, hiccup, diarrhea, lumbar sprain and sciatica.
Conclusion: Although the disease spectrum and indications of acupuncture and moxibustion therapy have changed to some extent in the recent 5 years, neurology and orthopedics and traumatology are still predominant, and the observation objects tend to transition from symptoms to diseases.
目的：分析近5年针灸治疗疾病的文献，探讨针灸病谱和适宜病症。方法：检索2015年1月1日至2019年12月31日中国期刊全文数据库（CNKI）、万方数据库（Wanfang）、维普中文期刊数据库（VIP）中的针灸治疗疾病的文献，进行整理、归纳和分析，总结针灸病谱。同时对2015-2019年（A组）与1978-2005年（B组）、1949-2005年（C组）文献进行比较，总结针灸疗法的适宜病症。结果：近5年针灸治疗疾病的文献共32 011篇，包含377种病症，以神经内科（9384篇）、骨伤科（7765篇）、消化内科（3529篇）、妇产科（2283篇）病症为多，消化内科（52种）、神经内科（47种）、五官科（47种）和妇产科（42种）的疾病种类较多。近5年针灸疗法的一级适宜病症为偏瘫、腰椎间盘突出症、颈椎病、膝骨关节炎、失眠症、便秘、脑血管病；二级适宜病症为面神经炎、肩痛、头痛；三级适宜病症为吞咽障碍、痛经、抑郁症；四级适宜病症为哮喘、尿潴留、脑性瘫痪、高血压、痴呆、放化疗不良反应、不孕、变应性鼻炎、眩晕、肩手综合征、糖尿病神经病变、带状疱疹、疼痛、呃逆、腹泻、腰扭伤、坐骨神经痛。结论：近5年针灸病谱和适宜病症虽然发生了一定的变化，但仍以神经内科、骨伤科为多，针灸治疗疾病文献的观察对象由以症状为主转化为以疾病为主。.
Keywords: acupuncture and moxibustion therapy; bibliometrics; disease spectrum; indication.