世界卫生组织根据受控临床实验列出的针灸适应症[zt]

标 题: 世界卫生组织根据受控临床实验列出的针灸适应症[zt]
http://www.who.int/medicinedocs/en/d/Js4926e/5.html
粗略的中文译本


根据文献中的对照临床试验报告，对针灸可以治疗的疾病可以分为四类，如下所示。

1 。针灸已经通过对照试验证明是一种有效的治疗方法：

放疗和/或化疗的不良反应
过敏性鼻炎（包括花粉热）
胆绞痛
抑郁症（包括抑郁性神经症和抑郁症脑卒中）
痢疾，急性细菌性痢疾
原发性痛经，
胃脘痛，急性（消化性溃疡，急性和慢性胃炎，并gastrospasm ）
面部疼痛（包括craniomandibular障碍）
头痛
高血压，
低血压，
引产
膝盖疼痛
白细胞减少症
腰痛
更正错位的胎儿，
孕吐
恶心和呕吐
颈部疼痛
疼痛，口腔（包括牙齿疼痛，颞下颌功能紊乱）
肩周炎
术后疼痛
肾绞痛
类风湿关节炎
坐骨神经痛
扭伤
敲击
网球肘


2 。针灸显示出治疗效果，但需要进一步证明的：

腹痛（在急性胃肠炎或因胃肠痉挛）
寻常痤疮
酒精依赖和解毒
贝尔氏麻痹
支气管哮喘
癌症疼痛
心脏神经官能症
胆囊炎，
胆石症
竞争压力症候群
颅脑损伤，关闭
糖尿病，非胰岛素依赖型
耳痛
流行性出血热
流鼻血，简单（不含广义或当地疾病）
眼痛，由于结膜下注射
女性不孕
面肌痉挛
女性尿道综合征
纤维肌痛和筋膜炎
Gastrokinetic干扰
痛风性关节炎
乙型肝炎病毒携带状态
带状疱疹（人（阿尔法）疱疹病毒3 ）
高脂血症
低ovarianism
失眠
分娩的痛苦
哺乳不足
男性性功能障碍，非器质性
梅尼埃病
神经痛，带状疱疹后
神经性皮炎
肥胖
鸦片，可卡因和海洛因依赖
骨性关节炎
疼痛的内视镜检查
血栓闭塞性脉管炎疼痛
多囊卵巢综合征（斯坦-综合征）
Postextubation儿童
术后恢复期
前期综合征
前列腺炎，慢性
瘙痒症
根和pseudoradicular疼痛综合征
雷诺氏综合征，原发性
经常性下尿路，呼吸道感染
反射性交感神经营养不良
尿潴留，外伤
精神分裂症
Sialism ，药物诱导
干燥综合征
喉咙痛（包括扁桃体炎）
脊椎疼痛，急性
颈部僵硬
颞下颌关节功能障碍
蒂策综合征
烟草依赖
Tourette综合征
溃疡性结肠炎，慢性
尿路结石
血管性痴呆
百日咳（百日咳）


3 。只有个别对照试验报告了一些治疗效果疾病，但因为传统的治疗和其他疗法难以治
疗，所以针灸是值得一试，

黄褐斑
脉络膜病变，中心性浆液性
色盲
耳聋
Hypophrenia
肠易激综合征
神经性膀胱的脊髓损伤
肺心病，慢性
小呼吸道阻塞


4 。，只有针灸医生提供了特殊的现代医学知识和足够的监测设备情况下，可以治疗的
疾病，症状或条件

呼吸困难的慢性阻塞性肺疾病
昏迷
婴儿惊厥
冠心病（心绞痛）
腹泻婴幼儿
脑炎，病毒性，儿童，后期
麻痹的，渐进的和假性延髓

http://www.who.int/medicinedocs/en/d/Js4926e/5.html
3. Diseases and disorders that can be treated with acupuncture

The diseases or disorders for which acupuncture therapy has been tested in
controlled clinical trials reported in the recent literature can be
classified into four categories as shown below.

1. Diseases, symptoms or conditions for which acupuncture has been proved-
through controlled trials-to be an effective treatment:

Adverse reactions to radiotherapy and/or chemotherapy
Allergic rhinitis (including hay fever)
Biliary colic
Depression (including depressive neurosis and depression following
stroke)
Dysentery, acute bacillary
Dysmenorrhoea, primary
Epigastralgia, acute (in peptic ulcer, acute and chronic gastritis, and
gastrospasm)
Facial pain (including craniomandibular disorders)
Headache
Hypertension, essential
Hypotension, primary
Induction of labour
Knee pain
Leukopenia
Low back pain
Malposition of fetus, correction of
Morning sickness
Nausea and vomiting
Neck pain
Pain in dentistry (including dental pain and temporomandibular
dysfunction)
Periarthritis of shoulder
Postoperative pain
Renal colic
Rheumatoid arthritis
Sciatica
Sprain
Stroke
Tennis elbow


2. Diseases, symptoms or conditions for which the therapeutic effect of
acupuncture has been shown but for which further proof is needed:

Abdominal pain (in acute gastroenteritis or due to gastrointestinal
spasm)
Acne vulgaris
Alcohol dependence and detoxification
Bell’s palsy
Bronchial asthma
Cancer pain
Cardiac neurosis
Cholecystitis, chronic, with acute exacerbation
Cholelithiasis
Competition stress syndrome
Craniocerebral injury, closed
Diabetes mellitus, non-insulin-dependent
Earache
Epidemic haemorrhagic fever
Epistaxis, simple (without generalized or local disease)
Eye pain due to subconjunctival injection
Female infertility
Facial spasm
Female urethral syndrome
Fibromyalgia and fasciitis
Gastrokinetic disturbance
Gouty arthritis
Hepatitis B virus carrier status
Herpes zoster (human (alpha) herpesvirus 3)
Hyperlipaemia
Hypo-ovarianism
Insomnia
Labour pain
Lactation, deficiency
Male sexual dysfunction, non-organic
Ménière disease
Neuralgia, post-herpetic
Neurodermatitis
Obesity
Opium, cocaine and heroin dependence
Osteoarthritis
Pain due to endoscopic examination
Pain in thromboangiitis obliterans
Polycystic ovary syndrome (Stein-Leventhal syndrome)
Postextubation in children
Postoperative convalescence
Premenstrual syndrome
Prostatitis, chronic
Pruritus
Radicular and pseudoradicular pain syndrome
Raynaud syndrome, primary
Recurrent lower urinary-tract infection
Reflex sympathetic dystrophy
Retention of urine, traumatic
Schizophrenia
Sialism, drug-induced
Sjögren syndrome
Sore throat (including tonsillitis)
Spine pain, acute
Stiff neck
Temporomandibular joint dysfunction
Tietze syndrome
Tobacco dependence
Tourette syndrome
Ulcerative colitis, chronic
Urolithiasis
Vascular dementia
Whooping cough (pertussis)


3. Diseases, symptoms or conditions for which there are only individual
controlled trials reporting some therapeutic effects, but for which
acupuncture is worth trying because treatment by conventional and other
therapies is difficult:

Chloasma
Choroidopathy, central serous
Colour blindness
Deafness
Hypophrenia
Irritable colon syndrome
Neuropathic bladder in spinal cord injury
Pulmonary heart disease, chronic
Small airway obstruction


4. Diseases, symptoms or conditions for which acupuncture may be tried
provided the practitioner has special modern medical knowledge and adequate
monitoring equipment:

Breathlessness in chronic obstructive pulmonary disease
Coma
Convulsions in infants
Coronary heart disease (angina pectoris)
Diarrhoea in infants and young children
Encephalitis, viral, in children, late stage
Paralysis, progressive bulbar and pseudobulbar