督脉诊察方法与规程研究

发布时间：2018-05-24 04:57

本文选题：督脉诊察 + 操作规程　；参考：《南京中医药大学》2017年硕士论文

【摘要】：研究目的:本课题基于督脉理论与临床,研究适用于针灸临床的督脉诊察方法,并对其诊察方法的规范与流程进一步深入研究,使诊察方法更贴近针灸临床,更易于指导诊疗。同时,通过研究督脉诊察方法与规程,将进一步推动针灸标准化的研究,尤其是针灸临床诊疗标准化与规范化的研究进程。研究内容:本课题主要研究与分析了下列督脉诊察方法,并对其操作步骤、操作要点,诊察要素以及操作流程与规范分别进行论述:(1)视诊:颈部视诊、背部视诊。(2)触诊:单手拇指触诊、单手双指滑触诊、单手三指滑触诊、双手四指触诊、双手拇指触诊、小鱼际触诊、小鱼际加压触诊。(3)罐诊。研究意义:督脉诊察方法与规程的研究,初步形成了一套较为完整的督脉诊察体系,为临床诊治脊柱病以及脊柱相关病提供了新的思路,并且填补了中医经络诊察中有关督脉诊察的空白。医者进行督脉诊察时不再局限于只运用传统的脊柱检查,医者在诊察过程中更有主导性,更有利于医者对患者督脉以及病症的把握。另外,本课题也详细描述了针灸临床中经常见到的诊察要素,通过规范化的诊察手法将会获取更多有效的诊察要素,指导针灸取穴。最后,本课题认为,压痛点不是督脉的唯一阳性反应点。医者对于各类疾病在督脉背段阳性反应点规律性研究,可以不再拘泥于探寻压痛点。本课题中的督脉诊察要素提供了更加丰富和易于获得的阳性反应点,课题组认为,督脉背段阳性反应点的规律性可以从压痛点延伸到棘突的偏歪、棘突间隙的变化以及罐印的变化等等。
[Abstract]:Objective: based on the theory and clinic of du pulse, this paper studies the diagnosis method of du pulse which is suitable for acupuncture and moxibustion clinic, and makes further research on the standard and flow of diagnosis method, so that the diagnosis method is more close to acupuncture clinic, and it is easier to guide the diagnosis and treatment. At the same time, the research on the standardization of acupuncture and moxibustion, especially the standardization of clinical diagnosis and treatment of acupuncture and moxibustion, will be promoted by studying the methods and procedures of du pulse diagnosis. Research content: this subject mainly studies and analyzes the following methods of monitoring pulse diagnosis, and discusses the operation steps, operating points, diagnostic elements, operation flow and standard, respectively. Palpation: one hand thumb palpation, one hand two fingers sliding palpation, one hand three fingers sliding palpation, two hands four fingers palpation, two hands thumb palpation, little thenar pressure palpation. Research significance: the study on the methods and procedures of du pulse diagnosis has preliminarily formed a set of relatively complete monitoring system, which provides a new way of thinking for clinical diagnosis and treatment of spinal diseases and spinal related diseases. And filled in the meridian diagnosis of traditional Chinese medicine about the inspection of the gap. The traditional spinal examination is no longer limited when the doctor carries on the inspector pulse examination, the doctor is more dominant in the process of diagnosis, which is more helpful for the doctor to grasp the patient's blood vessel and the disease. In addition, this subject also describes in detail the diagnostic elements that are often seen in acupuncture and moxibustion clinic. Through standardized diagnostic techniques, more effective diagnostic elements will be obtained to guide acupuncture and moxibustion to obtain acupoints. Finally, this subject believes that tenderness point is not the only positive reaction point of du pulse. The study on the regularity of positive reaction points in the dorsal segment of the du meridian can not be confined to the search for tenderness points. The examination elements of du pulse in this subject provide more abundant and easy to obtain positive reaction points. The study group believes that the regularity of positive reaction points in the dorsal segment of du veins can be extended from tenderness points to skewness of spinous process. The change of spinous process gap and the change of jar seal, etc.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246

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