期门穴适应病症与临床应用规律研究
本文关键词:期门穴适应病症与临床应用规律研究 出处:《广州中医药大学》2017年博士论文 论文类型:学位论文
【摘要】:目的:本研究希望通过整理古代文献,整理古籍中选用期门穴的相关条文,以探讨其主治病症,取穴依据和取穴时机,了解其诊治思路,并期望总结运用期门穴的规律和特色,探讨其在临床上的应用。此外,本研究也希望透过搜索近代中外文献,进行统计与分析,了解期门穴在现代应用的情形,对照古今主治病症,提升期门穴临床应用更开阔更深入的可能性。本研究还整理了期门穴的穴名、定位、刺灸法、针灸注意事项,安全性及其防治针灸意外等内容,为针灸适宜病症研究提供腧穴研究的示范,为期门穴临床应用和科研提供理论依据。研究方法与步骤:以文献研究法为主,佐以统计分析法。古代文献主要查自湖南电子音像出版社所出版的《中华医典》第五版电子丛书。本版中华医典是目前搜集最完整的版本。资料搜集时按期门穴和肝募穴名称进行检索、摘录。通过计算机检索及人工阅读,搜集期门相关的古代文献条文后,根据订定文献条文的纳入标准和条文排除标准将文献条文录入EXCEL数据库。先将文献内容根据单穴主治和配伍主治分成二大类,再进一步按照临床适宜病症中医内科、外科、妇科、儿科、眼科、耳鼻喉科等进行统计归类;接着运用频数统计法对期门穴治疗病症进行统计。现代文献主要从中国知网,万方数据库,维普期刊网中和Google学术搜寻查取。其中重复的临床文献研究做了统一筛选。同样的将文献内容先根据单穴主治和配伍主治分类,再进一步按照临床适宜病症分类整理。为了确保检索的全面性,根据不同的数据库特点采用关键词检索,主要包括:期门穴,肝募穴,肝胆病,文献研究,适应病等。检索词的选择来源主要有国家规划教材《针灸学》、《刺法灸法学》等。英文检索词采用"Qimen","literature review","Liver-Mu point"。成果:经过归纳整理,总结出古代文献中期门穴适宜病症。结果:在古代文献中,期门单穴治疗病症共计62种,腧穴配伍治疗病症共计62种,除去重复的21种病症;最后得出期门穴在古代医书中的总适宜病症103种。而在现代文献中,应用期门穴单穴治疗病症共计3种,腧穴配伍治疗病症共计24种,除去重复的1种病症;最后得出期门穴在现代临床应用的适宜病症为26种。对照古今期门适应症病可以发现,古代文献适应病症多达100种,现代临床应用搜集到的有26种,大多集中在消化系统的肝胆肠胃系疾病以及妇科疾病。可知关于期门穴主治应用仍有很大发展的空间。
[Abstract]:Objective: This study hope that through the collation of ancient documents, the relevant provisions of the finishing point LR14 in ancient books, to explore the indications of acupoints and acupoints, according to time, understand the diagnosis and treatment of ideas, and expect to summarize the rules and characteristics of point LR14, explore its clinical application. In addition, this research also hope that through the search of modern Chinese and foreign literature, statistics and analysis, understand the point LR14 in modern application, control and cure disease, clinical application of Qimen more open further the possibility of upgrading. This study collects the Qimen point name, location, acupuncture and moxibustion, acupuncture precautions, safety prevention and treatment of AcupunctureTreatment etc., provide demonstration for Disease Research on acupoint acupuncture for clinical application, a door hole and scientific research and provide a theoretical basis. Research methods and procedures: with the literature research method, combined with statistical analysis of ancient. Check the main generation literature published after Hunan electronic audio "Chinese medical classics > fifth series. This version of the electronic version of traditional Chinese medicine is currently collecting the most complete version. Data collection on acupoint and liver fumu point name retrieval, extracts. Through computer retrieval and manual reading, collecting ancient documents relevant provisions of Qimen then, according to the inclusion criteria and exclusion criteria for the provisions of the provisions of literature literature articles entered in the EXCEL database. The content of literature according to the indications and indications of single point and further divided into two categories, according to clinical for disease of traditional Chinese medicine, surgery, gynecology, pediatrics, ophthalmology, Department of ENT and statistical classification; then use statistics point LR14 disease frequency statistical method. The modern literature mainly from China CNKI, Wanfang database, VIP Journal Net and Google academic search check. The repeated clinical The literature research made a unified screening. The same document content according to the indications and indications of single point and classification, then according to the clinical classification for disease. In order to ensure the comprehensive retrieval, according to the different characteristics of the database by keyword retrieval, mainly including: Qimen, liver fumu point hepatobiliary diseases, and literature. To adapt to the disease. The main source of search words national planning materials acupuncturology < >, < > of acupuncture and moxibustion. English key words with "Qimen", "literature review", "Liver-Mu point". Results: after summing up the whole theory, summed up the ancient literature of middle door hole for disease. Results: in ancient literature, Qimen single acupoint treating conditions with 62 species, a total of 62 kinds of acupoints compatibility treating conditions, removal of 21 kinds of repetitive diseases; finally reached the point LR14 in ancient books in total 103 for disease. In modern literature, the application of Qimen A single point in the treatment of disease with 3 species, a total of 24 kinds of acupoints compatibility treating conditions, removal of 1 kinds of repetitive diseases; finally reached the point LR14 in modern clinical applications for disease control. 26 kinds of ancient Qimen indications of disease can be found in ancient literature indications of up to 100, collected the modern clinical application 26, mostly concentrated in the gastroenterology department of digestive system diseases and gynecological diseases. On that point LR14 attending application still has great development space.
【学位授予单位】:广州中医药大学
【学位级别】:博士
【学位授予年份】:2017
【分类号】:R246
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