外关穴应用的古今文献研究

发布时间：2019-03-08 11:19

【摘要】：研究目的:全面系统整理外关穴应用的古代文献、国内和国际的现代文献、相关资料,进行分析,总结其应用机制,为临床提供文献学依据。研究方法:以"外关穴"为关键词,检索关于应用外关穴的古今文献,对其应用机制,进行全面整理和分析,然后从理论机制、临床应用和机理研究三个方面进行综述。研究结果:现代机理研究表明,针刺外关穴能对脑血管血流产生影响,并可以激活相应脑区的反应,这一发现为针灸临床应用外关穴治疗脑血管病、上肢瘫痪痛证、眼耳病证、消化系统病证,提高痛阈等提供了理论依据。同时,在古代针灸理论的指导下,外关穴治疗病证的范围也在不断扩大,从单纯的肢体经络病、外感病、热病到内科头痛、不寐、耳鸣、水肿,以及伤科、眼科、耳鼻喉科等各科病证。结论:(i)外关穴为手少阳三焦经的特定穴具有理论和实践基础,这揭示了外关穴与头面耳目、肢体经络和五脏六腑的密切联系;(ii)独取外关穴的优势病证为肢体经络病证;(iii)外关穴配伍内关穴扩大临床主治病证范围,共治两经主治的病证;(iv)外关穴治疗上肢运动和眼耳病证具有理论验证,现代临床多项实验研究证明针刺外关穴能激活特定脑区,提供了临床的应用依据;(v)临床应用将外关穴扩展于治疗脾胃系病证,干燥综合症、水肿等疾病,取之于三焦的脏腑功能的机理。
[Abstract]:The purpose of this study is to systematize the ancient literature on the application of Weiguan acupoint, the modern domestic and international literature, analyze the relevant data, sum up its application mechanism, and provide a documentary basis for clinical practice. Methods: taking "Weiguan acupoint" as the key word, the ancient and modern literature about the application of Weiguan acupoint was searched, and its applied mechanism was comprehensively sorted out and analyzed. Then, the theoretical mechanism, clinical application and mechanism study were reviewed. Results: modern mechanism studies show that acupuncture at Weiguan point can affect the blood flow of cerebral vessels and activate the response of the corresponding brain area. This finding is the clinical application of acupuncture and moxibustion in the treatment of cerebrovascular disease, upper limb paralysis pain syndrome, ophthalmopathy syndrome, and so on, which can be used in the treatment of cerebrovascular disease, upper limb paralysis pain, ophthalmopathy, and so on. The syndrome of digestive system disease and the improvement of pain threshold provide a theoretical basis. At the same time, under the guidance of the ancient theory of acupuncture and moxibustion, the scope of the treatment of the disease at Weiguan acupoints is also expanding, ranging from simple limb meridian diseases, external diseases, fever to internal headache, insomnia, tinnitus, edema, as well as trauma and ophthalmology. Otorhinolaryngology and other diseases. Conclusion: (i) Weiguan point is a special point of hand Shaoyang Sanjiao meridian, which has theoretical and practical basis, which reveals the close relationship between Weiguan acupoint and head, ear and ear, limb meridian and five Zang organs and six organs. The dominant syndrome of (ii) 's unique selection of Weiguan point is that of limb meridian disease syndrome; (iii) Weiguan point combined with Neiguan point expands the scope of clinical main treatment syndrome, and jointly treats the disease syndrome of two meridians as main treatment. The treatment of upper limb movement and ocular ear disease by (iv) has been proved theoretically. Many modern clinical experimental studies have proved that acupuncture at Weiguan point can activate specific brain area, which provides a clinical basis for the application of acupuncture in the treatment of upper limb movement and ophthalmopathy. (v) was extended to treat diseases such as spleen-stomach syndrome, Sjogren's syndrome, edema and so on, and the mechanism of Zang-fu function of triple-focus was applied to the treatment of Waiguan point.
【学位授予单位】：南京中医药大学
【学位级别】：博士
【学位授予年份】：2017
【分类号】：R245

【参考文献】