基于数据挖掘学习探讨“司气海,调血压”针刺技术研究

发布时间：2018-02-07 10:03

本文关键词： 高血压针灸规律气海理论石学敏　出处：《中国中医基础医学杂志》2017年06期 　论文类型：期刊论文

【摘要】：目的:了解针灸治疗原发性高血压的选经取穴规律并基于此学习、探讨、领会石学敏院士"司气海,调血压"技术。方法:检索中国知网、万方数据库和重庆维普医药信息资源系统全文数据库中登载的针灸治疗原发性高血压的临床对照研究文献,筛选合格文献提取文献中腧穴并录入Excel表格进行统计分析。结果:纳入文献166篇,腧穴84个,其中奇穴11个,腧穴总使用频次872次,主穴634次,配穴238次;针灸治疗原发性高血压十四经均有涉及但其重要程度不一,其中以手阳明大肠经、足厥阴肝经、足阳明胃经所用腧穴频次最多,其次为足太阳膀胱经和足少阳胆经等;使用频次前五的腧穴依次为太冲(104次)、曲池(86次)、足三里(64次)、风池(60次)和合谷(45次);身体各部位腧穴选用频次最多的是下肢部(389次),其次为上肢部(175次)和头面颈项部(175次);选用特定穴的频次(735次)远高于非特定穴频次(137次),其中特定穴中五输穴(385次)、原穴(202次)和交会穴(199次)的使用频次明显高于其他特定穴。石学敏院士创立的"司气海,调血压"针刺技术选用的5对腧穴,4对与研究结果一致(足厥阴肝经及手足阳明经肘膝以下的五腧穴和原穴,如太冲、曲池、足三里、合谷等穴),其所属的3条经脉亦与研究结果完全一致,惟一不属于高频率的经穴人迎穴,不仅有中西医理论支持而成为处方中的主穴,而且从所属经脉(足阳明胃经)、所在部位(头面颈项部)、特定穴(交会穴)方面都符合研究结果。结论:石学敏院士"司气海,调血压"(人迎、曲池、合谷、足三里、太冲穴)治疗原发性高血压针刺技术,是大继承基础上的大创新,故对名老中医的学术传承,必须重视对中医经典、疾病中西医知识和前人成果的深入掌握、融会贯通和锲而不舍。
[Abstract]:Objective: to understand the rule of acupoint selection and acupoint selection in acupuncture and moxibustion treatment for essential hypertension and to explore and understand the technique of academician Shi Xuemin, "Shi Qihai, regulating blood pressure". The clinical comparative study literature on acupuncture and moxibustion for essential hypertension published in Wanfang Database and Chongqing Weipu Medical Information Resources system Full-text Database, Results: there were 166references, 84 acupoints, 11 odd points, 872 times acupoints, 634 main points and 238 matching points. The results showed that the total number of acupoints was 872 times, the main acupoint was 634 times, and the number of acupoints was 238 times. Acupuncture and moxibustion treatment of essential hypertension 14 meridians are involved, but their important degree is different, in which hand Yangming large intestine Meridian, foot Jueyin liver Meridian, foot Yangming stomach Meridian uses the most frequency of acupoints, followed by foot Sun bladder Meridian and foot Shaoyang gallbladder Meridian, etc. The number of acupoints in the first five times of use was Taichongli 104 times, Kuchi 86 times, Zusanli 64 times, Fengchi 60 times) and Hegu 45 times. The most frequently selected acupoints in various parts of the body were lower extremities 389 times, followed by upper extremities 175 times). The frequency of selecting specific acupoints was much higher than that of non-specific caverns, including 385 times in five points, 202 times in original points) and 199 times in rendezvous points. Academician Shi Xuemin founded "Shi Qi Hai," Five pairs of acupoints and four pairs of acupoints selected for blood pressure regulation were consistent with the results of the study (five acupoints and original points below the elbow and knee of the liver Meridian of foot and foot and Yangming Meridian of hand and foot, such as Taichong, Quchi, Zusanli, etc.). The three meridians belonging to Hegu and other acupoints were also consistent with the results of the study. The only acupoints that did not belong to the high frequency meridians were Yingying points, which were not only supported by the theory of traditional Chinese and western medicine, but also became the main points in the prescription. In addition, it is consistent with the research results from the following meridian (foot Yangming stomach Meridian), where it is located (head, neck, specific points (rendezvous)). Conclusion: academician Shi Xuemin "Division of Air and Sea, regulating Blood pressure" (Renying, Quchi, Hegu, Zusanli). The treatment of essential hypertension by acupuncture is a great innovation on the basis of great inheritance, so we must pay attention to the knowledge of TCM classics, diseases and western medicine and the achievements of predecessors in the academic heritage of famous Chinese medicine. Integration and perseverance.
【作者单位】：天津中医药大学研究生院;天津中医药大学第一附属医院针灸研究所;天津市针灸学重点实验室;国家中医药管理局脑病针刺疗法重点研究室;国家中医药管理局量效关系三级实验室;
【基金】：国家十二五科技支撑计划课题(2013BAI13B03);名老中医特色诊疗技术传承研究
【分类号】：R246

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