八会穴配伍应用的古今文献整理研究

发布时间：2018-04-02 22:06

  本文选题：八会穴　切入点：配伍应用　出处：《广西中医药大学》2016年硕士论文

【摘要】：目的:归纳古代文献及现代文献中有关八会穴零散配伍穴位相关论述,总结出八会穴古今临床应用的高频次配伍穴位,以及八会穴古今配伍应用治疗常用的疾病,探讨八会穴配伍穴位的特点和临床意义,为针灸科研和临床应用提供参考依据。方法:在《中华医典》第五版光盘中收录的古籍基础上,查阅古代文献资料,总结古代文献中有关八会穴配伍应用的相关论述。在中国知网数据库收录的文章基础上,查阅国内医学针灸杂志文章,查阅年限为1995年至2015年。将八个穴位的古代文献及现代文献分别用Microsoft Excel工作表作为数据库,共16个Excel工作表。古代文献数据库以文献编号、病证、病名、处方分析、朝代、著作、章节、作者等项目录入;现代文献数据库以文献编号、系统疾病、疾病、处方分析、第一作者、文章题目、杂志名称、出版日期等项目录入。运用中医理论、针灸学知识、中医文献学理论对八会穴古代及现代配伍应用的内容进行整理、归纳、分析。结果:1.本研究涉及的医学古籍为34部,古代文献录入条文为1034条,现代临床文献录入为1390篇。2.在古代临床应用中使用频次较多的是腑会中脘和气会膻中,而在现代临床应用中筋会阳陵泉与腑会中脘配伍使用频次高于其余六个穴位,而骨会大杼及脉会太渊的临床配伍应用较少。3.通过整理古今文献发现八会穴高频配伍穴位中有相同的穴位,其主治病证有的古今基本一致,有的现代治疗病证更加广泛。(1)中脘在古今文献中相同的配伍穴位为足三里、气海,古今用其治疗脾胃疾病为主,但现代常用其治疗肥胖症和糖尿病。(2)章门在古今文献中相同的配伍穴位为足三里、中脘、脾俞,古代偏于用其治疗胁痛、腹痛、积聚,现代偏于用其治疗慢性胃炎、肥胖症、糖尿病。(3)阳陵泉在古今文献中相同的配伍穴位为足三里、悬钟,古今用其治疗肢体经络疾病和中风为主。(4)悬钟在古今文献中相同的配伍穴位为足三里、环跳、阳陵泉,古今用其治疗肢体经络疾病和中风为主。(5)膈俞在古今文献中相同的配伍穴位为足三里、肝俞、脾俞、肾俞,古代用其治疗血证、胃痛、噎膈,现代则用其治疗呃逆、糖尿病、抑郁症为主。(6)太渊在古今文献中相同的配伍穴位为足三里、合谷、肺俞、太溪,古今用其治疗咳喘,现代还用其治疗糖尿病与心血管疾病。(7)膻中在古今文献中相同的配伍穴位为足三里、中脘,古代用其治疗噎膈、咳喘,现代用其偏于治疗呃逆、乳腺疾病与抑郁症。(8)大杼在古今文献中的配伍穴位不同,古代常配伍膈俞、陶道、心俞、肝俞、神道等,治疗寒热病证多见;现代常配伍天柱、大椎、风池、百会、肾俞等,治疗颈椎病和中风。结论:1.在八会穴中,除大杼外,其余7个穴位均与足阳明经合穴足三里配伍使用。古代中脘、章门、膈俞均配伍足三里、脾俞;现代章门、阳陵泉、悬钟、太渊、膻中均配伍足三里及三阴交;提示八会穴的配伍应用与脾、胃、血、气密切相关。2.在八会穴的相互配伍中,腑会中脘与气会膻中、脏会章门与腑会中脘、筋会阳陵泉与髓会悬钟、骨会大杼与血会膈俞常常相配,治疗相关疾病。
[Abstract]:Objective: To sum up the ancient literature and modern literature about the eight point scattered point compatibility related discussion, summed up the high point and eight point combined with clinical application, as well as eight points and combined to treat common diseases, to explore the characteristics of eight acupoints acupuncture points and clinical significance, and provide reference for scientific Research of acupuncture and moxibustion and the clinical application. Methods: the foundation of ancient Chinese medical classics included in < > fifth CD in, to the ancient literature, summarizing the related theory about eight point combined application in ancient literature. This paper included in the China HowNet database, access to domestic medical acupuncture magazine article, inspection period from 1995 to 2015. The ancient literature and modern literature eight points respectively by Microsoft Excel as a database table, a total of 16 Excel working table. Ancient literature database in the literature number, diseases, disease name, Analysis of prescriptions, dynasties, books, chapters, the author entered the project; modern literature database in the literature number, system disease, disease, prescription analysis, first author, title, journal name, publication date project entry. According to the theory of Chinese medicine acupuncture and moxibustion, knowledge of Chinese literature theory of ancient and modern eight point compatibility the content of the application of induction, collation, analysis. Results: This study involved 1. medical books for the 34, 1034 provision for the entry of ancient literature, modern clinical literature entry 1390 clinical application of.2. in ancient times in the frequency of use is more Fu danzhong Zhongwan and will be, but in modern clinical application bars will be gb34and Fu will Zhongwan combined use frequency is higher than the rest of the six points, while the bone will Dazhu and veins will Taiyuan clinical application compatibility less.3. by arranging literature found that eight points have the same frequency with Acupuncture The acupuncture points, the indications are consistent in some ancient, some modern syndrome treatment more widely. (1) combined with acupoint Zhongwan in ancient and modern literature in the same as Zusanli, Qihai, mainly by the ancient treatment of stomach disease, but modern often used in the treatment of obesity and diabetes. (2) in the same chapter and point the door ancient literature as Zhongwan, Zusanli, Pishu, ancient partial in the treatment of chest pain, the pain, the accumulation of modern partial in the treatment of chronic gastritis, with obesity, diabetes mellitus. (3) and in the ancient and modern literature in the same acupoints Yanglingquan for three feet, hanging bell, mainly with its ancient and modern treatment body meridian disease and stroke. (4) hanging bell in the ancient literature and point the same as Huantiao, Yanglingquan, Zusanli, mainly by the ancient and modern treatment of limb meridian diseases and stroke. (5) Geshu in ancient and modern literature in the same compatibility acupoints of Zusanli, Ganshu, Pishu, Shenshu ,鍙や唬鐢ㄥ叾娌荤枟琛，

本文编号：1702316