偏头痛相关病经调查研究

发布时间：2018-06-02 22:35

本文选题：经络辨证 + 偏头痛　；参考：《广西中医药大学》2016年硕士论文

【摘要】：目的:调查研究偏头痛的有关病经,为指导针灸对偏头痛的辨证治疗提供新的思路与方法。方法:将来自广西中医药大学第一附属医院、广西中医药大学瑞康医院的符合纳入标准的50例患者,采用传统经络诊察法中的循法和按法对其进行检查:病人采取卧位,检查者应用拇指指腹循按患者颈、项部的有关穴位,看哪个穴位有压痛或压痛伴局部肌肉紧张,出现压痛或压痛伴有肌肉紧张之处为阳性反应点,如果穴位局部肌肉发硬而没有压痛的反应点为既往疾病遗留下来的,与病人目前所患疾病无关。然后对患者进行寸口脉诊[《针灸临床杂志》(2013年29卷第8期)“诊寸口脉判断十四经脉虚实法”],看那部脉象异常,最后结合循按检查结果推断病经。结果:在50例偏头痛患者中:患者“上入穴”(天柱、下风池、人迎、扶突、天窗、天牖)出现阳性反应的经脉例数及百分率如下:足少阳胆经48例,占96%;足阳明胃经49例,占98%;手少阳三焦经40例,占80%;足太阳膀胱经20例,占40%;手阳明大肠经2例,占4%;手太阳小肠经2例,占4%。患者寸口脉诊异常的经脉例数如下:胃经旺脾经虚49例,肝胆经俱旺48例,肝经旺胆经虚2例,三焦经虚心包经虚35例,三焦经旺心包经虚10例,膀胱经虚肾经正常30例,膀胱经肾经虚10例。结论:偏头痛直接相关的经脉有:足少阳胆经、足阳明胃经、足太阳膀胱经、手少阳三焦经;间接相关经脉有足厥阴肝经、足太阴脾经、足太阴肾经、手厥阴心包经。其中,足少阳胆经、足阳明胃经、足厥阴肝经多偏旺;足太阴脾经、足太阴肾经、手厥阴心包经、足太阳膀胱经、手少阳三焦经多偏虚。
[Abstract]:Objective: to investigate and study the related diseases of migraine and to provide new ideas and methods for the treatment of migraine by acupuncture and moxibustion. Methods: 50 patients from the first affiliated Hospital of Guangxi University of traditional Chinese Medicine and Ruikang Hospital of Guangxi University of traditional Chinese Medicine were examined by the traditional meridian examination method. The examiner used the thumb finger abdomen to follow the relevant acupoints of the patient's neck and nape to see which acupoints had tenderness or tenderness with local muscle tension, and where tenderness or tenderness accompanied by muscle tension was the positive reaction point. If the point local muscular stiff and no tenderness response point is a legacy of previous diseases, it has nothing to do with the patient's current disease. Then the patients were examined with cukou pulse examination [Clinical Journal of Acupuncture and moxibustion (No. 8, vol. 29, 2013) "Diagnostic Cunkou vein judging 14 Meridians deficiency and consolidation method", to see the abnormal pulse, and finally infer the disease according to the results of the examination. Results: in 50 patients with migraine, the number and percentage of positive reactions in "upper and lower wind cisterns" (Tianzhu, Xianfeng chi, Renying, protruding, skylight, window) were as follows: 48 cases of foot Shaoyang and gallbladder meridian, 96 cases of stomach Meridian of foot Yang Ming, 49 cases of stomach Meridian of foot Yang Ming, There were 40 cases of Shaoyang Sanjiao in hand, 40 cases of bladder meridian of foot sun, 20 cases of bladder meridian of foot and sun, 2 cases of large intestine meridian of hand yang Ming, 4 cases of small intestine meridian of hand, and 2 cases of small intestine meridian of hand, accounting for 4 cases. The cases of abnormal pulse diagnosis in Cunkou were as follows: 49 cases of gastric meridian and splenic meridian deficiency, 48 cases of liver and gallbladder meridian, 2 cases of liver meridian and gallbladder deficiency, 35 cases of deficiency of pericardial meridian, 10 cases of triJiao meridian asthenia pericardial meridian, and 30 cases of bladder meridian asthenia and kidney meridian. Bladder transrenal meridian deficiency in 10 cases. Conclusion: the direct correlation meridians of migraine are: foot Shaoyang gallbladder Meridian, foot Yangming stomach Meridian, foot Sun bladder Meridian, hand Shaoyang Trijiao Meridian, indirect correlation Meridian are foot Jueyin liver Meridian, foot Taiyin spleen Meridian, foot Taiyin Kidney Meridian, hand Jueyin pericardium Meridian. Among them, foot Shaoyang gallbladder Meridian, foot Yangming stomach Meridian, foot Jueyin liver Meridian more prosperous; foot Taiyin spleen Meridian, foot Taiyin Kidney Meridian, hand Jueyin pericardial Meridian, foot Sun bladder Meridian, hand Shaoyang Trijiao Meridian more deficiency.
【学位授予单位】：广西中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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