明清时期贴敷疗法治疗儿科疾病的文献研究

发布时间：2018-06-28 03:16

  本文选题：贴敷 + 儿科　； 参考：《辽宁中医药大学》2016年硕士论文

【摘要】：目的:本文利用第五版《中华医典》对明清时期26本小儿专科书籍进行搜索整理,归纳整理书中有关贴敷条文涉及的治病范围、常用贴敷部位及处方用药规律。疏理出贴敷取穴特点及对应的治疗病证,及不同部位的用药规律。为临床治疗儿科病证提供更好的理论依据和方法。贴敷疗法具有用药直接、安全、便廉、副作用少等特点,故此疗法易于被家长和患儿接受,值得深入研究、应用、推广。材料与方法:利用第五版《中华医典》软件为研究材料,选取临证各科类之儿科,其可分为儿科通论46本和儿科专论24本,排除儿科专论,将儿科通论作为研究目录。明清时期儿科专著为26本。通过输入关键词“贴”、“敷”,进行条文搜索,统计出贴敷疗法的条文,并对条文进行收集、整理、归纳、统计、分析。结果:1.本文从26本小儿专科书籍中收集整理出有关贴敷条文474条,共治疗140个病证。其中治疗外科病证75个,占54%;内科病证29个,占21%;五官科病证20个,占20%;初生儿病证9个,占6%;时行病证7个,占5%。2.贴敷部位以局部最常见,穴位主要集中在神阙、囟会、涌泉三穴,其治病范畴已涉列到临床各科。其中贴敷局部360条,占75%;贴敷神阙穴49条,占10%;贴敷囟会穴31条,占7%;贴敷涌泉穴18条,占4%;此外贴敷其他部位10条,占2%;贴敷百会穴3条,占1%;贴敷太阳穴3条,占1%。3.贴敷用药多为辛温走窜之药,如白芥子、细辛、肉桂、葱、蒜、南星、蓖麻子等。并且贴敷部位不同用药有别,治疗病证亦有差异。神阙穴可治疗初生儿脐部疾患和小儿内科疾病,脐部疾病包括脐风、脐疮、脐突类,药物包括枯矾、龙骨、当归、乱发、白石脂、黄柏等;内科疾病包括肝脾肺系类,药物包括田螺、五倍子、麝香、姜、葱、豆豉、蒜、硫磺、胡椒、土木鳖、芙蓉等。贴敷药物常归肝脾经。囟会穴可治疗初生儿头部疾病、小儿内科疾病和五官科疾病,头部疾患包括囟陷、解颅类,药物包括细辛、防风、天南星、肉桂、干姜、柏子仁葱等;包内科疾病括肝肺系类,药物包括灶心土、麝香、葱、姜等;五官科疾病包括眼、鼻、口类疾病,药物包括猪牙皂、附子、天南星、细辛、葱、姜等。药物用药常归肝肺经。涌泉穴治疗小儿内科疾病和五官科疾病,内科疾病包括脾肺系类,贴敷用药包括吴茱萸、白矾、南星;五官科疾病包括眼、鼻、口类,贴敷药物包括白芥子、吴茱萸、天南星、乌头、大蒜、生附子等。贴敷用药常归脾肺经。结论:1.明清时期小儿贴敷用于临床各科,涉及140个病证,主要用于外科病证,其次为内科、五官科、初生儿、时行病证。2.明清时期小儿贴敷部位以局部为主,穴位贴敷所选腧穴主要为神阙、囟会、涌泉三穴,神阙穴居多,其次为囟会穴、涌泉穴,百会、太阳穴涉及较少。3.明清时期小儿贴敷部位用药多为辛温类药,且因病证不同,用药有差异,药物的归经各不相同。
[Abstract]:Objective: in this paper, the fifth edition of "Chinese medical code" was used to search and collate 26 children's specialized books in Ming and Qing Dynasties, and to sum up the scope of treatment related to the application of the compress, the commonly used location and the rule of prescription drug use. The syndrome of the disease provides a better theoretical basis and method. The therapy has the characteristics of direct, safe, cheap, and less side effects. Therefore, the treatment is easy to be accepted by parents and children. It is worth studying, applying, popularizing. Materials and methods: using the fifth edition of the Chinese medical code > soft parts as the research materials and selecting the pediatrics of various branches, which can be divided into Pediatrics general theory of 46 books and pediatric monograph 24 books, excluding paediatrics monograph, paediatrics general theory as the research directory. The Ming and Qing Dynasty paediatric monograph was 26. Through input key words "paste", "application", the provisions of the provision search, statistics, collection, sorting, induction, statistics, analysis. Results: 1. from 26 children In the specialist books, 474 articles were collected and collected to treat 140 diseases, including 75, 54%, 29, 21%, 20, 20%, 9, 6%, 7, the most common in the 5%.2. patch, and the point mainly concentrated in the Shen que, fontanfontanfontanfonts, Yongquan three points, Its treatment category has been included in the clinical areas, including 360 local areas, accounting for 75%, 49 of the Shen que point, 10%, 31 of the Fontane points, 7% of the fontanelle points, 18 in Yongquan points, 4%, and 2% of the other sites, 2%, 3 of Baihui acupoints, and 49 of the temples, such as the white mustard. Cassia, cinnamon, onion, garlic, South Star, castor seed and so on. And the different use of the application of different medication, treatment of disease is also different. The Shen que point can treat the newborn umbilical diseases and pediatric internal diseases, umbilical diseases including navel, umbilical sore, umbilical process, medicine including alum, keel, angelica, disorder hair, white stone fat, phellodendron and so on; internal diseases including liver spleen and lung, including liver, spleen and lung, etc. Drugs include snail, gallnut, musk, ginger, onion, fermented bean, garlic, sulphur, pepper, civil shelled turtle, hibiscus and hibiscus. The sticking drugs are often returned to the liver and spleen. The fontanelle points can be used to treat the head diseases of the newborn infants, the diseases of the pediatrics department and the diseases of the five senses. The head diseases include the fontanelle and the cranium, including the asarum, the antiwind, the cinnamon, the cinnamon, dry ginger, and the shallot. The medicine includes the liver and lung department, the medicine includes the heart soil, musk, onion, ginger, and other diseases including eye, nose, mouth disease, medicine including tooth soap, aconite, Rhizoma, asarum, scallion, ginger, etc. the drugs are often used in the liver and lung meridian. Cornel, alum, and South Star; diseases including eye, nose, mouth, medicine including white mustard, Wu Zhuyu, Alan, Aconitum, garlic, raw Aconitum etc. .2. in the period of Ming and Qing Dynasties, the location of the children was mainly local. Acupoint application selected acupoints mainly for the Shen que, the fontanelle, Yongquan three points, the Shen que cave many, followed by the fontanelle point, Yongquan point, Baihui, few.3. Ming and Qing period of the Ming and Qing period of children with the most of the application of the medicine, different drugs have different, drugs are different, drugs return through the different Inequality.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.4
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本文编号：2076486