针灸治疗高血压病的选穴规律文献研究

发布时间：2018-10-25 09:37

【摘要】：目的:本文通过统计、整理、分析古代文献和现代文献中针灸治疗高血压病的选穴,总结出古今文献针灸治疗高血压病的常用穴位、常用经络、常用部位、辨证分型常用穴位等,从而总结出针灸治疗高血压病的选穴规律,以便临床广泛使用。材料与方法:古代文献以《中华医典》软件[1]中针灸推拿类书籍为检索范围;现代文献以“中国知网(CNKI)”中期刊全文数据库为检索范围。分别统计古代文献和现代文献的穴位使用频次、穴位归经、特定穴使用、穴位分布部位,并建立相应的数据库。通过对比分析古今穴位的使用、归经、分布等,总结出古今文献针灸治疗高血压病的选穴规律。结果:1.古今文献中最常选取的穴位为百会、曲池、太冲、风池、足三里、通里、合谷、解溪、三阴交、涌泉。2.古今文献中选用穴位最多的是足太阳膀胱经,使用频次最高的是手阳明大肠经。3.古今文献中选用阳经的经络数、穴位数、使用频次都高于阴经。4.古今文献中特定穴(五输穴、原穴)常选用合穴。5.古今文献中常选用头部穴位。6.辨证分型选穴:肝阳上亢型选太冲、痰湿壅盛型选丰隆、阴阳两虚型选关元、阴虚阳亢型选太溪。结论:1.古今针灸治疗高血压文献中,针刺取穴体现了“经脉所过,主治所及”的经络辩证特点,以足太阳膀胱经为显著。2.针刺部位侧重于(头部)病灶处,体现了中医学“治标”理论对针灸临床的指导意义。远端取穴重点使用“合穴”,体现了“合主逆气而泄”的治疗特点。3.现代文献的研究发展体现在曲池穴的高频率使用,以及基于内科学病症体系的辨证取穴。
[Abstract]:Objective: to analyze the acupoints selection of acupuncture and moxibustion in ancient and modern literature for the treatment of hypertension, and to summarize the points, meridians and sites of acupuncture and moxibustion in ancient and modern literature for the treatment of hypertension. Acupoints are commonly used in syndrome differentiation, so as to sum up the law of acupoint selection for acupuncture and moxibustion treatment of hypertension, so as to be widely used in clinic. Materials and methods: the ancient literature was searched by the books of acupuncture and massage in the software of Chinese Medical Code [1], and the modern literature was searched by the full text database of periodicals in (CNKI). The frequency of acupoint usage, the return of acupoints to the meridian, the use of specific acupoints and the distribution of acupoints in ancient and modern literature were counted respectively, and the corresponding database was established. Based on the comparative analysis of the usage, meridian and distribution of acupoints in ancient and modern times, this paper summarizes the law of acupoint selection in the treatment of hypertension by acupuncture and moxibustion in ancient and modern literature. The result is 1: 1. The most frequently selected acupoints in ancient and modern literature are Baihui, Quchi, Taochong, Fengchi, Zusanli, Tongli, Hegu, Jiexi, Sanyinjiao, Yongquan. 2. In ancient and modern literature, the most frequently used acupoints were the foot Sun bladder Meridian and the hand Yangming large intestine Meridian was used most frequently. In ancient and modern literature, the number of meridians and meridians, the number of acupoints and the frequency of use of Yang meridians were higher than those of yin meridians. In ancient and modern literature, special points (Wuyou points, original points) are often selected. 5. In ancient and modern literature, head acupoints are often selected. 6. Syndrome differentiation selection of acupoints: liver yang on the type of election Taichong, phlegm dampness accumulation type selection Fenglong, Yin and Yang deficiency type select Guan Yuan, Yin deficiency Yang hyperactivity type select Taixi. Conclusion: 1. In the literature of acupuncture and moxibustion treatment of hypertension in ancient and modern times, the acupoints obtained by acupuncture reflected the dialectical characteristics of meridians and collaterals, especially the bladder meridian of foot sun. 2. The acupuncture site focuses on the lesion of the head, which reflects the guiding significance of the "palliative" theory of traditional Chinese medicine to the clinical practice of acupuncture and moxibustion. The use of "he acupoint" at the distal point reflects the therapeutic characteristics of "the main point is the main adverse effect of qi". 3. The research and development of modern literature are reflected in the high frequency use of Quchi acupoint and the syndrome differentiation of acupoints based on the disease system of internal medicine.
【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】：2017
【分类号】：R246.1

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