發(fā)布時間：2018-01-22 08:46

  本文關(guān)鍵詞： 四縫穴 臨床應(yīng)用 文獻(xiàn)研究　出處：《廣州中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:通過探究四縫穴的起源與現(xiàn)代發(fā)展,展示四縫穴的臨床應(yīng)用;通過對相關(guān)臨床報道進(jìn)行文獻(xiàn)研究,總結(jié)其古今臨床實踐經(jīng)驗,探討四縫穴的位置特意性、作用原理及臨床運用的適應(yīng)癥,為今后該穴的臨床運用提供相關(guān)的文獻(xiàn)依據(jù)。方法:1、通過梳理古今醫(yī)籍有關(guān)四縫穴的記載(其包括穴名、定位及臨床運用),探討四縫穴的歷史沿革及臨床應(yīng)用情況;2、搜索自數(shù)據(jù)庫建庫至2016年期間與四縫穴相關(guān)的文獻(xiàn),將國內(nèi)關(guān)于運用四縫穴治病的臨床研究文獻(xiàn)作為研究對象,將文獻(xiàn)按納入標(biāo)準(zhǔn)進(jìn)行梳理、歸納和總結(jié),設(shè)計相應(yīng)的資料提取表,并對納入的文獻(xiàn)中關(guān)于四縫穴的主治病癥、操作方法、點刺間隔時間及后世醫(yī)家對點刺后擠出的液體與療程、病情相關(guān)性的觀點進(jìn)行提取;將提取所得的資料輸入Excel電子表格保存,依據(jù)所治病癥進(jìn)行分類、歸納、整理,進(jìn)行相關(guān)數(shù)據(jù)處理;通過建立圖表方式分析,初步探討四縫穴的穴位特性、臨床應(yīng)用特點及其運用規(guī)律。結(jié)果:1、《奇效良方》中最早記載了四縫穴的定位及主治病癥,后為《針灸大成》等醫(yī)籍所引載。清代以前文獻(xiàn)對四縫穴的定位及主治病癥記載較為局限,鮮有進(jìn)一步闡釋和醫(yī)案記錄。后世醫(yī)家在臨床實踐中對四縫穴定位存在不同見解,將其運用于其他疾病的治療取得特異性的療效,從而大大拓展了四縫穴的定位及主治范圍。2、本課題中所納入與四縫穴臨床運用相關(guān)的文獻(xiàn)共536篇,其所涉及的病癥共約74個。文獻(xiàn)資料顯示,四縫穴應(yīng)用范圍逐漸擴(kuò)大,在現(xiàn)代臨床中廣泛運用于消化科病癥和呼吸科病癥,也部分運用于皮膚科、五官科和外科等多門學(xué)科病癥的治療。四縫穴雖主要運用于治療兒科相關(guān)病癥,但在成人相關(guān)疾病甚至是疑難雜癥上也有運用。3、文獻(xiàn)顯示四縫穴的定位主要有5種,臨床運用中5種定位也多交叉應(yīng)用,但主要仍是依據(jù)《奇效良方》的記載。與四縫穴周圍其他奇穴共約50個,其部分主治與四縫穴相似,但多有差異,目前無相關(guān)文獻(xiàn)解釋四縫穴與其周圍其他奇穴的區(qū)別。4、四縫穴的針法多采用三棱針或注射針頭點刺,納入文獻(xiàn)中共有41%未提及針刺的深度及間隔時間,且文獻(xiàn)中對于針刺間隔時間的記載主要根據(jù)醫(yī)家自身的經(jīng)驗,無量化的標(biāo)準(zhǔn),使四縫穴治療相關(guān)病癥的試驗的可重復(fù)性和客觀性受影響。結(jié)論:1、四縫穴主治病癥和定位演變,經(jīng)歷了一個漫長而復(fù)雜的過程,其最早源于明代,發(fā)展至今。由古代文獻(xiàn)記載主治病癥多為小兒猢猻勞,后多運用于治療小兒疳疾,現(xiàn)后世醫(yī)家的臨床運用中又大大擴(kuò)大了四縫穴的主治范圍,不僅用于治療各種兒科疾病,而且擴(kuò)展到成人外、內(nèi)、婦科,其療效顯著。因而在臨床實踐應(yīng)注意發(fā)揮四縫穴的獨特治療作用。2、在本文獻(xiàn)研究中,四縫穴相關(guān)的穴位其功效部分同四縫穴,但文獻(xiàn)未提及四縫穴與其相關(guān)穴位臨床作用的區(qū)別。針刺四縫穴后液體的出現(xiàn)與病情、臨床療效之間相關(guān)性、及其出現(xiàn)的原因少有研究。而現(xiàn)代醫(yī)學(xué)對于四縫穴的作用機(jī)理,多是描述現(xiàn)象,實驗研究僅局限于消化系統(tǒng)病癥,無深層次的探討;中醫(yī)機(jī)理研究多從經(jīng)絡(luò)、古代手相、全息理論及所治病癥的病因病機(jī)方面解釋四縫穴的作用機(jī)理,則難以闡釋其治療呼吸科、皮膚科、外科、五官科等病癥的作用機(jī)理。
[Abstract]:Objective: To explore the origin and development of modern joint four points, showing four clinical application of ex-ue10; through literature research on relevant clinical reports, and summarize the clinical experience, explore the four aperture position specially, action principle and clinical application of the indications, for the future to provide relevant reference for clinical use this point. Methods: 1, by combing the ancient medical books about four of ex-ue10 records (including point name, location and clinical application of four), ex-ue10 history and clinical application; 2, the search from database to 2016 and four ex-ue10 related literature, the domestic use of four joint clinical research literature points as the research object, the literature according to the inclusion criteria were reviewed, and summarized the design of the corresponding data extraction form, and the inclusion of the literature about the indications, four sewing hole operation method, prick The time interval and later doctors of liquid and treatment after extrusion prick, correlation between views will be extracted from the data extraction; input Excel spreadsheets saved, according to disease classification, induction, consolidation, related data processing; through the establishment of analysis chart, preliminary study of four ex-ue10 points characteristics. And using the law of clinical features. Results: 1, < > in the earliest recorded Qixiao for four of ex-ue10 positioning and indications for acupuncture, < > and other medical books cited. Before the Qing Dynasty literature on the four point positioning and joint record indications is limited, few further explanation and records record. Physicians in clinical practice of four joint positioning points have different opinions, which are applied to the treatment of other diseases have specific effect, so as to greatly expand the four sewing hole location and indications of.2, this topic In four included and ex-ue10 clinical related to the use of 536 papers, the symptoms of a total of about 74. According to the literature, four ex-ue10 application scope gradually expanded, widely used in digestive diseases and disorders in Modern Clinical Department of respiration, also part of the application in the Department of Dermatology, Department of surgery and the treatment of the five official the discipline of disease. Although four sewing hole is mainly used in the treatment of pediatric related disorders, but in adult related diseases and even have Difficult miscellaneous diseases by.3, there are 5 main types of literature shows that four sewing hole positioning, 5 positioning clinical application also cross application, but is still the main basis for the effect of < > record. And four sewing hole around other acupoints of about 50, and the four part of its attending ex-ue10 is similar, but there are many differences, there is no relevant literature to explain four sewing hole and other odd points around the difference of.4, four of ex-ue10 acupuncture with three edged needle or injection The needle prick, a total of 41% literatures did not mention the depth and time interval of acupuncture, and the literature for the interval of time according to the records of the physicians' own experience and no quantitative criteria, the four test points for the treatment of diseases related to the joint reproducibility and objectivity affected. Conclusion: 1. The evolution of four joints acupoint indications and positioning, has experienced a long and complex process, which originated from the Ming Dynasty, from the ancient literature. Since the development of indications for more children with his work, after operation for the treatment of infantile malnutrition, clinical physicians in the operation and greatly expanded the range of indications four ex-ue10 and not only for the treatment of various pediatric diseases, but also extended to adults, in gynecology, its effect is significant. So in clinical practice should pay attention to play four of ex-ue10 unique therapeutic effect of.2 in the literature study, four ex-ue10 related power point The effect with four sewing hole, but the literature did not mention the four ex-ue10 associated with the clinical effect of acupuncture acupoint. Four seam appearance and liquid point condition, the correlation between clinical efficacy, there is little research and its causes. Modern medicine for the four joint mechanism points, more experimental research is to describe the phenomenon. Only in the digestive system diseases, to explore the deep mechanism of traditional Chinese medicine research; from the meridian, the ancient palm, pathogenesis and treatment of disorders of the holographic theory to explain four of ex-ue10 mechanism, it is difficult to explain its treatment in the Department of respiration, Department of Dermatology, surgery, ENT mechanism and other diseases.

【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R246

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 祁麗瓊;;針刺四縫穴對厭食癥患兒血清微量元素及免疫功能的影響[J];中國中醫(yī)藥科技;2016年06期

2 喜悅;錢海良;石錦梅;秦宗富;車雪原;;點刺四縫穴治療小兒厭食癥療效及對微量元素的影響[J];山東中醫(yī)雜志;2016年11期

3 丁宗富;蘇仁強(qiáng);王敏;徐耀勤;劉鋒;史登玉;李偉華;賈利珊;;針刺配合中藥對小兒腸系膜淋巴結(jié)炎患者ET-1和CGRP的影響[J];上海針灸雜志;2016年09期

4 王春榮;;基礎(chǔ)治療聯(lián)合針刺四縫穴治療兒童功能性便秘探析[J];中醫(yī)臨床研究;2016年25期

5 張姝Z，

本文編號：1454258