本文選題：八會(huì)穴　切入點(diǎn)：配伍應(yīng)用　出處：《廣西中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:歸納古代文獻(xiàn)及現(xiàn)代文獻(xiàn)中有關(guān)八會(huì)穴零散配伍穴位相關(guān)論述,總結(jié)出八會(huì)穴古今臨床應(yīng)用的高頻次配伍穴位,以及八會(huì)穴古今配伍應(yīng)用治療常用的疾病,探討八會(huì)穴配伍穴位的特點(diǎn)和臨床意義,為針灸科研和臨床應(yīng)用提供參考依據(jù)。方法:在《中華醫(yī)典》第五版光盤(pán)中收錄的古籍基礎(chǔ)上,查閱古代文獻(xiàn)資料,總結(jié)古代文獻(xiàn)中有關(guān)八會(huì)穴配伍應(yīng)用的相關(guān)論述。在中國(guó)知網(wǎng)數(shù)據(jù)庫(kù)收錄的文章基礎(chǔ)上,查閱國(guó)內(nèi)醫(yī)學(xué)針灸雜志文章,查閱年限為1995年至2015年。將八個(gè)穴位的古代文獻(xiàn)及現(xiàn)代文獻(xiàn)分別用Microsoft Excel工作表作為數(shù)據(jù)庫(kù),共16個(gè)Excel工作表。古代文獻(xiàn)數(shù)據(jù)庫(kù)以文獻(xiàn)編號(hào)、病證、病名、處方分析、朝代、著作、章節(jié)、作者等項(xiàng)目錄入;現(xiàn)代文獻(xiàn)數(shù)據(jù)庫(kù)以文獻(xiàn)編號(hào)、系統(tǒng)疾病、疾病、處方分析、第一作者、文章題目、雜志名稱(chēng)、出版日期等項(xiàng)目錄入。運(yùn)用中醫(yī)理論、針灸學(xué)知識(shí)、中醫(yī)文獻(xiàn)學(xué)理論對(duì)八會(huì)穴古代及現(xiàn)代配伍應(yīng)用的內(nèi)容進(jìn)行整理、歸納、分析。結(jié)果:1.本研究涉及的醫(yī)學(xué)古籍為34部,古代文獻(xiàn)錄入條文為1034條,現(xiàn)代臨床文獻(xiàn)錄入為1390篇。2.在古代臨床應(yīng)用中使用頻次較多的是腑會(huì)中脘和氣會(huì)膻中,而在現(xiàn)代臨床應(yīng)用中筋會(huì)陽(yáng)陵泉與腑會(huì)中脘配伍使用頻次高于其余六個(gè)穴位,而骨會(huì)大杼及脈會(huì)太淵的臨床配伍應(yīng)用較少。3.通過(guò)整理古今文獻(xiàn)發(fā)現(xiàn)八會(huì)穴高頻配伍穴位中有相同的穴位,其主治病證有的古今基本一致,有的現(xiàn)代治療病證更加廣泛。(1)中脘在古今文獻(xiàn)中相同的配伍穴位為足三里、氣海,古今用其治療脾胃疾病為主,但現(xiàn)代常用其治療肥胖癥和糖尿病。(2)章門(mén)在古今文獻(xiàn)中相同的配伍穴位為足三里、中脘、脾俞,古代偏于用其治療脅痛、腹痛、積聚,現(xiàn)代偏于用其治療慢性胃炎、肥胖癥、糖尿病。(3)陽(yáng)陵泉在古今文獻(xiàn)中相同的配伍穴位為足三里、懸鐘,古今用其治療肢體經(jīng)絡(luò)疾病和中風(fēng)為主。(4)懸鐘在古今文獻(xiàn)中相同的配伍穴位為足三里、環(huán)跳、陽(yáng)陵泉,古今用其治療肢體經(jīng)絡(luò)疾病和中風(fēng)為主。(5)膈俞在古今文獻(xiàn)中相同的配伍穴位為足三里、肝俞、脾俞、腎俞,古代用其治療血證、胃痛、噎膈,現(xiàn)代則用其治療呃逆、糖尿病、抑郁癥為主。(6)太淵在古今文獻(xiàn)中相同的配伍穴位為足三里、合谷、肺俞、太溪,古今用其治療咳喘,現(xiàn)代還用其治療糖尿病與心血管疾病。(7)膻中在古今文獻(xiàn)中相同的配伍穴位為足三里、中脘,古代用其治療噎膈、咳喘,現(xiàn)代用其偏于治療呃逆、乳腺疾病與抑郁癥。(8)大杼在古今文獻(xiàn)中的配伍穴位不同,古代常配伍膈俞、陶道、心俞、肝俞、神道等,治療寒熱病證多見(jiàn);現(xiàn)代常配伍天柱、大椎、風(fēng)池、百會(huì)、腎俞等,治療頸椎病和中風(fēng)。結(jié)論:1.在八會(huì)穴中,除大杼外,其余7個(gè)穴位均與足陽(yáng)明經(jīng)合穴足三里配伍使用。古代中脘、章門(mén)、膈俞均配伍足三里、脾俞;現(xiàn)代章門(mén)、陽(yáng)陵泉、懸鐘、太淵、膻中均配伍足三里及三陰交;提示八會(huì)穴的配伍應(yīng)用與脾、胃、血、氣密切相關(guān)。2.在八會(huì)穴的相互配伍中,腑會(huì)中脘與氣會(huì)膻中、臟會(huì)章門(mén)與腑會(huì)中脘、筋會(huì)陽(yáng)陵泉與髓會(huì)懸鐘、骨會(huì)大杼與血會(huì)膈俞常常相配,治療相關(guān)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叾娌葷枟琛，

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