本文選題：針灸歌賦 + 針灸處方��； 參考：《遼寧中醫(yī)藥大學》2016年博士論文

【摘要】：目的:針灸處方學是針對某一病機或某一癥狀,研究針灸治法、穴位配伍、組方規(guī)律及其臨床應(yīng)用的一門學科。歷代醫(yī)家經(jīng)過反復(fù)實踐、不斷總結(jié),積累了大量的針灸處方,從春秋至明清,至今約有4300余首針灸處方(1)。從臨床流傳廣泛的本身即是經(jīng)驗總結(jié)的針灸歌賦入手提煉出最有價值的處方取穴,則是不失為一個捷徑。從流傳下來的治療歌賦來看,很多針灸歌賦保留了當時醫(yī)家對疾病的觀察、分析、診斷、針灸治療的手段以及取穴等信息,由于諸多歌賦傳播廣泛,也是最經(jīng)得起考驗的處方用穴來源。從古代流傳廣泛的眾多針灸歌賦中總結(jié)出最常見的針灸病癥,并整理出這些常見病癥的最基礎(chǔ)的處方用穴,即是本研究的最主要的目的。原則與方法:本文采用優(yōu)選法的原則,即是從眾多治療性針灸歌賦處方用穴中找出使用頻率最高的穴位,那么這些出現(xiàn)頻率高的穴位,即是針對某個病癥的最基礎(chǔ)處方用穴。具體的方法包括收集、匯總和整理三個步驟。本課題共收集從宋至明清時期的治療性針灸歌賦24首,包括玉龍歌、百癥賦等。匯總包括兩方面的內(nèi)容,一方面是針對穴位的匯總,另一方面是針對歌賦描述的病癥,按病癥進行分類匯總。最后的整理是根據(jù)匯總的結(jié)果分別進行穴位和病癥的整理。結(jié)論:針對對古代24首治療性針灸歌賦的縱向匯總與整理,本課題得出了如下結(jié)論:1、總結(jié)出針灸歌賦中最常用的20個穴位。包括足三里、合谷、委中、太沖、中脘、曲池、氣海、照海、列缺、陽陵泉、涌泉、(三)陰交、環(huán)跳、后溪、昆侖、大陵、承山、內(nèi)關(guān)、大敦、內(nèi)庭。再加上《天星十一穴歌》等歌賦反復(fù)出現(xiàn)的通里穴,本課題提出了臨床最常用21精穴的概念,并21精穴之后探討了這21精穴的相關(guān)規(guī)律。2、根據(jù)這21個穴位,匯總了所有歌賦中完全取自于這21個穴位的35個針灸處方。3、指出了眾多針灸歌賦中的重復(fù)現(xiàn)象,并根據(jù)諸多重復(fù)的歌賦,總結(jié)出最常用的27個處方用穴。4、總結(jié)了40個(類)針灸歌賦中最常見的病癥,并提煉出這些病癥的最基礎(chǔ)用穴。根據(jù)這40個(類)歌賦中最常見的病癥的基礎(chǔ)用穴,總結(jié)了諸多的用穴特點。并且提出了“取類比象”和“臟腑別通”兩個特殊的取穴規(guī)律。5、在整理相關(guān)歌賦的過程中,發(fā)現(xiàn)了一些文獻學方面的問題。確定了《玉龍歌》的源頭其實是來自于《針灸神書》的內(nèi)容,確定了擔截之法實為補瀉之意,理順了關(guān)于天星穴歌的脈絡(luò)關(guān)系,對《通玄指要賦》中疑似有錯誤的句子進行了探討,也對中魁穴進行了辨析。
[Abstract]:Objective: acupuncture and moxibustion prescription is a subject that studies acupuncture therapy, acupuncture points compatibility, prescription law and its clinical application for a certain pathogenesis or symptom. Through repeated practice, doctors have accumulated a large number of acupuncture and moxibustion prescriptions. From the Spring and Autumn to the Ming and Qing dynasties, there are more than 4300 prescriptions of acupuncture and moxibustion. It is a shortcut to extract the most valuable prescription of acupuncture and moxibustion. From the perspective of the treatment songs passed down, many acupuncture songs and fu preserved the information of the physicians at that time on disease observation, analysis, diagnosis, acupuncture treatment and acupoint collection, etc. As a result of the widespread spread of many songs and Fu, It is also the most tested source of prescription acupoints. The main purpose of this study is to summarize the most common acupuncture and moxibustion symptoms from the many ancient moxibustion songs, and to sort out the most basic prescription points for these common diseases. Principle and method: this article adopts the principle of optimal selection, that is to find out the most frequently used acupoints from many therapeutic acupuncture and moxibustion song prescription points, then these high frequency acupoints, that is, the most basic prescription points for a certain disease. Specific methods include three steps: collection, summary and collation. From Song to Ming and Qing dynasties, 24 songs of acupuncture and moxibustion were collected, including Yulong Song, hundred Syndrome Fu and so on. The summary includes two aspects, one is the collection of acupoints, the other is the disease described by Gofu. The final arrangement is based on the summary of the results of acupoints and symptoms of the collation. Conclusion: in view of the longitudinal collection and arrangement of 24 ancient songs of acupuncture and moxibustion, this paper draws the following conclusion: 1, summarizes the 20 points most commonly used in song fu of acupuncture and moxibustion. Including Zusanli, Hegu, Beizhong, Taichung, Zhongwan, Quchi, Qihai, Zhaohai, lack of column, Yangling Spring, Yongquan (three) Yinjiao, Huanleu, Houxi, Kunlun, Daling, Chengshan, Neiguan, Dadun, Chamber. In addition to the song "Star 11 points song" and so on song Fu repeatedly appear Tongli point, this subject proposed the clinical most commonly used 21 essence point concept, and after 21 essence points discussed the 21 essence point correlation rule. 2, according to these 21 acupoints, The 35 acupuncture prescriptions. 3, which are totally taken from the 21 acupoints, are summarized, and the repetition phenomena in many acupuncture songs and fu are pointed out, and according to the repeated songs, The most common 27 prescription points. 4, 40 most common diseases of acupuncture and moxibustion songs were summarized, and the most basic points of these diseases were extracted. According to the basic points of the most common diseases in the 40 kinds of songs, this paper summarizes the characteristics of the most common symptoms. It also puts forward two special rules of taking points. 5. In the process of sorting out the related songs and Fu, some problems in philology are found. Determined that the source of "Yulong Song" actually came from the "Acupuncture and moxibustion God Book" content, determined that Tam Ji-zhi 's method is actually the meaning of reinforcing and reducing, and straightened out the relationship between the venation of the song of the Tianxing acupoint, This paper probes into the suspected wrong sentences in "Tongxuan to Fu", and discriminates the Zhongkui Cave.
【學位授予單位】：遼寧中醫(yī)藥大學
【學位級別】：博士
【學位授予年份】：2016
【分類號】：R245

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