本文選題：貼敷 + 兒科�。� 參考：《遼寧中醫(yī)藥大學》2016年碩士論文

【摘要】：目的:本文利用第五版《中華醫(yī)典》對明清時期26本小兒�？茣M行搜索整理,歸納整理書中有關(guān)貼敷條文涉及的治病范圍、常用貼敷部位及處方用藥規(guī)律。疏理出貼敷取穴特點及對應的治療病證,及不同部位的用藥規(guī)律。為臨床治療兒科病證提供更好的理論依據(jù)和方法。貼敷療法具有用藥直接、安全、便廉、副作用少等特點,故此療法易于被家長和患兒接受,值得深入研究、應用、推廣。材料與方法:利用第五版《中華醫(yī)典》軟件為研究材料,選取臨證各科類之兒科,其可分為兒科通論46本和兒科專論24本,排除兒科專論,將兒科通論作為研究目錄。明清時期兒科專著為26本。通過輸入關(guān)鍵詞“貼”、“敷”,進行條文搜索,統(tǒng)計出貼敷療法的條文,并對條文進行收集、整理、歸納、統(tǒng)計、分析。結(jié)果:1.本文從26本小兒專科書籍中收集整理出有關(guān)貼敷條文474條,共治療140個病證。其中治療外科病證75個,占54%;內(nèi)科病證29個,占21%;五官科病證20個,占20%;初生兒病證9個,占6%;時行病證7個,占5%。2.貼敷部位以局部最常見,穴位主要集中在神闕、囟會、涌泉三穴,其治病范疇已涉列到臨床各科。其中貼敷局部360條,占75%;貼敷神闕穴49條,占10%;貼敷囟會穴31條,占7%;貼敷涌泉穴18條,占4%;此外貼敷其他部位10條,占2%;貼敷百會穴3條,占1%;貼敷太陽穴3條,占1%。3.貼敷用藥多為辛溫走竄之藥,如白芥子、細辛、肉桂、蔥、蒜、南星、蓖麻子等。并且貼敷部位不同用藥有別,治療病證亦有差異。神闕穴可治療初生兒臍部疾患和小兒內(nèi)科疾病,臍部疾病包括臍風、臍瘡、臍突類,藥物包括枯礬、龍骨、當歸、亂發(fā)、白石脂、黃柏等;內(nèi)科疾病包括肝脾肺系類,藥物包括田螺、五倍子、麝香、姜、蔥、豆豉、蒜、硫磺、胡椒、土木鱉、芙蓉等。貼敷藥物常歸肝脾經(jīng)。囟會穴可治療初生兒頭部疾病、小兒內(nèi)科疾病和五官科疾病,頭部疾患包括囟陷、解顱類,藥物包括細辛、防風、天南星、肉桂、干姜、柏子仁蔥等;包內(nèi)科疾病括肝肺系類,藥物包括灶心土、麝香、蔥、姜等;五官科疾病包括眼、鼻、口類疾病,藥物包括豬牙皂、附子、天南星、細辛、蔥、姜等。藥物用藥常歸肝肺經(jīng)。涌泉穴治療小兒內(nèi)科疾病和五官科疾病,內(nèi)科疾病包括脾肺系類,貼敷用藥包括吳茱萸、白礬、南星;五官科疾病包括眼、鼻、口類,貼敷藥物包括白芥子、吳茱萸、天南星、烏頭、大蒜、生附子等。貼敷用藥常歸脾肺經(jīng)。結(jié)論:1.明清時期小兒貼敷用于臨床各科,涉及140個病證,主要用于外科病證,其次為內(nèi)科、五官科、初生兒、時行病證。2.明清時期小兒貼敷部位以局部為主,穴位貼敷所選腧穴主要為神闕、囟會、涌泉三穴,神闕穴居多,其次為囟會穴、涌泉穴,百會、太陽穴涉及較少。3.明清時期小兒貼敷部位用藥多為辛溫類藥,且因病證不同,用藥有差異,藥物的歸經(jīng)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.
【學位授予單位】：遼寧中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R246.4
，

本文編號：2076486