古代文献中胃肠道疾病相关性腹痛的灸法经脉腧穴应用规律  

Application Rules of Meridians and Acupoints Used in the Treatment of Gastrointestinal Diseases Associated Abdominal Pain in Ancient Literature

作　　者：方臻臻 郑寒丹 黄艳[2] 纪军[2] 丁邦友[2] 刘慧荣[2] 马晓芃[2] 吴璐一[2] 周志刚[3] 吴焕淦[2] 李璟[1] Fang Zhenzhen;Zheng Handan;Huang Yah;Ji Jun;Ding Bangyou;Liu Huirong;Ma Xiaopeng;Wu Luyi;Zhou Zhigang;Wu Huangan;Li Jing(Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China;Shanghai Research Institute of Acupuncture Meridian,Shanghai 200030,China;Jiangxi University of Traditional Chinese Medicine,Nanchang 330004,China)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院,上海200437 [2]上海市针灸经络研究所,上海200030 [3]江西中医药大学,南昌330004

出　　处：《世界科学技术-中医药现代化》2018年第5期762-768,共7页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：中华人民共和国科技部国家重点基础研究发展计划("973"计划)项目(2009CB522900):灸法作用的基本原理与应用规律研究;负责人:吴焕淦;中华人民共和国科技部国家重点基础研究发展计划("973"计划)项目(2015CB554500):艾灸效应的启动机制及其内源性调节作用的机理研究;负责人:吴焕淦;上海市卫生和计划生育委员会面上项目(201640284);针灸对溃疡性结肠炎的组蛋白3赖氨酸4修饰的调节机制研究;负责人:黄艳

摘　　要：目的:运用数据挖掘技术分析古代灸法治疗胃肠道疾病相关性腹痛的经脉、腧穴使用特点。方法:以《中华医典》中灸法古代文献为依据,"灸"为主题词,结合"腹痛"的古病名,摘录"胃肠道疾病相关性腹痛"条文,列出腧穴和腧穴所属经脉的数据库。结果:经检索共纳入文献264篇,其特点表现为:(1)早期古代文献记载的灸疗胃肠道疾病相关性腹痛,应用的腧穴较少,涉及经脉不多;明朝起灸疗应用的经脉和腧穴明显增多,配穴增加。(2)经脉频次最高的经脉是任脉和足阳明胃经,二者配伍使用的支持度为26.89%,置信度35.21%,置信度最高,常配伍出现。任脉-足阳明胃经-足太阴脾经配伍使用较多。(3)腧穴频次较高的是关元、气海、天枢、神阙、足三里和中脘,气海-关元-神阙为最常配伍腧穴。结论:从明朝开始,灸疗胃肠道疾病相关性腹痛涉及的经脉更广泛,腧穴明显增多,且注重配穴。古代文献记载的经脉中任脉和足阳明胃经应用最多,足太阴脾经常配伍使用;腧穴中气海、关元、天枢、神阙、足三里和中脘常配伍使用。Objective： To analyze the characteristics of meridian and acupoints used in the treatment of abdominal pain in ancient moxibustion using data mining techniques. Methods： Based on the ancient moxibustion in Chinese Medical Code, ＂moxibustion＂ as the key word, combined with ancient disease name of ＂abdominal pain＂, the texts of ＂gastrointestinal disease-related abdominal pain＂ was extracted. And the meridians and acupoints database was listed. Results： 264 articles were included, with characteristics of（1） Few acupoints and meridians were applied and involved in moxibustiontreatment of gastrointestinal diseases associated with abdominal pain. The meridians and acupoints used in moxibustion treatment increased significantly in the Ming Dynasty, and acupoints compatibility increased.（2） In the meridians, the most frequently occurred meridians were Ren channel and foot Yangming stomach channel. The support for the compatibility between the two was 26. 89%, and the confidence was highest of 35.21%. They are often with compatibility. In addition Ren channel-Foot Yangming stomach channel-foot Taiyin spleen channel compatibility was used more frequently.（3） In the acupoints, the higher frequency was Guanyuan（CV 4）, Qihai（CV 6）, Tianshu（ST 25）,Shenque（CV 8）, Zusanli（ST 36）, and Zhongwan（CV 12）, and the most commonly used acupoints compatibility was the Qihai（CV 6） – Guanyuan（CV 4）-Shenque（CV 8） combination. Conclusion： From the Ming Dynasty, moxibustion treatment of gastrointestinal diseases related to abdominal pain involving the meridians were more widely. Acupoints increased significantly, and focused on acupoints compatibility. Ancient literature records Ren channel and Foot Yangming stomach channel were the most widely used, and the most closely compatibility. Also, the foot Taiyin spleen channel is usually used with them. Qihai（CV 6）, Guanyuan（CV 4）, Tianshu（ST 25）, Shenque（CV 8）, Zusanli（ST 36）and Zhongwan（CV 12） are the mo

关 键 词：灸法 胃肠道疾病相关性腹痛 古代文献 经脉腧穴 应用规律 

分 类 号：R245.0[医药卫生—针灸推拿学]