《针灸大成》针刺处方用穴归经及方剂计量学分析  

Quantitative analysis of acupoints application and channel tropism of acupuncture prescriptions in Zhenjiu Dacheng

作　　者：王苗[1] 周铭心[2] Wang Miao;Zhou Mingxin(Department of Acupuncture and Moxibustion,First Affiliated Hospital of Xinjiang Medical University,Urumchi 830011,China;Xinjiang Medical University Institute of Traditional Chinese Medicine,Urumchi 830000,China)

机构地区：[1]新疆医科大学第一附属医院针灸推拿科,乌鲁木齐830011 [2]新疆医科大学中医学院,乌鲁木齐830000

出　　处：《中华针灸电子杂志》2018年第4期168-171,共4页Chinese Journal of Acupuncture and Moxibustion（Electronic Edition）

基　　金：国家自然科学基金资助项目(30660219)

摘　　要：目的探讨《针灸大成》针刺处方运用腧穴的归经情况。方法选取《针灸大成》所载医案之针刺处方,比照中药处方研究,运用方剂计量学方法比较各经被用腧穴之频次、用穴比率、运用强度和穴均强度。结果共应用十四条经脉218穴,3 598穴次;奇穴19穴,112穴次;经外穴33穴,73穴次;膀胱经穴位数最多,被用穴数及总穴次最高,穴位运用强度亦最高(1. 0);督脉用穴比率最高(0. 79),其次心和心包经(0. 78);穴均强度脾经最高(0. 31),次为大肠经(0. 28),胃经最低(0. 09);就各经单穴运用而言,以合谷运用次最高(187),次为三阴交(105)、曲池(89)、委中(82)、百会(72)。结论以方剂计量学方法分析《针灸大成》针刺处方,能客观总结古代诸多医家经验,为学习经络腧穴理论与针灸临床运用提供有效参考。Objective To explore the application of acupuncture and apply the meridians of the acupoints in Compendium of Acupuncture and Moxibustion（ Zhenjiu Dacheng）.Methods Acupuncture and moxibustion prescriptions in the book were selected, while comparing the traditional Chinese medicine prescriptions , and prescription metrology was used to compare the frequency, ratio, intensity and the intensity of the acupuncture points.Results 218 points of 14 meridians were used for 3 598 times;19 extra-points for 112 times; 33 acupoints beyond meridians for 73 times.The largest number of acupoints were used in the bladder meridian, with the largest number of acupoints used, the most total acupoints, and the highest intensity of acupoints application （1.0）; The highest ratio of acupoints was 0.79 in the governor channel, followed by the heart and pericardium meridian （0.78）. The highest spleen meridians （0.31） were in the intensity of the acupuncture acupoints, followed by the large intestine meridian （ 0.28 ）, and the lowest in the stomach meridian （0.09）. In terms of the application of the single point of the various meridians, the application frequency of point LI4（hegu）was the highest （187）, with the order of point SP6 （sanyinjiao） （105）, point LI11 （quchi） （89）, point BL40（weizhong）（82） and point DU20（baihui）（72）.Conclusion By analyzing the prescriptions in Compendium of Acupuncture and Moxibustion（ Zhenjiu Dacheng ）with the method of prescription metrology, this paper can objectively summarize the experience of ancient doctors and provide effective reference for studying the theory of meridian acupoints and clinical application of acupuncture and moxibustion, and can also be used as reference for other literature research.

关 键 词：探讨 方剂计量学 针灸大成 

分 类 号：R245[医药卫生—针灸推拿学]