基于现代穴位贴敷治疗腹泻选穴及贴敷用药规律分析  

Analysis of Acupoint Selection and Medication Rules Based on Modern Acupoint Application for Diarrhea

作　　者：李欣源 贺雅琪 陈洁[2,3,4] 王陵军 杨忠奇[2,3,4] 袁天慧 冼绍祥[2,3,4] LI Xin-Yuan;HE Ya-Qi;CHEN Jie;WANG Ling-Jun;YANG Zhong-Qi;YUAN Tian-Hui;XIAN Shao-Xiang(The First Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China;Lingnan Medical Research Center of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China;Key Laboratory of Chinese Medicine Prevention and Treatment for Chronic Cardiac Failure of Guangdong Provincial General Higher Learning School,Guangzhou 510405 Guangdong,China;The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China)

机构地区：[1]广州中医药大学第一临床医学院,广东广州510405 [2]广州中医药大学岭南医学研究中心,广东广州510405 [3]广东省普通高校慢性心力衰竭中医药防治重点实验室,广东广州510405 [4]广州中医药大学第一附属医院,广东广州510405

出　　处：《广州中医药大学学报》2021年第2期335-340,共6页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：国家自然科学基金资助项目(编号:81373570,81673920,81473621,81673796,81704036);广东省自然科学基金重点项目(编号:2016A030311030);广州市慢性心衰中医药防治重点实验室项目(编号:201705030006);国家重点研发计划“中医药现代化”(编号:2017YFC1700304);国家中医临床研究基地建设项目(编号:国中医药科技函[2018]131号);国家重点研发视频安全关键技术研发和中医药现代化研究重点专项(编号:2017YFC1700304)。

摘　　要：【目的】探讨穴位贴敷治疗腹泻选穴及所用中药的性、味、归经等规律特点,为腹泻的临床腧穴配伍及穴位贴敷用药处方提供理论依据。【方法】通过计算机检索中国知网期刊全文数据库(CNKI)、维普数据库(VIP)、万方数据知识服务平台(Wanfang)。限定检索时限为2009年1月至2019年12月。检索有关穴位贴敷治疗腹泻的临床文献,采用数据挖掘中的频次分析方法,分析穴位贴敷治疗腹泻的选穴及用药规律。【结果】最终共纳入文献64篇,包括27个穴位、 80味药物。通过统计分析发现,在所属经脉穴位选择上,以神阙、天枢、中脘、足三里等穴为主穴,以任脉、胃经、膀胱经穴为主;用药上,以吴茱萸、肉桂、丁香、白术、干姜为多,其功效以散寒止痛为主,药性多呈辛、温、热,归经多属脾、胃经。【结论】穴位贴敷治疗腹泻常用单穴为神阙,常用配穴为天枢、中脘、足三里,多使用温阳散寒药物,总体体现了散寒止痛的治则。Objective To explore the characteristics of acupoint selection and Chinese herbal medicine property,flavor and meridian tropism in acupoint application treatment for diarrhea,so as to provide theoretical basis for the clinical acupoints compatibility and prescription of acupoint application. Methods From China National Knowledge Infrastructure(CNKI)database, VIP database and Wanfang database, the clinical literatures on acupoint application treatment for diarrhea from 2009 to 2019 were searched out by computer. Frequency analysis method in data mining was used to analyze characteristics of acupoint selection and medication rules in acupoint application treatment for diarrhea. Results Finally, 64 literatures, including 27 acupoints and 80 herb, were included.Through statistical analysis,in terms of meridian acupoint selection,Shenque(CV8),Tianshu(ST25),Zhongwan(RN12),Zusanli(ST36)points were main acupoints,and conception vessel,stomach meridians and bladder meridians were predominant. In terms of Chinese herbs,Fructus Evodiae,Cortex Cinnamomi,Flos Caryophylli,Rhizome Atractylodis Macrocephalae, Rhizome Zingiberis were most frequently used, having main function of expelling cold to alleviate pain,showing drug property acrid,warm and heat,mostly belonging to spleen and stomach meridians. Conclusion In treatment of diarrhea with acupoint application therapy,the commonly used single acupoint is Shenque(CV8)point,which is generally combined with Tianshu(ST25),Zhongwan(RN12)and Zusanli(ST36) points, and yang-warming and cold-expelling herbs are usually used, indicating the treatment principle as expelling cold to alleviate pain.

关 键 词：穴位贴敷 腹泻 选穴 用药规律 文献研究 温阳散寒 散寒止痛 神阙穴 天枢穴 中脘穴 足三里穴 

分 类 号：R246.9[医药卫生—针灸推拿学]