合谷穴治疗牙痛的古代文献研究  

Study of Ancient Literature on the Treatment of Toothache in Hegu

作　　者：张磊[1] 张欣宇 肖雯婧 袁璐 王佳莉 朱书秀[1] ZHANG Lei;ZHANG Xinyu;XIAO Wenjing;YUAN Lu;WANG Jiali;ZHU Shuxiu(School of Medicine,Jianghan University,Wuhan 430056,Hubei,China)

机构地区：[1]江汉大学医学院,湖北武汉430056

出　　处：《江汉大学学报（自然科学版）》2022年第3期65-71,共7页Journal of Jianghan University：Natural Science Edition

基　　金：江汉大学省内特色学科提升项目(03100041)。

摘　　要：目的分析古代医家运用合谷穴治疗牙痛的选穴规律和治疗方法,为合谷穴治疗牙痛提供古代文献依据。方法运用《中华医典》第5版以“合谷”作为检索词,选择“正文”为检索范围,检索民国以前古籍中合谷穴主治病症相关的文献条文,按照纳入和排除标准对其进行筛选,建立合谷穴治疗牙痛的数据库并对其进行统计学分析。结果有明确的治疗牙痛的条文93条,涉及44本书籍;其中单穴47条,配穴46条,明清时期合谷穴治疗牙痛较前明显增多,达到80条,其处方腧穴归经以手阳明大肠经为主;在治疗方法上其他疗法39条,针刺22条,艾灸21条,针灸11条,刺血1条。结论合谷穴具有明确治疗牙痛的作用,使用频率随朝代逐渐增高,单穴略高于配穴,在明确的治疗方法上以针刺和艾灸为主。Objective To analyze the acupoint selection rules and treatment methods of Hegu acupoint in treating toothache by ancient doctors and provide ancient literature basis for Hegu acupoint in treating toothache.Methods By using″Hegu″as the search term and″text″as the search scope in″Chinese Medical Classics(5th Edition)″,literature articles related to the indications of Hegu point in ancient books in the Ming and Qing dynasties and before were searched,screened according to the inclusion and exclusion criteria,and a database of Hegu point for the treatment of toothache was established and analyzed statistically.Results There were 93 articles on the definite treatment of toothache diseases,involving 44 books.Among them,47 were single points,and 46 were distributed points.In the Ming and Qing dynasties,Hegu point treatment of toothache increased significantly,reaching 80,and the prescription acupoints were mainly through the large intestine of hand Yangming.In the treatment methods,there were 39 other therapies,acupuncture 22,moxibustion 21,acupuncture and moxibustion 11,and pricking blood 1.Conclusion The Hegu point has a definite therapeutic role for toothache,and its use has gradually increased in frequency with dynasties,with single points being slightly more frequent than matching points,and acupuncture and moxibustion being the main treatments in definite ways.

关 键 词：牙痛 合谷穴 中华医典 针刺 艾灸 古代文献 文献研究 

分 类 号：R246.83[医药卫生—针灸推拿学]