《针灸大成》关于气海穴临床应用的文献研究  

Clinical Application of Acupoint Qihai in Great Compendium of Acupuncture and Moxibustion

作　　者：孙满超 任冬旭 许胜男 郭祀慧 崔成 王虹 杨圆圆 蔡国锋[3] SUN Manchao;REN Dongxu;XU Shengnan;GUO Sihui;CUI Cheng;WANG Hong;YANG Yuanyuan;CAI Guofeng(Heilongjiang University of Chinese Medicine,Harbin 150000,China;Hebei University of Chinese Medicine,Shijiazhuang 050000,China;Hanan Branch,The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150000,China)

机构地区：[1]黑龙江中医药大学,哈尔滨150000 [2]河北中医药学院,石家庄050000 [3]黑龙江中医药大学附属第二医院哈南分院,哈尔滨150000

出　　处：《世界中医药》2022年第19期2806-2813,共8页World Chinese Medicine

基　　金：国家自然科学基金项目(82174232);教育部“春晖计划”合作科研项目(HLI2019031);中国民族医药学会科研项目(2020ZY251-411002);黑龙江省中医药科研项目(ZHY16-027;HZYB2018159);黑龙江省中医药管理局(ZHY2021-WH022)。

摘　　要：目的:通过检索《针灸大成》中与气海穴治疗作用相关的文献条文,总结气海穴在治疗各系统疾病中运用频次较高的疾病及其配穴规律,为临床针灸对气海穴的使用提供理论支持。方法:以《中华医典》(第五版)中《针灸大成》作为文献检索来源,将气海穴及气海穴的别称“脖胦”“下肓”“丹田”“肓之原”“肓原”“下言”和“气泽”为检索词,用计算机检索工具及人工检索相结合的方法检索符合要求的文献条文,通过建立本研究的数据库,频次分析、条形统计图比较分析等方法,总结出气海穴在治疗各系统疾病中的运用频次及其配穴规律。结果:在《针灸大成》所涉及的条文中,气海穴尤善治疗内科疾病,在治疗内科疾病中排名前3位的是脾胃系病症、气血津液疾病、肾系病症和妇科疾病,气海穴配穴习惯为上下配穴法,同名经配穴法,以及前后配穴法,其中主要为前后配穴法和同名经配穴法。结论:气海穴《针灸大成》中单穴应用占比最高,而在气海穴众多配穴中,运用了本经配穴法、上下配穴法、前后配穴法,配穴归经主要来自任脉和足太阳膀胱经。同名经配穴法,同气相求,可增加疗效;与气海穴配伍较多的足太阳膀胱经以背腧穴为主,此为前后配穴法,亦称腹背阴阳配穴法,腹部为阴,腰背为阳,前后配穴法可起到“从阳引阴”亦可“从阴引阳”的作用,以达到调节阴阳,调和脏法,调畅经络的目的。Objective:To summarize various systemic diseases where acupoint Qihai(CV 6)was used with high frequency and the point combination rules by retrieving the literature articles related to the therapeutic effect of Qihai(CV 6)in Great Compendium of Acupuncture and Moxibustion,and to provide theoretical support for the application of Qihai(CV 6)in clinical acupuncture and moxibustion.Methods:With Great Compendium of Acupuncture and Moxibustion in Chinese Medical Code(fifth edition)as retrieval source,Qihai(CV 6)and its nicknames“Boyang”“Xiahuang”“Dantain”“Huangzhiyuan”“Huangyuan”“Xiayan”and“Qize”were used as terms to screen the literature articles through computer and manual retrievals according to the screening conditions.A database was established in this study,and with frequency analysis,comparative bar charts and other methods,the frequency of Qihai(CV 6)in the treatment of various systemic diseases and the point combination rules were summarized.Results:In Great Compendium of Acupuncture and Moxibustion,Qihai(CV 6)was mainly used for the treatment of internal diseases,and the top three internal diseases were the spleen and stomach diseases,qi-blood-body liquid diseases,and kidney and gynaecological diseases.The common point combinations were superior-inferior point combination,point combination on meridian bearing same name and anterior-posterior point combination,with the latter two dominant.Conclusion:In Great Compendium of Acupuncture and Moxibustion,Qihai(CV 6)was mostly applied alone,and among its various combinations,point combination on the same meridian,superior-inferior point combination,and anterior-posterior point combination were adopted,where the points were mainly from conception vessel(CV)and foot greater yang bladder meridian(BL).The point combination on meridian bearing same name,with same qi produced,could enhance the efficacy.Among the points on foot greater yang bladder meridian(BL)that had high combination with Qihai(CV 6),back transport point was combined most,whi

关 键 词：《针灸大成》 气海穴 治疗作用 配穴规律 刺灸方法 @杨继洲 针灸文献 

分 类 号：R224.1[医药卫生—中医基础理论]