曲骨穴古今文献应用特点分析  

Application characteristics of Qugu(CV 2) in ancient and modern literature

作　　者：汤翰 李宝赢 吕璞 国文豪 陆永辉[3] TANG Han;LI Bao-ying;LV Pu;GUO Wen-hao;LU Yong-hui(Graduate Schoolof China Academy of Chinese Medical Sciences,Beijing 100700,China;Graduate School of Beijing University of CM;Xiyuan Hospital of China Academy of Chinese Medical Sciences,Beijing 100091)

机构地区：[1]中国中医科学院研究生院,北京100700 [2]北京中医药大学研究生院 [3]中国中医科学院西苑医院,北京100091

出　　处：《中国针灸》2023年第1期101-106,108,共7页Chinese Acupuncture & Moxibustion

基　　金：中国中医科学院科技创新工程项目:CI2021A03514;首都临床诊疗技术研究及示范应用项目:Z191100006619055。

摘　　要：利用数据挖掘技术总结分析古今文献中曲骨的临床应用特点。以第5版《中华医典》为古代文献检索源,以中国期刊全文数据库(CNKI)、万方学术期刊全文数据库(Wanfang)、维普资讯中文期刊服务平台(VIP)为现代文献检索源,对曲骨单穴及配伍治疗病证、配伍腧穴、刺灸法等进行系统整理。纳入古代文献条文140条,曲骨单穴常见主治病证为癃闭、带下过多、疝气;配伍常见主治病证为带下过多、淋证、疝气;配伍腧穴64个,主要与任脉、膀胱经、肝经腧穴配伍,高频配穴为中极、关元、三阴交;配伍特定穴多使用五输穴;常用灸法。纳入现代文献73篇,曲骨单穴常见主治病证为尿潴留、勃起功能障碍、慢性前列腺炎;配伍常见主治病证为尿潴留、勃起功能障碍、前列腺增生;配伍腧穴36个,主要与任脉、肾经、脾经配伍腧穴,高频配穴为中极、关元、足三里;配伍特定穴多使用募穴;常用针刺疗法。古代曲骨主治病证广泛,重视腧穴的远治作用;现代曲骨治疗局部病证为主,重视腧穴的近治作用。To summarize and analyze the clinical application characteristics of Qugu(CV 2) in ancient and modern literature based on data mining technology. The Chinese Medical Code(the 5th edition) was taken as the retrieval source of ancient literature, while the CNKI, Wanfang, and VIP databases were taken as the retrieval source of modern literature. The indications of Qugu(CV 2) used alone or with compatible acupoints, compatible acupoints, acupuncture-moxibustion manipulation, etc., were systematically sorted out. As a result, a total of 140 articles of ancient literature were included. The common indications of Qugu(CV 2) used alone were urinary retention, profuse vaginal discharge and hernia. The common indications of Qugu(CV 2) used with compatible acupoints were profuse vaginal discharge, stranguria and hernia. Sixty-four acupoints were concurrently used with Qugu(CV 2), Qugu(CV 2) was mainly compatible with acupoints of conception vessel,bladder meridian and liver meridian, and the high-frequency acupoints included Zhongji(CV 3), Guanyuan(CV 4) and Sanyinjiao(SP 6);five-shu points were the most used special acupoints, and moxibustion therapy was often used. A total of 73modern articles were included. The common indications of Qugu(CV 2) used alone were urinary retention, erectile dysfunction and chronic prostatitis;the common indications of Qugu(CV 2) used with compatible scupoints were urinary retention, erectile dysfunction and prostatic hyperplasia. Thirty-six acupoints were concurrently used with Qugu(CV 2), Qugu(CV 2) was mainly compatible with acupoints of conception vessel, kidney meridian and spleen meridian, and the high-frequency acupoints included Zhongji(CV 3), Guanyuan(CV 4) and Zusanli(ST 36);front-mu points were the most used special acupoints, and acupuncture therapy was often used. Qugu(CV 2) treats a wide range of diseases in ancient times, the distant treatment effectiveness of acupoints is emphasized;and it mainly treats local diseases in modern times, the nearby treatment effectiveness of acup

关 键 词：穴 曲骨 针灸 中医古籍 现代文献 文献研究 数据挖掘 

分 类 号：R245[医药卫生—针灸推拿学]