砭术临床应用古今文献研究  

Literature research on ancient and modern clinical application of Bian-stone technique

作　　者：张儒奇 朱炳旭 林子悦 董晓婕 张丽 Zhang Ruqi;Zhu Bingxu;Lin Ziyue;Dong Xiaojie;Zhang Li(College of Integrated Chinese and Western Medicine,Jining Medical University,Jining 272067,China;College of Basic Medicine,Jining Medical University,Jining 272067,China)

机构地区：[1]济宁医学院中西医结合学院,272067 [2]济宁医学院基础医学院,272067

出　　处：《中华针灸电子杂志》2024年第1期30-35,共6页Chinese Journal of Acupuncture and Moxibustion（Electronic Edition）

基　　金：济宁医学院本科教学改革研究项目(zd202213);济宁医学院大学生创新训练计划项目(cx2022083z)。

摘　　要：目的梳理古代文献中砭术文献条目、主治病证、使用宜忌等,以及现代文献中的临床应用、操作手法、操作时间与治疗频次等内容,分析砭术古今发展演变过程。方法古籍文献主要基于《中华经典古籍库》与古今医案云平台,同时结合《国学宝典》、《国医典藏》等数据库,必要时查阅古籍原版内容。现代文献基于中国期刊全文数据库(CNKI)、万方数据知识服务平台(Wanfang)、维普资讯中文期刊服务平台(VIP)等数据库,检索时限从建库至2022年10月。提取文献信息并录入Excel表格进行整理分析。结果共收集砭术相关古籍记载120条,涉及书目68本,现代文献184篇。古籍文献中砭术主治病证相关记载共82条,涉及30种病证,砭术的主治病证主要为外科疾病,频次共计62次(73.81%),其中尤以疮疡类疾病为多,其频次为55次(65.48%),优势病种为丹毒15次(17.86%)。现代文献共纳入184篇临床研究,涉及71种病证,主治病证主要为内科及骨伤科,内科疾病频次为87次(47.28%),骨伤科疾病频次为58次(31.52%),优势病种包括失眠13次(7.07%)、肩周炎12次(6.52%)、便秘10次(5.43%)、颈椎病10次(5.43%)、面瘫9次(4.89%)、腰痛8次(4.35%)等。操作手法规律分析,结果发现刮法99次(60.00%)、点法74次(44.85%)、温熨法63次(38.18%)等使用频次较高,点法—刮法支持度最高,核心操作手法包括刮法、点法等7种手法。操作时间以20~30 min、治疗频次以每日1次最为常用。结论现代砭术临床应用广泛,操作手法多样,其简便效廉,值得深入挖掘与推广应用。Objective To analyze the development and evolution of Bian-stone treatment in ancient and modern times by sorting out the items,indications,usage and taboos in ancient literature,as well as the clinical application,operation techniques,operation time and treatment frequency in modern literature.Methods The ancient literature is mainly based on the Chinese Classic Ancient Books Library and Ancient and Modern Medical Case Cloud Platform,combined with the Chinese Classics,Chinese Medical Book Reservation and other databases,and the original content of ancient books were consulted if necessary.Modern literature is based on databases such as CNKI,Wanfang Data,and VIP.The literiture retrieval timeis from the establishment of the database to October 2022.The literature information was extracted and input into the Excel table for collation and analysis.Results A total of 120 ancient records related to Bian-stone were collected,involving 68 bibliographies and 184 modern documents.In the ancient literature,there were 82 records related to the indications of Bian-stone therapy,involving 30 kinds of diseases and syndromes.The indications of Bian-stone therapy were mainly surgical diseases,with a total frequency of 62 times(73.81%).Among them,most were ulcerative diseases,with a frequency of 55 times(65.48%),and the dominant disease was erysipelas of 15 times(17.86%).A total of 184 clinical studies were included in the modern literature,involving 71 diseases and syndromes.The main indications were internal medicine and orthopedics.The frequency of internal medicine diseases was 87 times(47.28%),and the frequency of orthopedics diseases was 58 times(31.52%).The dominant diseases included insomnia of 13 times(7.07%),periarthritis of 12 times(6.52%),constipation of 10 times(5.43%),cervical spondylosis of 10 times(5.43%),facial paralysis of 9 times(4.89%),low back pain of 8 times(4.35%).The results showed that 99 times(60.00%)of scraping method,74 times(44.85%)of pointing method and 63 times(38.18%)of warm ironing method were use

关 键 词：砭石 砭镰疗法 数据挖掘 综述文献(主题) 

分 类 号：R242[医药卫生—中医临床基础]