《中华医典》阴维特点及临床应用初探  

Preliminary Exploration of the Characteristics and Clinical Applications of Yinwei in Chinese Medical Canon

作　　者：雎敏达 JU Minda(Inner Mongolia Autonomous Region Hospital of Traditional Chinese Medicine,Hohhot,Inner Mongolia,China,750306;Shenzhen Hospital of Beijing University of Chinese Medicine,Shenzhen,Guangdong,China,518172)

机构地区：[1]内蒙古自治区中医医院,内蒙古呼和浩特750306 [2]北京中医药大学深圳医院,广东深圳518172

出　　处：《河南中医》2024年第10期1525-1531,共7页Henan Traditional Chinese Medicine

基　　金：国家自然科学基金项目(81771202H0903);内蒙古自治区自然科学基金项目(2021BS08015);内蒙古自治区卫生健康科技计划项目(202202081);内蒙古医科大学联合项目(YKD2021LH103)。

摘　　要：目的:基于《中华医典》中阴维的古籍文献,归纳梳理阴维的含义、分布、主治、所主腧穴和治法。方法:以《中华医典》第5版为源数据库检索阴维相关条文,建立阴维应用数据库,通过GraphPad Prism 9.1对数据进行分析和绘图。结果:初步检索到含有阴维的著作共计197部,包括医经类31部、诊法类23部、本草类6部、方书类10部、针灸推拿类36部、伤寒金匮类11部、温病类2部、综合医书类29部、临证各科类18部、养生食疗外治类2部、医论医案类27部、目录辞典类1部和其他类1部。阴维穴为大赫穴别名的医籍有25部,阴维脉为脉诊部位的医籍有36部,阴维脉为奇经八脉之一的医籍有176部。结论:阴维主要指阴维穴、脉诊部位和奇经八脉之一阴维脉,主治内踝部、腰腹部、胁肋部、心胸部和咽喉部等循经病症,可用于治疗心脏疾病、消化系统疾病、精神神经类疾病、妇科疾病、男科疾病和慢性劳损性疾病。Objective:To summarize and organize the definitions,distribution,main indications,corresponding acupoints,and treatment methods related to Yinwei based on ancient texts from Chinese Medical Canon.Methods:The 5th edition of Chinese Medical Canon was used as the source database to search for entries related to the Yinwei meridian.A database of clinical applications was established,and data analysis and visualization were conducted using GraphPad Prism 9.1.Results:A total of 1156 works were reviewed,with 197 ones containing references to Yinwei or Yinwei meridian.These included 31 medical classics,23 diagnostic works,6 herbology works,10 formulas′works,36 acupuncture and massage works,11 works on cold damage and synopsis of Golden Chamber,2 works on warm diseases,29 general medical books,18 specialized clinical works,2 health preservation and external treatment works,27 medical theories and case studies,1 dictionary,and 1 other category.There were 25 works that referred to the Yinwei acupoint as an alias for the"Dahe"acupoint,and 36 ones described the Yinwei meridian as a pulse diagnosis site.Moreover,176 works regarded the Yinwei meridian as one of the eight extraordinary meridians.Conclusion:It is found that Yinwei mainly consists of Yinwei acupoint,a pulse site and Yinwei meridian,which is one of the eight extraordinary meridians.Indicated for treating meridian-related disorders in the inner ankle,lumbar,abdomen,ribs,chest,and throat.It is mainly used for treating heart diseases,digestive system disorders,mental and neurological conditions,gynecological and andrological diseases,and chronic degenerative diseases.

关 键 词：阴维 阴维脉 阴维穴 《中华医典》 

分 类 号：R245.2[医药卫生—针灸推拿学]