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1. 广州中医药大学第二临床医学院
2. 广东省中医院针灸科
纸质出版日期:2018
移动端阅览
邓美君, 刘纯燕, 谢煜, 等. 廉泉穴临床应用规律古代文献研究[J]. 针刺研究, 2018,43(3):194-198.
DENG Mei-jun, LIU Chun-yan, XIE Yu, et al. Regularity of Clinical Application of Lianquan (CV 23) in Chinese Ancient Times According to Literature of Traditional Chinese Medicine[J]. Acupuncture research, 2018, 43(3): 194-198.
邓美君, 刘纯燕, 谢煜, 等. 廉泉穴临床应用规律古代文献研究[J]. 针刺研究, 2018,43(3):194-198. DOI: 10.13702/j.1000-0607.170352.
DENG Mei-jun, LIU Chun-yan, XIE Yu, et al. Regularity of Clinical Application of Lianquan (CV 23) in Chinese Ancient Times According to Literature of Traditional Chinese Medicine[J]. Acupuncture research, 2018, 43(3): 194-198. DOI: 10.13702/j.1000-0607.170352.
目的:通过对廉泉穴相关古代文献的整理分析
归纳总结古代廉泉穴应用规律。方法:以《中华医典》(第5版)收录的1 156部中医古籍为检索范围
对廉泉穴主治病症、腧穴配伍、配伍主治病症以及刺灸法的相关条文进行归纳整理
并建立数据库。结果:本研究最终纳入符合要求条文共计196条
涵盖60本古籍
与廉泉穴主治相关条文共155条
包括35种病症
涉及内科、儿科及五官科等多门学科。其中单穴及配伍主治病症频次最高的均为五官科疾病
配穴频次最高的为少商穴。廉泉穴刺灸法条文共计78条
使用治疗方法共4种。结论:廉泉穴主治规律以局部病症为主
其中关于舌咽疾病的选穴体现辨证分经的规律
并以循经主治病症为辅;相对穴、五输穴等配穴应用主要起到协同增效的作用;廉泉穴刺灸方法主要以灸法为主
刺激量以灸3壮为多
针刺深度多为针3分。
Objective To summarize the regularity of application of Lianquan(CV 23)in clinical practice in Chinese ancient times through analysis of ancient traditional Chinese medical(TCM)literature.Methods A total of 60 books involving CV 23 from the 1 156 ancient TCM books listed in the fifth edition of Encyclopedia of Traditional Chinese Medicine were collected by using CV 23 as the main keyword and"Sheben""Benchi"
and"Jieben"(the other names of CV 23 in TCM)as the supplementary keywords and analyzed systematically.A database was then constructed from the collected data
including the related types of disorders or symptoms
acupoint recipes
and methods of needling and moxibustion
contraindications
etc.Results A total of196 articles related to the application of CV 23 from 60 ancient classical books were collected in accordance with the inclusive criteria.Among them
155 articles are referred to the indications of CV 23
35 to types of disorders such as asthma
cough
tongue swelling with difficulty in speaking
protracted tongue
acute contraction of tongue root
vomiting
spasm syndrome
stroke
aphtha
problems of mouth and teeth
throat problems
etc.of the internal medicine
surgery
pediatrics
and five-sense organs;64 items are referred to the application of single CV 23
91 to CV 23-included recipes containing 111 adjunct acupoints
and 78 to stimulation of CV 23 with acupuncture needle
moxibustion
pricking blood
and fire needle.Moreover
of the 111 adjunct acupoints
the most commonly used are Shaoshang(LU 11)
Tiantu(CV 22)
Hegu(LI 4)
Yuye(EX-HN 13)
Zhongchong(PC 9)
etc.Conclusion Lianquan(CV 23)is mainly used for glossopharyngeal problems chiefly by syndrome-meridian differentiation.The supplement of complementary acupoints or five-shu points in combination with CV 23 has a synergistic effect.Moxibustion(3 moxacones in general)is often employed
and the needling depth is usually about 7.5 mm.The common contraindication of CV 23 is severe tongue swelling.
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