从俞募穴探讨体表-内脏相关内涵
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摘要
俞募穴不仅是脏腑经络之气转输、汇聚的枢纽,而且体现了早期的体表-内脏相关内涵。生理上,俞募穴是脏腑之气在体表的输注处,气街、标本、经脉及气血分别是其与脏腑产生联系的结构和物质基础;诊断上,可以通过观察俞募穴的情况辅助诊断相应脏腑病证;治疗上,通过刺激俞募穴可调整脏腑功能。现代实验研究已从解剖形态学、神经学等方面验证其结构基础和联系途径,大量的临床研究也证实了俞募穴与脏腑密切相关,为俞募穴的体表-内脏相关内涵提供了事实依据。
Back-shu and Front-mu points are not only the hub of transmission and convergence of qi of zangfu-organs and meridians,but also reflect the related connotation of the body surface and viscera in the early stage. Physiologically,Back-shu and Front-mu points are the place where qi of zangfu-organs infused in the body surface. Qi-street,branch and root,meridians,qi and blood are respectively the structure and material basis of the connection between Back-shu and Front-mu points and viscera. In clinical diagnosis,the viscera syndrome can be diagnosed by observing the situation of Back-shu and Front-mu points. In the treatment,viscera function could be adjusted by stimulating Back-shu and Front-mu points. Modern experimental research has verified the structural basis and the way of connection from the aspects of anatomical morphology,neurological mechanism and so on. It provides evidences for the related connotation of body surface and internal organs. A large number of clinical studies have also confirmed that Back-shu and Front-mu points are closely related to Zangfu organs.
Back-shu and Front-mu points are not only the hub of transmission and convergence of qi of zangfu-organs and meridians,but also reflect the related connotation of the body surface and viscera in the early stage. Physiologically,Back-shu and Front-mu points are the place where qi of zangfu-organs infused in the body surface. Qi-street,branch and root,meridians,qi and blood are respectively the structure and material basis of the connection between Back-shu and Front-mu points and viscera. In clinical diagnosis,the viscera syndrome can be diagnosed by observing the situation of Back-shu and Front-mu points. In the treatment,viscera function could be adjusted by stimulating Back-shu and Front-mu points. Modern experimental research has verified the structural basis and the way of connection from the aspects of anatomical morphology,neurological mechanism and so on. It provides evidences for the related connotation of body surface and internal organs. A large number of clinical studies have also confirmed that Back-shu and Front-mu points are closely related to Zangfu organs.
引文
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[13]张元贵,宋银枝,林丰夏,等.从五脏相关谈针刺五俞穴治疗心脏神经官能症[J].光明中医,2017,32(4):479-481.
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[17]钱海良,喜悦,程志昆.艾灸肺俞穴治疗儿童哮喘冷哮证急性发作的临床观察[J].南京中医药大学学报,2017,33(4):363-366.
[18]钮雪松,钮韵铎.浅论“六腑俞加膈俞"的临床应用[J].北京中医药,2010,29(8):597-598.
[19]金珊珊,杜宇征,韩力,等.针刺膻中穴配合背俞穴拔罐治疗偏头痛疗效观察[J].上海针灸杂志,2015,34(1):17-18.
[20]夏晨.盛灿若取腑之“募穴”用扬刺治疗腑病经验[J].河北中医,2010,32(1):5-6.
[21]杜帅,魏凌波.针刺肝胆募穴对炎性低张力胆囊运动影响的时效规律初探[J].针灸临床杂志,2014,30(4):37-38.
[22]刘海飞.合募配穴法针灸治疗中风后便秘疗效观察[J].上海针灸杂志,2015,35(2):160-161.
[23]钟峰,杜俊毅,罗容,等.电针大肠俞募配穴对功能性肠病双向调节作用的临床观察[J].中医临床研究,2016,8(19):39-42.
[24]李思宇,张微.俞募配穴治疗腹泻型肠易激综合征的理论探讨[J].医学信息,2015,28(5):189.
[25]石志敏,朱叶珊,王清贤,等.天枢、大肠俞子午捣臼法治疗肠易激综合征的疗效评价[J].辽宁中医杂志,2011,38(4):720-721.
[2]郭长青,朱江.针灸特定穴临床实用集萃[M].北京:人民卫生出版社,2002:221.
[3]苑家敏.背俞穴的概述[J].实用中医杂志,2012,28(3):236-237.
[4]魏庆兴.募穴与脏腑横向联系的探讨[J].中国针灸,1986(6):39-41.
[5]植兰英.脏腑背俞穴的应用[J].江西中医药,1990,21(5):50-52.
[6]韩知渊,王巍.针灸背俞穴治疗内脏绞痛机理探讨[J].山西中医,2011,27(8):35-37.
[7]童晨光.中下焦俞募穴与相应脏腑特异性联系通路的荧光双标法研究[D].北京:北京中医药大学,2003.
[8]衣华强.心肺俞募穴特异性通路的荧光双标法研究—胸气街的形态学基础[D].北京:北京中医药大学,2003:1-55.
[9]童晨光,衣华强,谷世喆.小肠俞募穴与小肠特异性联系通路的荧光双标法研究[J].南京中医药大学学报,2003,19(1):41-43.
[10]童晨光,谷世喆,衣华强.胸腹气街的形态学基础[J].针刺研究,2004,29(4):270-273.
[11]周玉梅,万敏,周洁.基于文献计量学探讨五脏背俞穴在临床诊断中的作用和意义[J].辽宁中医杂志,2017,44(2):362-364.
[12]梁秀莉.五脏俞募配穴治疗失眠症36例[J].辽宁中医杂志,2016,43(1):136-137.
[13]张元贵,宋银枝,林丰夏,等.从五脏相关谈针刺五俞穴治疗心脏神经官能症[J].光明中医,2017,32(4):479-481.
[14]刘建浩,王天磊,尚德师,等.针刺五脏俞治疗中风病机理浅析[J].新中医,2013,45(1):120-121.
[15]周莉.五脏俞点刺放血治疗痤疮疗效观察[J].上海针灸杂志,2012,32(12):1050.
[16]刘鹏,王强,陈志.心俞、厥阴俞烧山火治疗心阳不振型早搏疗效观察[J].上海针灸杂志,2014,33(11):1008-1010.
[17]钱海良,喜悦,程志昆.艾灸肺俞穴治疗儿童哮喘冷哮证急性发作的临床观察[J].南京中医药大学学报,2017,33(4):363-366.
[18]钮雪松,钮韵铎.浅论“六腑俞加膈俞"的临床应用[J].北京中医药,2010,29(8):597-598.
[19]金珊珊,杜宇征,韩力,等.针刺膻中穴配合背俞穴拔罐治疗偏头痛疗效观察[J].上海针灸杂志,2015,34(1):17-18.
[20]夏晨.盛灿若取腑之“募穴”用扬刺治疗腑病经验[J].河北中医,2010,32(1):5-6.
[21]杜帅,魏凌波.针刺肝胆募穴对炎性低张力胆囊运动影响的时效规律初探[J].针灸临床杂志,2014,30(4):37-38.
[22]刘海飞.合募配穴法针灸治疗中风后便秘疗效观察[J].上海针灸杂志,2015,35(2):160-161.
[23]钟峰,杜俊毅,罗容,等.电针大肠俞募配穴对功能性肠病双向调节作用的临床观察[J].中医临床研究,2016,8(19):39-42.
[24]李思宇,张微.俞募配穴治疗腹泻型肠易激综合征的理论探讨[J].医学信息,2015,28(5):189.
[25]石志敏,朱叶珊,王清贤,等.天枢、大肠俞子午捣臼法治疗肠易激综合征的疗效评价[J].辽宁中医杂志,2011,38(4):720-721.