天容穴治疗偏头痛医理略考
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摘要
偏头痛是临床常见疾病,在临床中针灸治疗偏头痛选穴考究,疗效确切。在所选腧穴中目前有多篇临床研究认为天容穴对偏头痛疗效肯定,但是天容穴作为手太阳小肠经的腧穴,其选穴依据缺少相应的中医理论依据。文章对天容穴主治病候及现代理论进行考究,通过分析其经脉归属问题在从古至今存在的争议,进一步结合所属争议经脉的循行、相关经别理论以及各争议经脉所主病候进行综合分析,为天容穴治疗偏头痛在临床中应用提供了理论依据。
Migraineis a common disease in clinic, the acupoint selection method is high quality and the curative effect of acupuncture and moxibustion is definite. Many clinical study affirmed the curative effect of acupoint Tianrong(SI17) in treating migraine, while the selection basis of treating point Tianrong(SI17) lacks theoretical evidence because it belongs to the small intestine meridian of hand-taiyang. The paper comprehensively analysis the major therapeutic symptoms and modern theory of point Tianrong(SI17) by analyzing the problem of its meridian attribution in the disputes from ancient times to the present,combining with the controversial meridian route, theory of meridian branch and symptoms of the controversial meridian, in order to provide some reliable evidence in its clinical application of treating migraine.
Migraineis a common disease in clinic, the acupoint selection method is high quality and the curative effect of acupuncture and moxibustion is definite. Many clinical study affirmed the curative effect of acupoint Tianrong(SI17) in treating migraine, while the selection basis of treating point Tianrong(SI17) lacks theoretical evidence because it belongs to the small intestine meridian of hand-taiyang. The paper comprehensively analysis the major therapeutic symptoms and modern theory of point Tianrong(SI17) by analyzing the problem of its meridian attribution in the disputes from ancient times to the present,combining with the controversial meridian route, theory of meridian branch and symptoms of the controversial meridian, in order to provide some reliable evidence in its clinical application of treating migraine.
引文
[1]吴中朝,王京京,胡静,等.循证针灸临床实践指南-偏头痛(修订版).北京:中国中医药出版社,2014:3
[2]郭太品,曾芳,杨洁,等.偏头痛针灸病证结合治疗模式初探.中华中医药杂志,2012,27(11):2770-2772
[3]韩亚梅.胞二磷胆碱穴位注射治疗急性偏头痛32例.河南医药信息,1995,3(10):32-33
[4]沈雪勇.经络腧穴学.北京:中国中医药出版社,2016:89
[5]李桐华.天容穴归经之吾见.中国针灸,1992(4):53
[6]娄德平,侯安乐.针刺天容穴治疗偏头痛100例临床观察.浙江中医杂志,1995(5):232
[7]卢秉文.针灸穴位解剖基础与应用.哈尔滨:黑龙江科学技术出版社,1996:95
[8]闵冬梅,时国臣,于建军.针刺治疗偏头痛即刻镇痛效应及远期疗效的临床观察.针灸临床杂志,2012,28(6):9-10
[9]贾渭泉,匡培根,贾桂梅,等.天容穴治疗偏头痛前后脑动脉血流速度和脑电地形图对称性变化的研究.脑和神经疾病杂志,2002,10(5):282-284
[10]于生元,匡培根,蒲传强,等.天容穴治疗硬脑膜肥大细胞的抑制作用.针刺研究,1995,20(4):34-37
[11]刘清国,吴少祯,韩秀荣,等校注.千金方.北京:中国中医药出版社,1998:475
[12]刘森亭.天容穴略考.陕西中医,1982,3(6):28-29
[13]沈雪勇.经络腧穴学.北京:中国中医药出版社,2003:179,112,9
[14]欧阳八四.“天容”穴经属浅析.针灸临床杂志,1997,13(11):42
[2]郭太品,曾芳,杨洁,等.偏头痛针灸病证结合治疗模式初探.中华中医药杂志,2012,27(11):2770-2772
[3]韩亚梅.胞二磷胆碱穴位注射治疗急性偏头痛32例.河南医药信息,1995,3(10):32-33
[4]沈雪勇.经络腧穴学.北京:中国中医药出版社,2016:89
[5]李桐华.天容穴归经之吾见.中国针灸,1992(4):53
[6]娄德平,侯安乐.针刺天容穴治疗偏头痛100例临床观察.浙江中医杂志,1995(5):232
[7]卢秉文.针灸穴位解剖基础与应用.哈尔滨:黑龙江科学技术出版社,1996:95
[8]闵冬梅,时国臣,于建军.针刺治疗偏头痛即刻镇痛效应及远期疗效的临床观察.针灸临床杂志,2012,28(6):9-10
[9]贾渭泉,匡培根,贾桂梅,等.天容穴治疗偏头痛前后脑动脉血流速度和脑电地形图对称性变化的研究.脑和神经疾病杂志,2002,10(5):282-284
[10]于生元,匡培根,蒲传强,等.天容穴治疗硬脑膜肥大细胞的抑制作用.针刺研究,1995,20(4):34-37
[11]刘清国,吴少祯,韩秀荣,等校注.千金方.北京:中国中医药出版社,1998:475
[12]刘森亭.天容穴略考.陕西中医,1982,3(6):28-29
[13]沈雪勇.经络腧穴学.北京:中国中医药出版社,2003:179,112,9
[14]欧阳八四.“天容”穴经属浅析.针灸临床杂志,1997,13(11):42