时间针灸研究述评
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摘要
时间针灸的相关研究取得了一定的成绩,同时在研究中也存在一些问题与不足,主要表现在以下几点:理论研究数量相对较少,且缺少从医学与文化角度对时间针灸的形成、发展脉络与理论内涵的深入研究;临床研究方面对子午流注、灵龟八法关注较多,对飞腾八法与养子时刻注穴法则极少涉及;研究者对时间针灸的概念、方法不清,导致应用上的不规范甚至是错误;临床研究选取的样本量过少、缺少对照组或对照组设置不合理,以及随机对照实验的设计不够规范和严谨,不同研究者对同一疾病采取的疗效评价标准不尽统一;有关实验研究仅限于对人与动物理化指标的观察,较少涉及深层次的机制研究。今后应进一步开展理论研究、规律总结,并探索时间针灸的临床应用,总结时间针灸的应用经验,并进行更深层次的机制研究,为时间针灸理论和临床应用提供依据。
The related research of acupuncture and moxibustion has achieved certain achievements in the past 15 years. At the same time,there are some problems and deficiencies in the study,which are mainly in the following points: the number of theoretical studies is relatively small,and there is a lack of medical and cultural perspectives on its formation process in history,its development and the theoretical connotation with in-depth researches. In clinical researches Zi Wu Ling Zhu and Ling Gui Ba Fa methods are more focused on,yet there are very few studies concerning the eight methods of Fei Teng Ba Fa and Yang Zi Shi Ke Zhu Xue Fa. Researchers are unclear about the concept and methods of time acupuncture,which leads to irregular or even wrong application of it. There are too few clinical samples selected in studies,or a lack of control groups,or the design of the randomized controlled trials is not standardized and rigorous. The evaluation criteria for the efficacy on the same disease used by different researchers are not uniform. The relevant experimental research is limited to the observation of human or animal physical indicators,which is less relevant to deeper levels. Therefore,the mechanism researches should be further carried out in the future. By making law summary,exploring the clinical application of time acupuncture,summarizing the application experience of time acupuncture and conducting deeper mechanism researches,the theory basis in time acupuncture and the clinical application of it is to be provided.
The related research of acupuncture and moxibustion has achieved certain achievements in the past 15 years. At the same time,there are some problems and deficiencies in the study,which are mainly in the following points: the number of theoretical studies is relatively small,and there is a lack of medical and cultural perspectives on its formation process in history,its development and the theoretical connotation with in-depth researches. In clinical researches Zi Wu Ling Zhu and Ling Gui Ba Fa methods are more focused on,yet there are very few studies concerning the eight methods of Fei Teng Ba Fa and Yang Zi Shi Ke Zhu Xue Fa. Researchers are unclear about the concept and methods of time acupuncture,which leads to irregular or even wrong application of it. There are too few clinical samples selected in studies,or a lack of control groups,or the design of the randomized controlled trials is not standardized and rigorous. The evaluation criteria for the efficacy on the same disease used by different researchers are not uniform. The relevant experimental research is limited to the observation of human or animal physical indicators,which is less relevant to deeper levels. Therefore,the mechanism researches should be further carried out in the future. By making law summary,exploring the clinical application of time acupuncture,summarizing the application experience of time acupuncture and conducting deeper mechanism researches,the theory basis in time acupuncture and the clinical application of it is to be provided.
引文
[1]唐卫华.从卫气循行看子午流注的形成[J].中国针灸,2000,20(5):34-36.
[2]赵彩娇,范郁山.子午流注纳子法经脉配地支的理论基础浅析[J].针灸临床杂志,2007,24(3):3-4.
[3]文忠荣.浅析“灵龟八法”象数来源[J].中国针灸,2000,20(5):39-40.
[4]张树剑.“子午流注”针法理论思想探析——兼论金元针灸理论之固化[J].针刺研究,2015,40(2):161-165.
[5]方晓丽,薛宏升.子午流注纳甲法中“闭穴”之我见[J].上海针灸杂志,2009,28(9):544-545.
[6]管遵惠,丁丽玲,郭翠萍,等.灵龟八法表解法的临床应用[J].中西医结合学报,2004,2(2):141-143,148.
[7]邓前.任督流注同源配穴法的创立[J].大同医学专科学校学报,2003,24(3):20.
[8]朱勉生.时穴记忆功能的探讨[J].世界中医药,2006,1(1):42-43.
[9]朱勉生.时空针灸的理论与临床[J].世界中医药,2010,5(5):344-346.
[10]张福顺.子午流注142530针法掌诀探讨[J].针灸临床杂志,2000,17(2):49-51.
[11]苏绪林,彭楚湘,谢雨君.基于真太阳时的子午流注针法日时干支计算新法[J].湖南中医杂志,2011,27(5):101.
[12]佟佳恒.子午流注(纳甲法)的数学原理[J].中国中医药现代远程教育,2011,9(7):108-109.
[13]徐伟辉,罗美庄.“干支序数和法”推算纳甲法开穴简介[J].国医论坛,2000,15(5):14-16.
[14]张国瑞,朴联友,张学丽.万年干支和针灸五种按时取穴推算盘[J].中华中医药杂志,2007,22(1):6-9.
[15]杨阳.计算机辅助时间取穴的研究[J].山东中医药大学学报,2002,26(5):336-337.
[16]苏绪林.子午流注网上取穴系统的研究与实践[J].中国中医药现代远程教育,2013,11(19):84-85.
[17]梁伟英,张子燕.谈谈时间针灸中当地时间的计算[J].中国针灸,2008,28(4):312.
[18]肖进顺,肖素平.子午流注针法入门[M].北京:人民军医出版社,2012:62-80.
[19]苏绪林.基于Java Script技术的子午流注纳甲法网上取穴系统的研究[D].长沙:湖南中医药大学,2011.
[20]向谊,黄伯灵.真太阳时的时辰间距并非相等[J].中国针灸,2002,22(6):36-37.
[21]曹大明,路玫.按时取穴法中时辰概念之本意[J].中国针灸,2006,26(8):578-580.
[22]何敏,彭力,穆敬平.子午流注定时标准与个体化计时探究[J].上海针灸杂志,2013,32(11):957-958.
[23]聂道芳,董晓夫,马红青.浅析子午流注的机制及其缺憾[J].针灸临床杂志,2007,24(9):2-3,74.
[24]郑君,张昆.古时间针法的不足分析及其科学机制探骊[J].吉林中医药,2012,34(10):975-977.
[25]金远林.子午流注纳甲法、纳子法之节律探讨[J].湖北中医杂志,2004,26(1):20-21.
[26]王鹏,潘荣菁,舒勤.子午流注质难[J].上海针灸杂志,2004,23(7):41-42.
[27]卓廉士.从卫气运行看子午流注之纰缪[J].中国针灸,2008,28(12):884.
[28]张晓燕,王升旭.子午流注纳甲法治疗脑卒中后睡眠倒错的临床观察[J].针灸临床杂志,2012,28(1):7-9.
[29]周颖,佟杰,徐江红,等.灵龟八法开穴针刺治疗104例糖尿病周围神经病变临床疗效观察[J].贵阳中医学院学报,2014,36(2):148-150.
[30]钟磊,孙秀梅.子午流注纳甲法合循经取穴针治中风偏瘫70例临床观察[J].江苏中医药,2005,50(6):36-37.
[31]赵彩娇,范郁山.灵龟八法治疗慢性浅表性胃炎(脾胃虚寒型)临床研究[J].时珍国医国药,2010,21(7):1741-1742.
[32]吕波,吕毅.飞腾八法针法配合围刺治疗慢性湿疹32例[J].中国民间疗法,2011,19(8):16-17.
[33]马新平,李净草,李柱.火针配合灵龟八法治疗膝关节骨性关节炎39例[J].中国中医急症,2011,20(2):301-302.
[34]朴联友,郝广义,段跃武,等.飞腾八法配合刺血拔罐治疗黄褐斑30例[J].中国针灸,2001,21(7):31-32.
[35]胡剑威,马丽,董利平.子午流注针法联合针刀疗法治疗强直性脊柱炎40例[J].风湿病与关节炎,2014,3(6):8-11.
[36]乐毅敏.灵龟八法合复方硫磺灸片治疗过敏性鼻炎的研究[J].中医药学刊,2002,21(6):727-728,741.
[37]卓晓英,肖春玲,李淑惠,等.拉米夫定联合子午流注针法治疗慢性乙型肝炎的疗效观察[J].护士进修杂志,2012,27(11):1039-1041.
[38]刘洁.灵龟八法开穴结合西药治疗对缓解原发性肝癌疼痛的临床研究[D].广州:广州中医药大学,2011.
[39]张则信.子午流注纳甲法配合飞腾八法治疗失眠30例疗效观察[J].中医临床研究,2013,5(6):47-48.
[40]管遵惠,郭翠萍,叶建,等.子午流注配合灵龟八法治疗中风病的临床观察及机制探讨[J].针灸临床杂志,2004,20(6):30-35.
[41]谭保华,管遵惠,张曼丽,等.择时取穴针刺法治疗中风60例的血液流变学分析[J].上海针灸杂志,2004,23(10):7-9.
[42]李力,温微微.飞腾八法穴位开闭状态热敏感度研究[J].湖北中医杂志,2013,35(5):57-58.
[43]周丽莎,涂乾.子午流注纳支法对大鼠醋酸性胃溃疡愈合影响的实验研究[J].中医药研究,2001,21(4):43-45.
[44]陈柏荣.氧自由基代谢与灵龟八法不同时辰针刺的相关影响[C].南宁:经典中医的特色和优势论文集,2006:7.
[2]赵彩娇,范郁山.子午流注纳子法经脉配地支的理论基础浅析[J].针灸临床杂志,2007,24(3):3-4.
[3]文忠荣.浅析“灵龟八法”象数来源[J].中国针灸,2000,20(5):39-40.
[4]张树剑.“子午流注”针法理论思想探析——兼论金元针灸理论之固化[J].针刺研究,2015,40(2):161-165.
[5]方晓丽,薛宏升.子午流注纳甲法中“闭穴”之我见[J].上海针灸杂志,2009,28(9):544-545.
[6]管遵惠,丁丽玲,郭翠萍,等.灵龟八法表解法的临床应用[J].中西医结合学报,2004,2(2):141-143,148.
[7]邓前.任督流注同源配穴法的创立[J].大同医学专科学校学报,2003,24(3):20.
[8]朱勉生.时穴记忆功能的探讨[J].世界中医药,2006,1(1):42-43.
[9]朱勉生.时空针灸的理论与临床[J].世界中医药,2010,5(5):344-346.
[10]张福顺.子午流注142530针法掌诀探讨[J].针灸临床杂志,2000,17(2):49-51.
[11]苏绪林,彭楚湘,谢雨君.基于真太阳时的子午流注针法日时干支计算新法[J].湖南中医杂志,2011,27(5):101.
[12]佟佳恒.子午流注(纳甲法)的数学原理[J].中国中医药现代远程教育,2011,9(7):108-109.
[13]徐伟辉,罗美庄.“干支序数和法”推算纳甲法开穴简介[J].国医论坛,2000,15(5):14-16.
[14]张国瑞,朴联友,张学丽.万年干支和针灸五种按时取穴推算盘[J].中华中医药杂志,2007,22(1):6-9.
[15]杨阳.计算机辅助时间取穴的研究[J].山东中医药大学学报,2002,26(5):336-337.
[16]苏绪林.子午流注网上取穴系统的研究与实践[J].中国中医药现代远程教育,2013,11(19):84-85.
[17]梁伟英,张子燕.谈谈时间针灸中当地时间的计算[J].中国针灸,2008,28(4):312.
[18]肖进顺,肖素平.子午流注针法入门[M].北京:人民军医出版社,2012:62-80.
[19]苏绪林.基于Java Script技术的子午流注纳甲法网上取穴系统的研究[D].长沙:湖南中医药大学,2011.
[20]向谊,黄伯灵.真太阳时的时辰间距并非相等[J].中国针灸,2002,22(6):36-37.
[21]曹大明,路玫.按时取穴法中时辰概念之本意[J].中国针灸,2006,26(8):578-580.
[22]何敏,彭力,穆敬平.子午流注定时标准与个体化计时探究[J].上海针灸杂志,2013,32(11):957-958.
[23]聂道芳,董晓夫,马红青.浅析子午流注的机制及其缺憾[J].针灸临床杂志,2007,24(9):2-3,74.
[24]郑君,张昆.古时间针法的不足分析及其科学机制探骊[J].吉林中医药,2012,34(10):975-977.
[25]金远林.子午流注纳甲法、纳子法之节律探讨[J].湖北中医杂志,2004,26(1):20-21.
[26]王鹏,潘荣菁,舒勤.子午流注质难[J].上海针灸杂志,2004,23(7):41-42.
[27]卓廉士.从卫气运行看子午流注之纰缪[J].中国针灸,2008,28(12):884.
[28]张晓燕,王升旭.子午流注纳甲法治疗脑卒中后睡眠倒错的临床观察[J].针灸临床杂志,2012,28(1):7-9.
[29]周颖,佟杰,徐江红,等.灵龟八法开穴针刺治疗104例糖尿病周围神经病变临床疗效观察[J].贵阳中医学院学报,2014,36(2):148-150.
[30]钟磊,孙秀梅.子午流注纳甲法合循经取穴针治中风偏瘫70例临床观察[J].江苏中医药,2005,50(6):36-37.
[31]赵彩娇,范郁山.灵龟八法治疗慢性浅表性胃炎(脾胃虚寒型)临床研究[J].时珍国医国药,2010,21(7):1741-1742.
[32]吕波,吕毅.飞腾八法针法配合围刺治疗慢性湿疹32例[J].中国民间疗法,2011,19(8):16-17.
[33]马新平,李净草,李柱.火针配合灵龟八法治疗膝关节骨性关节炎39例[J].中国中医急症,2011,20(2):301-302.
[34]朴联友,郝广义,段跃武,等.飞腾八法配合刺血拔罐治疗黄褐斑30例[J].中国针灸,2001,21(7):31-32.
[35]胡剑威,马丽,董利平.子午流注针法联合针刀疗法治疗强直性脊柱炎40例[J].风湿病与关节炎,2014,3(6):8-11.
[36]乐毅敏.灵龟八法合复方硫磺灸片治疗过敏性鼻炎的研究[J].中医药学刊,2002,21(6):727-728,741.
[37]卓晓英,肖春玲,李淑惠,等.拉米夫定联合子午流注针法治疗慢性乙型肝炎的疗效观察[J].护士进修杂志,2012,27(11):1039-1041.
[38]刘洁.灵龟八法开穴结合西药治疗对缓解原发性肝癌疼痛的临床研究[D].广州:广州中医药大学,2011.
[39]张则信.子午流注纳甲法配合飞腾八法治疗失眠30例疗效观察[J].中医临床研究,2013,5(6):47-48.
[40]管遵惠,郭翠萍,叶建,等.子午流注配合灵龟八法治疗中风病的临床观察及机制探讨[J].针灸临床杂志,2004,20(6):30-35.
[41]谭保华,管遵惠,张曼丽,等.择时取穴针刺法治疗中风60例的血液流变学分析[J].上海针灸杂志,2004,23(10):7-9.
[42]李力,温微微.飞腾八法穴位开闭状态热敏感度研究[J].湖北中医杂志,2013,35(5):57-58.
[43]周丽莎,涂乾.子午流注纳支法对大鼠醋酸性胃溃疡愈合影响的实验研究[J].中医药研究,2001,21(4):43-45.
[44]陈柏荣.氧自由基代谢与灵龟八法不同时辰针刺的相关影响[C].南宁:经典中医的特色和优势论文集,2006:7.