曲池臂臑透刺法治疗头颈部腺体疾病的临床应用
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摘要
透刺法为针刺临床常用的方法之一,具有取穴少、疗效好的特点。王乐亭应用金针透刺曲池臂臑穴治疗瘰疬病,是曲池臂臑透刺法的应用先例。基于手阳明大肠经循行特点,总结目前曲池臂臑透刺法应用于头颈部腺体疾病包括颈部淋巴结结核、甲状腺结节、流行性腮腺炎、急性扁桃体炎和腺样体肥大等疾病的治疗。通过分析曲池臂臑透刺法对以上疾病应用的相关临床报道,对曲池臂臑透刺法的具体使用进行归纳,以期深入对曲池臂臑透刺法的认识并为临床提供借鉴。
The penetrating needling is one of the commonly used methods in acupuncture clinical practice. It has the characteristics of less acupoints and good curative effects. WANG Leting's application of the golden needle through penetration needling at Quchi( LI 11) to Binao( LI 14) in the treatment of cervical scrofula is a precedent for the application of penetration needling at Quchi( LI 11) to Binao( LI 14). Based on the characteristics of Yangming Large Intestine Channel of Hand,the current application of penetration needling at Quchi( LI 11) to Binao( LI 14) in the treatment of head and neck gland diseases including cervical lymph node tuberculosis,thyroid nodules,mumps,acute tonsillitis and adenoid hypertrophy was summarized. Through the analysis of the relevant clinical reports on the application of penetration needling at Quchi( LI 11) to Binao( LI 14) in the treatment of above-mentioned diseases,the specific use of penetration needling at Quchi( LI 11) to Binao( LI 14) was summarized,so as to deepen the understanding of penetration needling at Quchi( LI 11) to Binao( LI 14) and provide reference for clinical practice.
The penetrating needling is one of the commonly used methods in acupuncture clinical practice. It has the characteristics of less acupoints and good curative effects. WANG Leting's application of the golden needle through penetration needling at Quchi( LI 11) to Binao( LI 14) in the treatment of cervical scrofula is a precedent for the application of penetration needling at Quchi( LI 11) to Binao( LI 14). Based on the characteristics of Yangming Large Intestine Channel of Hand,the current application of penetration needling at Quchi( LI 11) to Binao( LI 14) in the treatment of head and neck gland diseases including cervical lymph node tuberculosis,thyroid nodules,mumps,acute tonsillitis and adenoid hypertrophy was summarized. Through the analysis of the relevant clinical reports on the application of penetration needling at Quchi( LI 11) to Binao( LI 14) in the treatment of above-mentioned diseases,the specific use of penetration needling at Quchi( LI 11) to Binao( LI 14) was summarized,so as to deepen the understanding of penetration needling at Quchi( LI 11) to Binao( LI 14) and provide reference for clinical practice.
引文
[1]杜佳蓉,张雨桐,王姿雯,等.浅议透刺法的古今应用[J].中华中医药杂志,2018,33(7):2985-2988.
[2]陈素芬.《内经》合谷刺法的临床应用研究[D].广州:广州中医药大学,2017.
[3]张缙.针灸大成校释[M]. 2版.北京:人民卫生出版社,2009:234-244.
[4]钮雪松.金针大师:王乐亭[M].北京:中国中医药出版社,2012:35-38.
[5]徐建钟.金针治疗甲状腺结节30例临床观察[J].中国针灸,1998,18(7):417-418.
[6]钮韵铎.金针再传[M].北京:中国中医药出版社,2014:72-73.
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[10]赵有利.瘰疬从痰瘀论治理论探讨[J].世界中西医结合杂志,2016,11(7):1017-1020.
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[14]郭丽珍,吕雄,黄艳丽,等.甲状腺结节的诊察手段及中西医治疗方法概述[J].湖北中医杂志,2018,40(9):59-64.
[15]张美珍,杜立娟,倪青.甲状腺结节的中医诊疗思路和方法[J].中国临床医生杂志,2018,46(9):1015-1017.
[16]胡然,胡思荣.结节性甲状腺肿的中医治疗[J].湖北中医杂志,2013,35(11):37-39.
[17]黄龙祥,黄幼民.针灸腧穴通考[M].北京:人民卫生出版社,2011:198-202.
[18]赵霞,秦艳虹,董盈妹,等.中医儿科临床诊疗指南:流行性腮腺炎(修订)[J].中医儿科杂志,2017,13(1):1-5.
[19]汤健闻,柳智豪.我国流行性腮腺炎流行概况及其免疫预防[J].微生物学免疫学进展,2015,43(3):51-57.
[20]吴兆利,王庆其.痄腮溯源及古代文献梳析[J].中华中医药学刊,2012,30(4):763-766.
[21]刘锋,马华.小儿急乳蛾的中医临床研究进展[J].中医儿科杂志,2018,14(3):84-87.
[22]高桂君,金静,刘娜,等.中医药治疗小儿急性扁桃体炎的进展[J].中国中医急症,2017,26(2):268-270.
[23]徐建钟.金针治疗急性化脓性扁桃体炎41例[J].中国中医急症,2010,19(12):2122.
[24]操金华,陈绪清,郑志刚,等.腺样体大小对儿童阻塞性睡眠呼吸暂停低通气综合征影响的研究[J].重庆医学,2017,46(31):4418-4420.
[25]姜之炎,刘俊俊,石李,等.运脾化痰通窍方联合鼻部按摩治疗儿童腺样体肥大的临床疗效及免疫调节作用[J].南京中医药大学学报,2018,34(1):42-46.
[26]赵文明,白罡.针刺曲池透臂臑治疗儿童腺样体肥大的体会[J].北京中医药,2012,31(7):505-506.
[27]陈璧琉,郑卓人.针灸歌赋选解[M].北京:人民卫生出版社,2012:211-213.
[28]孟立强,王卫强,程艳婷.透刺法理论探析[J].江苏中医药,2013,45(1):56-58.
[2]陈素芬.《内经》合谷刺法的临床应用研究[D].广州:广州中医药大学,2017.
[3]张缙.针灸大成校释[M]. 2版.北京:人民卫生出版社,2009:234-244.
[4]钮雪松.金针大师:王乐亭[M].北京:中国中医药出版社,2012:35-38.
[5]徐建钟.金针治疗甲状腺结节30例临床观察[J].中国针灸,1998,18(7):417-418.
[6]钮韵铎.金针再传[M].北京:中国中医药出版社,2014:72-73.
[7]张俊英,陈湘生.金针王乐亭经验集[M].北京:人民卫生出版社,2004:47-50.
[8]赵有利.瘰疬与淋巴结结核名称溯源及释义[J].世界中医药,2018,13(8):2059-2062.
[9]李忠万,李劲松,廖修富,等.颈部淋巴结核治疗的外科术式选择[J].临床耳鼻咽喉头颈外科杂志,2015,27(13):1190-1193.
[10]赵有利.瘰疬从痰瘀论治理论探讨[J].世界中西医结合杂志,2016,11(7):1017-1020.
[11]江晶晶,陈仁寿.瘰疬辨治溯源[J].吉林中医药,2015,35(12):1285-1287.
[12]李志道.腧穴远治作用的规律是“经脉所过,主治所在”[J].针灸临床杂志,1995,11(9):1-4.
[13]中华医学会内分泌学分会《中国甲状腺疾病诊治指南》编写组.中国甲状腺疾病诊治指南:甲状腺结节[J].中华内科杂志,2008,47(10):867-868.
[14]郭丽珍,吕雄,黄艳丽,等.甲状腺结节的诊察手段及中西医治疗方法概述[J].湖北中医杂志,2018,40(9):59-64.
[15]张美珍,杜立娟,倪青.甲状腺结节的中医诊疗思路和方法[J].中国临床医生杂志,2018,46(9):1015-1017.
[16]胡然,胡思荣.结节性甲状腺肿的中医治疗[J].湖北中医杂志,2013,35(11):37-39.
[17]黄龙祥,黄幼民.针灸腧穴通考[M].北京:人民卫生出版社,2011:198-202.
[18]赵霞,秦艳虹,董盈妹,等.中医儿科临床诊疗指南:流行性腮腺炎(修订)[J].中医儿科杂志,2017,13(1):1-5.
[19]汤健闻,柳智豪.我国流行性腮腺炎流行概况及其免疫预防[J].微生物学免疫学进展,2015,43(3):51-57.
[20]吴兆利,王庆其.痄腮溯源及古代文献梳析[J].中华中医药学刊,2012,30(4):763-766.
[21]刘锋,马华.小儿急乳蛾的中医临床研究进展[J].中医儿科杂志,2018,14(3):84-87.
[22]高桂君,金静,刘娜,等.中医药治疗小儿急性扁桃体炎的进展[J].中国中医急症,2017,26(2):268-270.
[23]徐建钟.金针治疗急性化脓性扁桃体炎41例[J].中国中医急症,2010,19(12):2122.
[24]操金华,陈绪清,郑志刚,等.腺样体大小对儿童阻塞性睡眠呼吸暂停低通气综合征影响的研究[J].重庆医学,2017,46(31):4418-4420.
[25]姜之炎,刘俊俊,石李,等.运脾化痰通窍方联合鼻部按摩治疗儿童腺样体肥大的临床疗效及免疫调节作用[J].南京中医药大学学报,2018,34(1):42-46.
[26]赵文明,白罡.针刺曲池透臂臑治疗儿童腺样体肥大的体会[J].北京中医药,2012,31(7):505-506.
[27]陈璧琉,郑卓人.针灸歌赋选解[M].北京:人民卫生出版社,2012:211-213.
[28]孟立强,王卫强,程艳婷.透刺法理论探析[J].江苏中医药,2013,45(1):56-58.