脐疗防治过敏性鼻炎的施术部位及刺激方法探析
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摘要
通过对相关临床研究文献的分析,探讨脐疗防治过敏性鼻炎的施术部位特性及刺激方法。认为脐的特殊解剖学特点是脐疗防治效应发挥的结构基础,其全息胚特性和神阙穴与肺、脾、肾的经络联系及其扶阳培元、整体调节等功效特质,在本病的防治中发挥着重要作用。基于脐疗施术部位特点,并针对本病的病因病机关键,刺激方式以拔罐、艾灸或药物敷贴为主,脐罐法多用闪罐或较长时间留罐法,应达到一定量的刺激强度;脐灸法以艾条温和灸或灸盒灸较常用;敷脐法多选择温阳辛散药物,可与脐灸法结合运用,作用相得益彰。
This study explored the characteristics of operating site and stimulation methods of umbilical therapy in the prevention and treatment of allergic rhinitis through the analysis of relevant clinical research literatures. It is believed that the special anatomical features of the navel are the structural basis for the effect of umbilical therapy. The characteristics of holographic embryos,the relationship of Shenque( CV8) and meridians of Lung,Spleen and Kidney,and its overall regulating action of strengthening yang to build the original-qi play an important role in the prevention and treatment of allergic rhinitis. Based on the characteristics of operating site of the umbilical treatment,and the key of the etiology and pathogenesis of the disease,the stimulation method is mainly focused on cupping,moxibustion,and drug application; flash cupping or long-term retained cupping are often used in the umbilical cupping,which should reach a certain amount of stimulation. Mild moxibustion with moxa stick and moxibustion with moxa box dominate in the umbilical moxibustion. The acrid herbs of warming yang are often used in the umbilical application,which can be combined with umbilical moxibustion,and the effects complements each other.
This study explored the characteristics of operating site and stimulation methods of umbilical therapy in the prevention and treatment of allergic rhinitis through the analysis of relevant clinical research literatures. It is believed that the special anatomical features of the navel are the structural basis for the effect of umbilical therapy. The characteristics of holographic embryos,the relationship of Shenque( CV8) and meridians of Lung,Spleen and Kidney,and its overall regulating action of strengthening yang to build the original-qi play an important role in the prevention and treatment of allergic rhinitis. Based on the characteristics of operating site of the umbilical treatment,and the key of the etiology and pathogenesis of the disease,the stimulation method is mainly focused on cupping,moxibustion,and drug application; flash cupping or long-term retained cupping are often used in the umbilical cupping,which should reach a certain amount of stimulation. Mild moxibustion with moxa stick and moxibustion with moxa box dominate in the umbilical moxibustion. The acrid herbs of warming yang are often used in the umbilical application,which can be combined with umbilical moxibustion,and the effects complements each other.
引文
[1]姜劲峰,徐旺芳,俞兴根,等.基于血管生物学的神阙穴特异性解析[J].中国针灸,2017,37(12):1304-1308.
[2]温木生.脐疗与生物全息论[J].中医临床研究,2011,3(1):70.
[3]于华,侯喜连,孔雪萍.蝴蝶效应与脐疗机制探讨[J].光明中医,2007,22(8):2-4.
[4]许荣正,朱雪兰,吴国民.神阙拔火罐治疗过敏性鼻炎50例[J].陕西中医,1992,13(3):124.
[5]乔志娟.腧穴激光照射加神阙穴闪罐治疗过敏性鼻炎36例[J].辽宁中医药大学学报,2012,14(6):165-166.
[6]刘云霞.针刺拔罐治疗过敏性鼻炎61例[J].中国针灸,2000,20(7):418.
[7]丁宁,赖蕾,张虹.张虹教授神阙穴闪罐法治疗过敏性鼻炎的机理初探[J].四川中医,2017,35(7):16-17.
[8]柯正华,龙升华.天灸配合神阙穴闪火罐治疗阳虚型过敏性鼻炎:随机对照研究[J].中国针灸,2014,34(9):853-856.
[9]李翠,苏日亮.神阙穴拔罐配合耳穴压豆治疗过敏性鼻炎40例[J].山东中医杂志,2010,29(12):836-837.
[10]班惠娟.神阙穴拔罐配合针刺治疗过敏性鼻炎38例[J].针灸临床杂志,2010,26(12):29.
[11]王瑜.肺俞配神阙拔罐治疗过敏性鼻炎52例[J].中国针灸,2004,24(5):332.
[12]王益庆,范波欧,李冬波.神阙灸联合穴位贴敷治疗小儿过敏性鼻炎50例临床观察[J].中医儿科杂志,2016,12(1):62-65.
[13]马世明.小儿推拿法结合神阙灸对儿童过敏性鼻炎的临床研究[J].中外女性健康(下半月),2014(6):119,122.
[14]杨丽明,傅瑞芸,孙国如,等.应用针灸四步法治疗过敏性鼻炎疗效观察[J].中医临床研究,2013,5(8):41-42.
[15]廉南,赵岚,雷中杰.针刺结合脐灸法治疗儿童过敏性鼻炎临床观察附:93例病例报告[J].成都中医药大学学报,2002,25(4):12-13.
[16]李琳,唐玉英.腹针艾灸神阙配合局部针刺治疗过敏性鼻炎72例疗效观察[J].内蒙古中医药,2015,34(10):64.
[17]李鸿霞.电针配合神阙灸治疗过敏性鼻炎37例[J].湖北中医杂志,2010,32(2):68.
[18]吴成杰,王川茹,路军.中药外敷治疗过敏性鼻炎临床观察[J].中国药房,2009,20(32):2534.
[19]李泽民,刘丽华,李宪华,等.中药神阙穴给药治疗变应性鼻炎58例[J].中国医院药学杂志,2003,23(7):422.
[20]张新会,解宁湘.神阙穴药敷治疗过敏性鼻炎38例[J].宁夏医学杂志,2007,29(12):1158.
[21]严欣,刘洋,王志国.神阙穴贴敷治疗过敏性鼻炎58例临床观察[J].针灸临床杂志,2001,17(11):26.
[22]刘丽平.传统穴位贴敷+神阙穴贴敷治疗过敏性鼻炎36例疗效观察[J].中医临床研究,2013,5(19):40-41.
[23]王芳.艾灸联合中药敷脐疗法治疗变应性鼻炎50例[J].中国民间疗法,2017,25(9):38-39.
[24]王芳.舒鼻胶囊口服联合艾灸、中药敷脐治疗变应性鼻炎的疗效观察[J].中国民间疗法,2016,24(6):60-61.
[25]王艳芳,李鸿霞.神阙穴隔药灸对过敏性鼻炎远期疗效的影响[J].新中医,2012,44(2):83-85.
[26]李鸿霞,许军,谢琼,等.芪梅散神阙穴温灸治疗过敏性鼻炎疗效观察[J].新中医,2010,42(12):95-97.
[27]吕华.电针配合隔药灸治疗过敏性鼻炎疗效观察[J].上海针灸杂志,2014,33(9):838-839.
[28]黄佰宏,陈坚,蔡耿秋.观察电针配合隔药灸治疗过敏性鼻炎的临床疗效[J].内蒙古中医药,2017,36(15):110-111.
[29]孙玉卿,李文涛,刘康,等.黄芪多糖/壳聚糖缓释微球对大鼠变应性鼻炎的治疗作用[J].山东大学学报(医学版),2017,55(9):60-65.
[30]李惠琴,谭伯森,陈敏坚.黄芪饮治疗过敏性鼻炎的药效动力学研究[J].现代医药卫生,2013,29(18):2721-2724.
[31]张成,魏萍,寇巍,等.黄芪对变应性鼻炎患者外周血Th17的影响[J].中国中西医结合杂志,2016,36(11):1364-1368.
[32]邓玫.黄芪颗粒治疗过敏性鼻炎哮喘综合征患儿的疗效及对血清Th1、Th2细胞因子的影响[J].中医药学报,2017,45(2):68-71.
[33]张倩,张冰,金锐,等.肉桂油与肉桂水提物对虚寒证模型大鼠的药理作用及其数理分析[J].中西医结合学报,2011,9(9):983-990.
[34]黄利,李利民,唐丽燕.白术水煎剂对小鼠免疫功能的影响[J].中药药理与临床,2012,28(1):114-115.
[35]唐锋,梁少瑜,陈飞龙,等.血清药物化学和血清药理学相结合的麻黄附子细辛汤抗炎和免疫抑制的物质基础[J].中国中药杂志,2015,40(10):1971-1976.
[36]胡瀚文,徐新刚,张学顺,等.辛夷脂素的提取分离及其抗过敏作用研究[J].中国药物警戒,2014,11(5):261-263.
[37]吴贤波,唐宋琪,王明谊,等.药对防风-乌梅调节蛋白酶激活受体2表达阻断肥大细胞脱颗粒的新机制研究[J].中华中医药杂志,2016,31(3):1089-1092.
[2]温木生.脐疗与生物全息论[J].中医临床研究,2011,3(1):70.
[3]于华,侯喜连,孔雪萍.蝴蝶效应与脐疗机制探讨[J].光明中医,2007,22(8):2-4.
[4]许荣正,朱雪兰,吴国民.神阙拔火罐治疗过敏性鼻炎50例[J].陕西中医,1992,13(3):124.
[5]乔志娟.腧穴激光照射加神阙穴闪罐治疗过敏性鼻炎36例[J].辽宁中医药大学学报,2012,14(6):165-166.
[6]刘云霞.针刺拔罐治疗过敏性鼻炎61例[J].中国针灸,2000,20(7):418.
[7]丁宁,赖蕾,张虹.张虹教授神阙穴闪罐法治疗过敏性鼻炎的机理初探[J].四川中医,2017,35(7):16-17.
[8]柯正华,龙升华.天灸配合神阙穴闪火罐治疗阳虚型过敏性鼻炎:随机对照研究[J].中国针灸,2014,34(9):853-856.
[9]李翠,苏日亮.神阙穴拔罐配合耳穴压豆治疗过敏性鼻炎40例[J].山东中医杂志,2010,29(12):836-837.
[10]班惠娟.神阙穴拔罐配合针刺治疗过敏性鼻炎38例[J].针灸临床杂志,2010,26(12):29.
[11]王瑜.肺俞配神阙拔罐治疗过敏性鼻炎52例[J].中国针灸,2004,24(5):332.
[12]王益庆,范波欧,李冬波.神阙灸联合穴位贴敷治疗小儿过敏性鼻炎50例临床观察[J].中医儿科杂志,2016,12(1):62-65.
[13]马世明.小儿推拿法结合神阙灸对儿童过敏性鼻炎的临床研究[J].中外女性健康(下半月),2014(6):119,122.
[14]杨丽明,傅瑞芸,孙国如,等.应用针灸四步法治疗过敏性鼻炎疗效观察[J].中医临床研究,2013,5(8):41-42.
[15]廉南,赵岚,雷中杰.针刺结合脐灸法治疗儿童过敏性鼻炎临床观察附:93例病例报告[J].成都中医药大学学报,2002,25(4):12-13.
[16]李琳,唐玉英.腹针艾灸神阙配合局部针刺治疗过敏性鼻炎72例疗效观察[J].内蒙古中医药,2015,34(10):64.
[17]李鸿霞.电针配合神阙灸治疗过敏性鼻炎37例[J].湖北中医杂志,2010,32(2):68.
[18]吴成杰,王川茹,路军.中药外敷治疗过敏性鼻炎临床观察[J].中国药房,2009,20(32):2534.
[19]李泽民,刘丽华,李宪华,等.中药神阙穴给药治疗变应性鼻炎58例[J].中国医院药学杂志,2003,23(7):422.
[20]张新会,解宁湘.神阙穴药敷治疗过敏性鼻炎38例[J].宁夏医学杂志,2007,29(12):1158.
[21]严欣,刘洋,王志国.神阙穴贴敷治疗过敏性鼻炎58例临床观察[J].针灸临床杂志,2001,17(11):26.
[22]刘丽平.传统穴位贴敷+神阙穴贴敷治疗过敏性鼻炎36例疗效观察[J].中医临床研究,2013,5(19):40-41.
[23]王芳.艾灸联合中药敷脐疗法治疗变应性鼻炎50例[J].中国民间疗法,2017,25(9):38-39.
[24]王芳.舒鼻胶囊口服联合艾灸、中药敷脐治疗变应性鼻炎的疗效观察[J].中国民间疗法,2016,24(6):60-61.
[25]王艳芳,李鸿霞.神阙穴隔药灸对过敏性鼻炎远期疗效的影响[J].新中医,2012,44(2):83-85.
[26]李鸿霞,许军,谢琼,等.芪梅散神阙穴温灸治疗过敏性鼻炎疗效观察[J].新中医,2010,42(12):95-97.
[27]吕华.电针配合隔药灸治疗过敏性鼻炎疗效观察[J].上海针灸杂志,2014,33(9):838-839.
[28]黄佰宏,陈坚,蔡耿秋.观察电针配合隔药灸治疗过敏性鼻炎的临床疗效[J].内蒙古中医药,2017,36(15):110-111.
[29]孙玉卿,李文涛,刘康,等.黄芪多糖/壳聚糖缓释微球对大鼠变应性鼻炎的治疗作用[J].山东大学学报(医学版),2017,55(9):60-65.
[30]李惠琴,谭伯森,陈敏坚.黄芪饮治疗过敏性鼻炎的药效动力学研究[J].现代医药卫生,2013,29(18):2721-2724.
[31]张成,魏萍,寇巍,等.黄芪对变应性鼻炎患者外周血Th17的影响[J].中国中西医结合杂志,2016,36(11):1364-1368.
[32]邓玫.黄芪颗粒治疗过敏性鼻炎哮喘综合征患儿的疗效及对血清Th1、Th2细胞因子的影响[J].中医药学报,2017,45(2):68-71.
[33]张倩,张冰,金锐,等.肉桂油与肉桂水提物对虚寒证模型大鼠的药理作用及其数理分析[J].中西医结合学报,2011,9(9):983-990.
[34]黄利,李利民,唐丽燕.白术水煎剂对小鼠免疫功能的影响[J].中药药理与临床,2012,28(1):114-115.
[35]唐锋,梁少瑜,陈飞龙,等.血清药物化学和血清药理学相结合的麻黄附子细辛汤抗炎和免疫抑制的物质基础[J].中国中药杂志,2015,40(10):1971-1976.
[36]胡瀚文,徐新刚,张学顺,等.辛夷脂素的提取分离及其抗过敏作用研究[J].中国药物警戒,2014,11(5):261-263.
[37]吴贤波,唐宋琪,王明谊,等.药对防风-乌梅调节蛋白酶激活受体2表达阻断肥大细胞脱颗粒的新机制研究[J].中华中医药杂志,2016,31(3):1089-1092.