脏腑病和经络病敏化穴位/点的分布特征探析
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摘要
通过查阅相关文献,探讨脏腑病和经络病敏化穴位的分布特征,总结脏腑病与经络病的穴位敏化点的分布特征。结果发现脏腑病敏化穴位主要分布在特定穴及其周围,经络病敏化穴位主要表现为循经分布和病变局部分布两种形式。脏腑病和经络病的敏化穴位分布符合疾病病因病机,对临床敏化穴位诊疗有一定的指导意义,但其分布特征缺乏特异性,对临床针对性诊疗的引导存在局限性。
By referring to the related literatures,to investigate the distribution characteristics of focal sensitization points of viscera and meridian diseases,the distribution characteristics of sensitization points of viscera and meridian were summarized and discussed.The sensitized acupoints of visceral disease were mainly located in and around the specificacupoints.The acupointsof meridian sensitization mainly manifested as warp distribution and local distribution of lesions.The distribution of sensitization acupoints ofvisceral and meridian diseases is in line with the etiology and pathogenesis of the disease,which is of guiding significance to the clinical treatment of acupoints of sensitization.However,its distributional characteristics are lack of specificity,which limits the guidance of clinical diagnosis and treatment.
By referring to the related literatures,to investigate the distribution characteristics of focal sensitization points of viscera and meridian diseases,the distribution characteristics of sensitization points of viscera and meridian were summarized and discussed.The sensitized acupoints of visceral disease were mainly located in and around the specificacupoints.The acupointsof meridian sensitization mainly manifested as warp distribution and local distribution of lesions.The distribution of sensitization acupoints ofvisceral and meridian diseases is in line with the etiology and pathogenesis of the disease,which is of guiding significance to the clinical treatment of acupoints of sensitization.However,its distributional characteristics are lack of specificity,which limits the guidance of clinical diagnosis and treatment.
引文
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[24]迟振海,熊俊,焦琳,等.热敏灸治疗膝关节骨性关节炎的灸位热敏规律:一项探索性RCT研究[J].中国中医药现代远程教育,2016,14(4):104-106.
[25]史睿亭,徐泽华,贾淑贤,等.浅析带状疱疹后遗神经痛的发病机制[J].当代医药论丛,2015,13(6):171.
[26]王万春,胡蓉,马文军,等.腧穴热敏化艾灸等综合治疗带状疱疹后遗神经痛20例[J].时珍国医国药,2007,18(12):3108-3109.
[27]姜蓉,梁超,姜涛.腧穴热敏灸配合穴位注射治疗带状疱疹后遗神经痛临床观察[J].新中医,2011,43(4):84-86.
[28]冀美琦,田珊珊,刘岱,等.耳鸣患者压敏穴分布规律的临床研究[J].针刺研究,2016,41(6):540-544.
[29]田珊珊,冀美琦,刘岱,等.耳鸣患者督脉压敏穴的分布及其聚类分析[J].环球中医药,2017,10(2):150-154.
[30]魏巍,杨君军.热敏点灸结合电针治疗周围性面瘫32例[J].中医杂志,2011,52(7):601-603.
[31]刘其昌,黄长军.周围性面瘫不同发病时期腧穴热敏化规律临床研究[J].光明中医,2017,32(18):2634-2636.
[2]牛文民,刘智斌.“刺激嗅觉以敏化头颈部穴位假说”之神经科学基础[J].陕西中医学院学报,2014,37(4):34-35.
[3]于宏君,蒋海琳,王富春.试论腧穴的生物学特性—敏化性[J].中国中医基础医学杂志,2016,12(12):1643-1645.
[4]陈静霞,刘阳阳,赵雪,等.浅论腧穴敏化[J].河北中医,2011,33(7):1039-1041.
[5]漆学智,陈李圳,张晓宁,等.肠癌患者痛敏穴位的分布[J].中国针灸,2017,37(9):963-966.
[6]漆学智,吉长福,石宏,等.功能性肠病患者敏化穴位的分布[J].世界中医药,2013,8(3):259-262.
[7]马洪举,张洪来,徐振华,等.腧穴热敏化艾灸治疗哮喘机理初探[J].新中医,2011,43(5):148-149.
[8]宋南昌,何金保,徐涵斌,等.热敏灸与舒利迭治疗支气管哮喘慢性持续期的比较研究[J].中国针灸,2012,32(7):593-596.
[9]刘中勇,陈洪涛,伍建光,等.热敏灸治疗冠心病稳定性心绞痛的疗效分析[J].中国中医药现代远程教育,2015,13(17):13-15.
[10]刘福水,谢洪武,赵梅梅,等.热敏灸联合西药治疗心绞痛(气虚血瘀型)的临床疗效及对血液流变学和血脂水平的影响[J].中国中医急症,2017,26(1):12-14.
[11]邓鹏,胡丹,刘中勇,等.热敏灸治疗慢性心力衰竭的探讨[J].中国中医药现代远程教育,2016,14(24):40-43.
[12]蒋狄,胡卡明,胡婷.从《内经》看脏腑病与经络病的异同[J].中医研究,2009,22(5):1-3.
[13]田宁,陈日新.腧穴热敏化的体表-内脏相关规律浅识[J].江西中医药,2009,40(8):59-60.
[14]陈德成,杨观虎,王富春,等.试论阿是穴、压痛点和激痛点的关系[J].中国针灸,2017,37(2):212-214.
[15]张海华,许能贵,黄润泽,等.热敏灸治疗颈型颈椎病的临床观察[J].辽宁中医杂志,2016,43(12):2631-2634.
[16]何水勇,付勇,师宁宁.力敏腧穴推拿治疗颈椎病(项痹)的临床研究[J].实用中西医结合临床,2014,14(8):1-2.
[17]谢丁一,谢秀俊,陈日新,等.神经根型颈椎病患者热敏态腧穴温度觉特征研究[J].安徽中医药大学学报,2017,36(1):35-39.
[18]付勇,章海凤,熊俊,等.热敏灸治疗腰椎间盘突出症临床研究[J].南京中医药大学学报,2014,30(2):120-123.
[19]陈树涛,付勇,章海凤,等.腰椎间盘突出症(腰痛病)热敏选穴规律浅析[J].江西中医药,2016,47(6):62-64.
[20]钟叙春,赖卫国,肖诗梁,等.腰椎间盘突出症患者穴位热敏的部位和强度与病程关系的研究[J].中国中医药现代远程教育,2015,13(22):9-11.
[21]魏新春,吴建贤.热敏灸疗法治疗腰椎间盘突出症的临床规律研究[J].颈腰痛杂志,2015,36(4):304-307.
[22]续龙,井蕾,贺琨,等.针刺配合艾灸治疗膝关节骨性关节炎:随机对照研究[J].中国针灸,2013,33(10):871-876.
[23]刘丽娟,田雪秋,鞠振宇,等.热敏灸治疗膝骨性关节炎65例[J].中医外治杂志,2013,22(1):48-49.
[24]迟振海,熊俊,焦琳,等.热敏灸治疗膝关节骨性关节炎的灸位热敏规律:一项探索性RCT研究[J].中国中医药现代远程教育,2016,14(4):104-106.
[25]史睿亭,徐泽华,贾淑贤,等.浅析带状疱疹后遗神经痛的发病机制[J].当代医药论丛,2015,13(6):171.
[26]王万春,胡蓉,马文军,等.腧穴热敏化艾灸等综合治疗带状疱疹后遗神经痛20例[J].时珍国医国药,2007,18(12):3108-3109.
[27]姜蓉,梁超,姜涛.腧穴热敏灸配合穴位注射治疗带状疱疹后遗神经痛临床观察[J].新中医,2011,43(4):84-86.
[28]冀美琦,田珊珊,刘岱,等.耳鸣患者压敏穴分布规律的临床研究[J].针刺研究,2016,41(6):540-544.
[29]田珊珊,冀美琦,刘岱,等.耳鸣患者督脉压敏穴的分布及其聚类分析[J].环球中医药,2017,10(2):150-154.
[30]魏巍,杨君军.热敏点灸结合电针治疗周围性面瘫32例[J].中医杂志,2011,52(7):601-603.
[31]刘其昌,黄长军.周围性面瘫不同发病时期腧穴热敏化规律临床研究[J].光明中医,2017,32(18):2634-2636.