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[夏季穴位贴敷防治慢性咳嗽和哮喘的冬病夏治穴位处方分析]

[Analysis on acupoint prescription for acupoint sticking therapy of treating winter diseases in summer for preventing and curing chronic cough and asthma].

作者信息

Wen Bi-ling, Zhou Hua, Liu Bao-yan, Sun Guo-jie, Liu Wei-hong, Peng Jin, Hu Jing-qing, He Li-yun, Fang Yi-gong, Zi Ming-jie

机构信息

College of Acupuncture-Moxibustion and Orthopedics-Traumatology, Hubei University of TCM, Wuhan 430061, China.

出版信息

Zhongguo Zhen Jiu. 2010 Aug;30(8):647-52.

Abstract

Based on ZhangShi YiTong written by ZHANG Lu of Qing dynasty, and the record that external application of Baijiezi (seeds of Brassica Alba) for treating asthma of cold syndrome, retrospective study is conducted to modern literature of treating winter diseases in summer with acupoint sticking therapy for preventing and treating chronic cough and asthma. Learning from thoughts and methods of evidence-based medicine, and according to subject characteristics of TCM and acupuncture, acupoints and point-selecting discipline of prescription for preventing and treating chronic cough and asthma in summer with acupoint sticking are analyzed. The results show that the top ten common acupoints used for acupoint sticking therapy of treating winter diseases in summer are Feishu (BL 13), Dingchuan (EX-B 1), Xinshu (BL 15), Geshu (BL 17), Danzhong (CV 17), Shenshu (BL 23), Gaohuang (BL 43), Dazhui (GV 14), Pishu (BL 20), Tiantu (CV 22), most of which belong to the Bladder Meridian of Foot-Taiyang, Conception Vessel and Governor Vessel or extra-meridian points. It refers that the core acupoints of acupoint sticking therapy are Feishu (BL 13), Dingchuan (EX-B 1), Xinshu (BL 15), Geshu (BL 17), Danzhong (CV 17), and adjunct points can be selected by syndrome, disease different stage, disease or symptoms.

摘要

基于清代张璐所著《张氏医通》中白芥子(白芥的种子)外敷治疗寒证哮喘的记载,对采用穴位贴敷疗法冬病夏治防治慢性咳嗽和哮喘的现代文献进行回顾性研究。借鉴循证医学的思路和方法,根据中医和针灸学科特点,分析穴位贴敷夏治慢性咳嗽和哮喘的穴位及选穴规律。结果显示,穴位贴敷疗法冬病夏治最常用的十大穴位依次为肺俞(BL 13)、定喘(EX - B 1)、心俞(BL 15)、膈俞(BL 17)、膻中(CV 17)、肾俞(BL 23)、膏肓(BL 43)、大椎(GV 14)、脾俞(BL 20)、天突(CV 22),其中多数属于足太阳膀胱经、任脉、督脉或经外奇穴。提示穴位贴敷疗法的核心穴位为肺俞(BL 13)、定喘(EX - B 1)、心俞(BL 15)、膈俞(BL 17)、膻中(CV 17),可根据证型、疾病不同阶段、病种或症状选取配穴。

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