汪机及其《针灸问对》学术思想探析

明代医家汪机著有《针灸问对》一书,集中反映了其针灸学术思想。主张"针法浑是泻而无补",提倡无病忌灸,反对保健灸法,说理熨贴,笃实明辨;提倡医家应圆机活法,灵活治病取穴,不可按图索骥,同时应提高医术保障患者的生命安全;对世医所行针刺手法和行医陋习怀疑否定,重视用针从简,不可巧立名目。     

基于数据挖掘技术探析中冲穴1949年前主治优势病症和配伍规律

摘要：本文通过系统整理中冲穴1949年前相关文献,结合数据挖掘技术,总结和分析出：主治病证方面主要以腧穴所在部位之掌热、经脉所过部位之腋肿胁满及肘臂挛痛、心与神志病、急症及热病等方面为主;在腧穴配伍方面,多以本经配伍、同名经配伍、交接经配伍、表里经配伍、辩证选穴、大接经法及手十二经配穴法为主。     

劳宫穴主治病症和配伍规律的古今对比研究

ObjectiveTo explore the clinical application rules of Láogōng (劳宫PC8) by analyzing the comparison and contrast of the practice with this acupoint in ancient times and in present.MethodsRelevant literature before October 1, 1949 was selected from Chinese Medical Code (Fifth Edition) and Compilation of Modern Chinese Medicine Journals and literature published after October 1, 1949 was screened from China National knowledge Infrastructure (CNIK), Wanfang Data Knowledge Service Platform (Wanfang), VIP Chinese Journal Service Platform (VIP), Chinese BioMedine Database (CBM), Pubmed Database, and Web of Science. After screening, SQL Server database was established. The complex network analysis was conducted by using Gephi and the cluster analysis was performed by SPSS Statistics.ResultsBefore October 1, 1949, Láogōng (劳宫PC8), on a single use or with a match of Dàlíng (大陵PC7), Guānyuán (关元CV4), and Zúsānl? (足三里ST36), was mainly used for treating ozostomia and edema due to pregnancy. However, Láogōng (劳宫PC8), on a single use or with a match of Y?ngquán (涌泉KI1), Hég? (合谷LI4) and Nèiguān (内关PC6) was commonly for the treatment of toothache and the sequelae after wind stroke after October 1st, 1949.ConclusionLáogōng (劳宫PC8) is mainly used to treat local disorders or diseases pertaining to the pericardium meridian. The single-point therapy was commonly applied before October 1st, 1949, while a combination of other points is more common afterwards and the scope of indication expands, with its application for psychiatry disorders, pain diseases and emergent diseases. Acupoints on the same meridian of Láogōng (劳宫PC8), ying-spring points, the back-shu points and combination between and the upper and the lower are dominated in the selection of supplementary points. The supplementary acupoints with the highest frequency of use were specific acupoints, including five-shu points, yuan-source points, front-mu points, etc.     

昆仑穴古代临床应用分析

目的：通过对清代及清以前昆仑穴相关文献的整理,总结其古代临床应用规律。方法：应用中医文献学和数据挖掘的研究方法,筛选昆仑单穴及其配伍主治病证、腧穴配伍和刺灸法的信息,建立相关数据库。采用IBMSPssstatisticsl9．0软件进行统计分析。结果：昆仑单穴主治病证55种,筛选出18种优势病证;配伍主治病证67种,筛选出19种优势病证及其高频配伍处方;与昆仑配伍的经穴182个,奇穴11个,委中、足三里、合谷、太溪、承山、阳陵泉、悬钟、太冲、曲池、涌泉为前10位的经穴;针刺、艾灸、刺血为主要的刺灸法。结论：研究结果较全面地展示了昆仑的古代临床应用状况,对当今临床及科研均有较大的参考价值。     

内关穴透刺外关穴治疗落枕验案2则

刘某,男,29岁,2013年4月10日就诊。主诉：右侧颈部疼痛．伴活动受限1d。曾在外院接受治疗,病情无明显改善。查体：局部无红肿,头偏向左侧,头部活动时疼痛较重。治疗方法：患者取端坐位,肘平放弯曲,选患侧内关穴,常规消毒,取0．35mm×50mm不锈钢毫针,先浅刺入皮下,向外关穴透刺,得气后快速捻转。捻转速度在每分钟200次以上,同时嘱患者活动颈部,活动速度由慢到快,幅度由小到大,留针5～10min。针后颈部活动自如。疼痛消失,随访无复发,病情痊愈。     

慢性腹泻 试试脐疗

慢性腹泻主要包括西医学的慢性肠炎、过敏性肠炎、肠结核、肠道激惹综合征、肠道寄生虫、慢,性非特异性溃疡性结肠炎和神经官能性腹泻等疾病。它属中医学腹泻、肠风、肠毒的范畴,特点是反复发作、缠绵难愈、多有活动期和缓解期,轻者给患者带来痛苦,重者可危及生命。     

以血浊理论为指导，针灸治疗高血压病思路探讨

高血压病病位在脑,但和心、肝、脾、胃、肺、肾及目、耳等脏腑、器官的功能相关。血浊蒙蔽脑窍、髓海失养、经络痹阻是其病机。治疗上拟定益气健脾、理血化浊治本和镇静止眩、通络止痛治标的治法,运用近部选穴、远部选穴相结合的选穴原则,采取即刻降压、巩固疗效和自我按摩3个步骤,施治以针刺、刺血、拔罐和按摩4种治疗方法。方案在即刻降压,改善眩晕、头痛、头昏脑胀等症状和远期疗效方面均有一定的优势,并能提高患者的生活质量。     

化浊对穴应用及其机制探析

文章是在血浊理论指导下对一类无明显自觉症状或体征的疾病如血管神经性头痛、隐匿性冠心病、2型糖尿病、原发性高血压等的特定证候明显有效的4对对穴遴选出来进行归类比较、理论探讨,结合实验室研究及临床验证,并从对穴角度对其临床机制进行深入探讨,进而推动具有理血化浊作用的对穴在临床的应用。     

化浊对穴在脑病中的应用及其机制探析

文章甄选出4组应用于脑病的化浊对穴,针刺曲泽-委中结合刺血疗法治疗缺血性中风、针刺劳宫-涌泉治疗癫痫、针刺神门-太溪治疗失眠以及针刺百会-大钟治疗缺血性痴呆,并在血浊理论指导下对其机制进行探析,以期对脑病的治疗提供思路,提高疗效。