古代针灸治疗中风穴位处方配伍规律研究

Study on Ancient Classic Acupuncture Points Combination in Treating Stroke

目的:检索从先秦至清代的古代中风针灸处方文献,研究针灸处方的主要配伍规律。方法:选取半身不遂和不省人事2个具代表性的中风症状,用数据挖掘方法分析其治疗中腧穴、经络和特定穴运用规律,总结、提炼针灸处方配伍方式。结果:①半身不遂:使用腧穴频次最多的为曲池、肩髃等手阳明经穴;肩髃、曲池、足三里、百会、风池配伍是最常用处方;多选用足少阳经和手足阳明经穴位。②不省人事:使用腧穴频次最多的为督脉百会穴、心包经中冲穴;风池、百会、曲池配伍或大椎、百会、风池配伍是最常用处方;经脉多选用督脉和足少阳、手阳明等阳经穴位。结论:古代治疗半身不遂和不省人事针灸处方所选腧穴的配穴组方及特定穴运用与现代临床常用处方基本一致。在经络选取上,治疗不省人事针灸处方选用经络与现代临床常用处方基本相同,而治疗半身不遂选用足少阳胆经最多,与现代临床常用足阳明胃经不同,需要进一步思索与研究。

Objectives：to explore acupuncture prescriptions in treating stroke among ancient and classic documentations starting from Pre-Qin Dynasty till Qing Dynasty,and study major combinations within the prescriptions.Method： selected hemiplegia and unconsciousness,two typical symptoms of stroke.Using data mining method to analyze the prescription rules of common points,meridians,collaterals and special points,and summarize the combination pattern of acupuncture prescriptions.Results： 1.hemiplegia： points used with the highest frequency were Qu-chi（LI 11） and Jian-yu（LI 15）;the most common combinations consisted of Jian-yu,Zu-san-li（ST 36）,Bai-hui（DU 20）,and Feng-chi（GB 20） among prescriptions;many used Foot Shao-yang,Hand and Foot Yang-ming,Foot Tai-yang and Du,5 Meridians.2.unconsciousness： points used with the highest frequency were Bai-hui and Zhong-chong（PC 9）;the most common combinations were Feng-chi,Bai-hui,and Qu-chi,or Da-zhui（DU 14）,Bai-hui and Feng-chi among prescriptions;many used meridians such as Du,Foot Shao-yang,and Hand Yang-ming.Results： the points combination and selection in acupuncture prescriptions to treat hemiplegia and unconsciousness are basically consistent in Du,Hand and Foot Yang-ming,Hand and Foot Shao-yang meridians.