大椎、百会、足三里穴治疗癫痫病症的古代文献研究

Study on Ancient Literature of Treating Epilepsy with Dazhui,Baihui and Zusanli

目的：在古籍文献中通过对大椎、百会、足三里穴主治病症条文的检索,以明确这三个穴治疗癫痫的作用,以期为扶正通督法治疗癫痫疾病的针刺选穴提供理论依据与文献支持。方法：分别以大椎、百会、足三里作为主检索词,从《中华医典·针灸推拿灸》类中检索出与大椎、百会、足三里穴主治病症相关的文献条文;接着以＂癫痫＂或者癫痫的其他别名作为次检索词,根据文献的纳入和排除标准,从大椎、百会、足三里所主主治病症的文献条文中进行二次检索,检出与癫痫相关的文献条文;最后运用Microsoft excel软件对检索所得文献进行统计学分析与处理。结果：共检索出与大椎、百会、足三里穴相关且具有明确主治病症的相关条文2479条,单穴643条,配穴1836条,其中与治疗癫痫相关的文献102条,分别为大椎穴26条,百会穴68条,足三里穴8条,共涉书17本。结论：大椎、百会、足三里三穴具有治疗癫痫的作用;在癫痫的治疗方面,处方选穴多以配伍治疗为主;在治疗方法上,多以艾灸法治疗为主,并结合针刺、刺血等其他疗法。

Objective： Through retrievalling the ancient literature of Dazhui（DU14）,Zusanli（ST36） and Baihui（DU20）,to definite the therapeutic effect of these three points on epilepsy in order to provide a theoretical basis and literature support in acupoint selection of the treatment of epilepsy disease by Fuzheng Tongdu method. Methods： Taking Dazhui（DU14）,Zusanli（ST36）and Baihui（DU20） as the main keywords,we retrieved out the related articles from Chinese Medical Classics,Acupuncture and Moxibustion. Then with epilepsy or other alias of epilepsy as a sub-search word,according to the inclusion and exclusion criteria,we made the second search and got the epilepsy-related literature,finally used the Microsoft excel software to analyze and process the retrieved literature. Results： A total of 2479 articles,643 single points and 1836 combination points were found in the related articles related to Dazhui（DU14）,Zusanli（ST36） and Baihui（DU20）,and there were 102 articles related to the treatment of epilepsy,which were Dazhui（DU14） 26,Baihui（DU20） and Zusanli（ST36）,involving a total of 17 books. Conclusion： Dazhui（DU14）,Zusanli（ST36） and Baihui（DU20） have the role of treatment of epilepsy. The treatment method is mostly moxibustion combined with acupuncture,bloodletting and other therapy.