小儿脱肛古今用穴规律初探

A preliminary study on the regularity of acupoint selection in pediatric rectocele in ancient and modern times

通过对古今医家治疗小儿脱肛用穴规律的多态性分析,发现古今医家治疗小儿脱肛均以整体观念、辨证论治为指导思想,以补中益气、升阳固脱为选穴原则;不论是针刺深度,还是艾灸用量等,古今对此都保持高度重视.但也存在较大差异:古代以单穴处方为主,现代以多穴处方为要;古代重视用量、讲究顺序,现代用量更精确,讲究手法,重视补泻;古代以气血津液辨证为要,现代以脏腑辨证和病因辨证为主;古代主要采用艾灸疗法,现代重视针灸疗法,增用推拿手法,创用穴位注射.小儿脱肛古今用穴规律为今后临床提供一定用穴依据,望今后医者在继承古代宝贵诊疗经验的同时,结合时代特征,共同指导临床工作.

Through the analysis of the polymorphism of the regularity of acupoint selection for the treatment of pediatric rectocele by ancient and modern medical doctors,it is found that the ancient and modern medical doctors treat pediatric rectocele with the holistic concept and syndrome differentiation as the guiding ideology,and with Buzhong Yiqi and Shengyang Gutuo as the principle of acupoint selection.Ancient and modern medical doctors all value the depth of acupuncture and the amount of moxibustion.But there are also great differences between ancient and modern literatures in the treatment of pediatric rectocele.Ancient doctors often use single-point prescription,modern doctors often use multi-point prescription.Ancient doctors pay attention to dosage and order,while modern doctors are more accurate in dosage and attach importance to the methods of reinforcing and reducing.The dialectic of qi,blood,body fluid is a common method used by ancient doctors,while modern doctors focus on the dialectic of zang-organs and etiology.Ancient doctors mainly use moxibustion therapy,modern doctors focus on the use of acupuncture and moxibustion therapy,increase the manipulation of massage,innovative use of acupoint injection therapy.The regularity of acupoint selection in pediatric rectocele provides a certain basis for future clinical practice.It is hoped that doctors can combine the medical experience of ancient and modern doctors to guide clinical work together.