基于古代文献隐白穴临床应用的文献计量学研究

Literature metrology study on clinical application of acupoint Yinbai(SP1) based on ancient literatures

目的:基于古代文献对隐白穴相关条文进行整理归纳,总结分析其临床应用。方法:以《中华医典》(第5版)收录的1 156部历代中医古籍为检索库,对隐白穴相关文献、主治病证、腧穴配伍、治疗方法及刺激量、禁忌等相关条文进行归纳整理,建立数据库,并进行统计分析。结果:共纳入相关条文233条,涉及古籍53部。隐白穴主治病证相关条文220条,涉及33种病证,包括内科、外科、妇科、儿科、五官科等多种病证,其中,单穴和配伍他穴主治病证出现频次最高者分别为脾胃系疾病和心系疾病。频次最高的隐白穴配穴为足三里穴,配穴归经以足太阳膀胱经、足阳明胃经、足太阴脾经为主。隐白穴刺灸法相关条文共74条,灸法较刺法使用频次稍多,针刺的刺激量采用最多的是“针一分留三呼”,艾灸的刺激量多为“三壮”。结论:隐白穴的临床应用十分广泛,主治作用以循经远治为主;临床应用中,针刺多浅刺一分,灸法以三壮为佳。

Objective:To organize and summarize the relevant provisions of acupoint Yinbai(SP1)based on the ancient literatures,and to summarize and analyze its clinical application.Methods:Taking the 1 156 ancient Chinese medical books included in Encyclopaedia of Traditional Chinese Medicine(the 5th edition)as the search library,the relevant provisions on the relevant literatures,main treatment disease and syndrome,acupoint compatibility,treatment methods,stimulation amounts and contraindications of acupoint Yinbai(SP1)were summarized and organized,the data base was established,and the statistical analysis was conducted.Results:A total of 233 relevant provisions were included,involving 53 ancient books. The main treatment disease and syndrome relevant provisions of acupoint Yinbai(SP1)were 220 items,involving 33 kinds of diseases and syndromes and including various diseases of internal medicine,surgery,gynecology,pediatrics,ophthalmology and otorhinolaryngology and so on. Among them,the highest frequency main treatment disease and syndrome of single point and matching other points were the spleen and stomach system disease and the heart system disease respectively. The most frequent matching acupoint of acupoint Yinbai(SP1)was acupoint Zusanli(ST36),and the matching acupoints mainly belonged to the bladder meridian of Foot-Taiyang,stomach meridian of Foot-Yangming,and spleen meridian of Foot-Taiyin. A total of 74 provisions were related to the acupuncture and moxibustion methods of acupoint Yinbai(SP1),and moxibustion was used slightly more frequently than acupuncture. The stimulation amounts of acupuncture applied at most was“acupuncture one-point and leaving three breathes”,and the stimulation amounts of moxibustion was mainly“three strokes”.Conclusion:The clinical application of acupoint Yinbai(SP1)is very extensive,and the main therapeutic effect is mainly the distant treatment along the meridians. In clinical application,acupuncture is mostly shallow and one-point,and moxibustion is preferable to three strokes.