承山穴古代文献临床应用的文献计量学分析

Biblio-metrology analysis on clinical application of Chengshan(BL57)in ancient Chinese medical literature

目的:通过对承山穴古代文献的整理,归纳分析其临床应用规律。方法:以《中华医典》(第5版)收录的1156部古籍为检索范围,对承山穴相关文献来源、主治病症、腧穴配伍、治疗方法及禁忌等相关条文进行整理,建立数据库。结果:本研究共纳入符合标准的条文196条,涉及61部古籍。主治相关条文共174条涉及56种病症,涵盖内科、外科、儿科、五官科等多门学科。单穴及配伍主治病症频次最高的为肢体经络病症,配穴频次最高的为昆仑穴,配伍经脉以足太阳膀胱经为主。承山穴刺灸法条文共计71条,包括7种治疗方法。治疗方法上,灸法以五壮为宜,针刺深度以七分为佳。结论:承山穴广泛应用于临床各科,尤以肢体经络病症为主。

Objective To analyze and sum up clinical application regularities of Chengshan(BL57)acupoint in ancient Chinese literature.Methods The book Zhonghua Yidian(Collection of Chinese Medical Classic Works,5edition)containing 1156 ancient medical books was used as the retrieved literature source.The key retrieval words used were BL57 acupoint related indications,prescriptions,treatment methods and taboos,followed by sorting out relevant articles and establishing a database.Results A total of 196 articles meeting our inclusion standards of the present study,involving 61 ancient books which contain 174 related terms covering 56 diseases or syndromes of internal medicine,surgery,pediatrics,ophthalmology and otorhinola-ryngology,etc..Among them,the most frequently attending disease treated by single BL57 or acupoints combination was limb meridian disorders,and the most frequently used auxiliary acupoint was Kunlun(BL60).The most frequently used auxiliary meridian was the Bladder Meridian of Foot Taiyang.In addition,a total of 71 terms involved the acupuncture and moxibustion techniques of BL57,covering 7 treatment methods.In terms of the treatment methods,the dose of moxibustion was five cones in each session,and the depth of acupuncture needle insertion was about seven fen.Conclusion BL57 is widely used in various clinical departments,especially for limb meridian diseases.