极泉穴的古今应用规律研究

Ancient and Modern Application Laws of Jiquan(HT1)

目的:通过充分查找古籍及现代文献中对极泉穴的临床应用记载,较为全面地探究极泉穴的古今应用规律,以期为临床应用提供参考。方法:古代文献主要以《中华医典》(第五版)收录的中医古代书籍为检索源,现代文献主要以国家知识基础设施数据库(CNKI)、中国学术期刊数据库(CSPD)(截至2021年12月24日)所收录的文献为主,采用计算机检索与手工检索相结合的方式,对古今文献中所记载的与极泉穴相关的条文进行查阅、收集,最后建立数据库,将与其相关的主治病证、治疗方法、针具规格、针刺深度、补泻方法、注意事项等录入Excel表格,进行统计分析。结果:摘录古籍条文185条,纳入条文31条,其中极泉单穴主治病证有9种,配伍主治病证有2种。查阅现代文献502篇,纳入文献309篇,极泉单穴主治病证有9种,配伍主治病证有21种。主治病证多为心系和肢体经络疾病;最常配伍的腧穴为肩髃穴和曲池穴;除针刺外,操作多采用灸法和推拿手法;补泻手法以提插泻法居多;针刺深度多为0.5~2寸。结论:本研究较为全面地展示了古籍及现代文献中极泉穴的应用规律,可为临床使用极泉穴提供参考。

Objective:To fully explore the clinical application laws of Jiquan(HT1)in ancient medical books and modern medical literature,and provide a reference for clinical practice.Methods:The ancient medical books were mainly searched from the Chinese Medical Dictionary(version 5),and the modern articles were retrieved from the China National Knowledge Infrastructure(CNKI)and China Science Periodical Database(CSPD)with the time interval from inception to December 24,2021.Both computer retrieval and manual retrieval were employed to screen out the records about Jiquan(HT1).Finally,a database was established in Excel for statistical analysis,including the indications,treatment methods,needle specifications,acupuncture depth,reinforcing and reduction methods,and precautions.Results:A total of 185 terms were extracted from ancient books,from which 31 terms were included in this study.The included terms showed 9 indications treated at Jiquan(HT1)alone and 2 indications treated at Jiquan(HT1)combined with other acupoints.A total of 502 modern medical articles were extracted,from which 309 articles were included in this study.These articles revealed 9 indications treated at Jiquan(HT1)alone and 21 indications at Jiquan(HT1)combined with other acupoints.The indications were mainly diseases in the heart and limb meridians.The common acupoints combined with Jiquan(HT1)for treatment were Jianyu(LI15)and Quchi(LI11).In addition to acupuncture,moxibustion and massage were used for treatment.Lifting-thrusting reinforcement and reduction was the most commonly adopted.The needling depth was usually 0.5 to 2 cun.Conclusion:This study comprehensively reveals the application laws of Jiquan(HT1)in ancient medical books and modern medical literature,providing a reference for the clinical intervention at this acupoint.