现代针灸教材便秘的“同功穴”分析

张茂祥，王富春*

(长春中医药大学，长春 130117)

摘要：目的通过整理现代针灸教材中主治便秘的腧穴，归纳总结出便秘的“同功穴”及其规律谱，为腧穴配伍及针灸处方提供理论依据。方法基于网络检索和人工检索两种途径，检索27部现代针灸教材中主治便秘的腧穴，分析便秘的“同功穴”及其规律，并对其进行频次、归经、所在部位、规律谱分析,同时与《腧穴主治·国家标准GB/T30233-2013》进行对照。结果通过统计，27部现代针灸教材中主治便秘的“同功穴”有77个，经脉以足太阳膀胱经、足少阴肾经、足太阴脾经为主，部位以下肢、胸腹、腰背为主，把频次在20～26次的腧穴，定为一级谱，23个穴位；出现频次在4～19次的腧穴，定为二级谱,25个穴位；出现频次在3次以下的腧穴，定为三级谱,29个穴位。腧穴主治国家标准中主治便秘的腧穴有28个穴位，其中在一级谱中有20个,二级谱中有8个。结论表明便秘的“同功穴”与《国家标准·腧穴主治》完全一致。

关键词：针灸教材；便秘；腧穴主治；同功穴

*通信作者:王富春，电话-(0431)86178823，电子信箱-fuchenwang420@126.com

Modern acupuncture teaching material“analogous point”analysis of constipation

ZHANG Maoxiang,WANG Fuchun*

(Changchun University of Chinese Medicine,Changchun 130117,China)

Abstract:ObjectiveBy collating attending constipation in the textbooks of modern acupuncture acupoints,Sum up the “analogous point” and its regularity ofconstipation,Provide theoretical basis for the compatibility of acupoints and acupuncture prescription.MethodsBased on the network retrieval and manual retrieval two ways,the retrieval of 27 attending constipation in the textbooks of modern acupuncture acupoints,analysis of constipation “analogous point” and its regularity,and carries on the frequency,the spectrum analysis,which is,rule,at the same time with theacupoints indications.The National Standard GB/T30233-2013 was compared.ResultsThrough the statistics,the 27 attending constipation in the textbooks of modern acupuncture “analogous point” there are 77,Points of Bladder Meridian of Foot-Taiyang,Points of Kidney Meridian of Foot-Shaoyin,Points of Spleen Meridian of Foot-Taiyin mainly,part is given priority to with lower limbs,chest and abdomen,waist,back,the frequency in the 20 to 26 times of acupoints,as the primary spectrum,23 points;Frequency in 4 to 19 times acupoints,as the secondary spectrum,25 points;A frequency under three acupoints,as tertiary spectrum,29 points.The National Standard of attending constipation of acupoints with 28 points,including 20 in the level of spectrum,the secondary spectrum of eight.ConclusionExactly the same as that of the analogous of constipation with The National Standard GB/T30233-2013.

Keywords:acupuncture teaching materials;constipation;acupoints indications;“analogous point”

便秘是指大肠传导失常，导致大便秘结，排便周期延长；或周期不长，但粪质干结，排出艰难；或粪质不硬，虽有便意，但便而不畅的病症[1]。针灸现已被广泛运用于临床治疗便秘，其疗效显著，邱学梅等[2]检索1911年1月1日—2013年3月31日中国知网针灸治疗便秘的临床文献并进行统计分析。纳入240篇文献中,针灸治疗便秘涉及13条经脉的72个穴位，以膀胱经、胃经、任脉居多，其中只有天枢、足三里、大肠俞等10个穴位的使用频次超过10%。……