刺血疗法治疗眼病的古籍文献研究OA
A Study on the Application of Bloodletting Therapy in the Treatment of Ocular Dis-eases in Classical Chinese Medical Literature
目的 总结分析中医古籍文献中刺血疗法治疗眼病的运用规律.方法 检索电子版《中华医典》中包含刺血疗法治疗眼病的古籍文献,得到的条文录入数据库中,以人工阅读方式从数据库中筛选出与治疗眼病相关的条文.根据纳入与排除标准筛选后,按文献来源、原文、病(症)名、使用穴位名称、归经、特定穴位及部位信息录入新的数据库,进行描述性统计.结果 (1)一般情况:刺血疗法治疗眼病共涉及古籍76本,条文270条,涉及病种27个.(2)疾病谱:按照频次从高到低的排序依次为白睛疾病(124次,45.93%)、胞睑疾病(90次,33.33%)、瞳神疾病(40次,14.81%)、黑睛疾病(4次,1.48%)、眼外伤(4次,1.48%).其中,胞睑疾病涉及的病种数最多(8个,27.59%),包括倒睫拳毛、眼弦赤烂、偷针眼、睑生风栗、眼胞菌毒、睥翻粘睑、眼瘤、目闭不开.(3)穴位分析:涉及穴位共37个,频次269次.按照频次从高到低排名前5位的依次为百会(32次,11.89%)、太阳(31次,11.52%)、内迎香(27次,10.04%)、上星(25次,9.29%)、攒竹(21次,7.81%).(4)经脉分析:按腧穴所属经脉频次从高到低排名前5位的依次为督脉(107次,39.78%)、非十四正经(69次,25.65%)、足太阳膀胱经(42次,15.61%)、手太阴肺经(11次,4.09%)、足少阳胆经(10次,3.72%).其中,督脉涉及的穴位最多,为7个,包括百会、上星、前顶、神庭、囟会、脑户、印堂.结论 古籍文献中记载的刺血疗法治疗眼疾运用广泛,选穴重用头部督脉经穴、眼周的经外奇穴、膀胱经穴,远端取穴多用八邪、委中.
OBJECTIVE To summarize and analyze the application patterns of bloodletting therapy for ocular diseases as recorded in classical Chinese medical literature.METHODS Electronic searches were conducted in the Zhonghua Yidian(Chinese Medical Classics)database for classical literature involving bloodletting therapy for ocular diseases.Retrieved entries were imported into an Excel database,and those relevant to ocular disease treatment were manually screened according to inclusion and exclusion criteria.Data extracted included source,original text,disease/symptom name,acupoint name,meridian affiliation,specific acupoint attributes,and anatomical location.Descriptive statistical analysis was performed.RESULTS(1)General overview:A total of 76 classical texts were identified,with 270 relevant records covering 27 disease types.(2)Disease spectrum:Ranked by frequency as follows:disorders of the bulbar conjunctiva(124 times,45.93%),eyelid disorders(90 times,33.33%),pupil and inner eye disorders(40 times,14.81%),corneal disorders(4 times,1.48%),ocular trauma(4 times,1.48%).Among these,eyelid disorders had the highest number of distinct disease types(8 cases,27.59%),including trichiasis,blepharitis,hordeolum,palpebral wind nodules,palpebral bacterial infection,ectropion with conjunctival adhesion,eyelid tumors,and inability to open the eyes.(3)Acupoint analysis:A total of 37 acupoints were used,with 269 mentions.The five most frequently used were Baihui(GV20,32 times,11.89%),Taiyang(Ex-HN5,31 times,11.52%),Neiyingxiang(Ex-HN9,27 times,10.04%),Shangxing(GV23,25 times,9.29%),and Cuanzhu(BL2,21 times,7.81%).(4)Meridian analysis:By meridian affiliation,the top five were the Governing Vessel(107 times,39.78%),extra points outside the fourteen regular meridians(69 times,25.65%),Foot Taiyang Bladder Channel(42 times,15.61%),Hand Taiyin Lung Channel(11 times,4.09%),and Foot Shaoyang Gallbladder Channel(10 times,3.72%).The Governing Vessel had the highest number of points(7 times in total),including Baihui(GV20),Shangxing(GV23),Qianding(GV21),Shenting(GV24),Xinhui(GV22),Naohu(GV17),and Yintang(M-HN-3).CONCLUSIONS Classical literature demonstrates extensive use of bloodletting therapy for ocular diseases,with a preference for acupoints along the Governing Vessel on the head,extra points around the eyes,and points on the Bladder Channel.For distal point selection,Baxie(Ex-UE9)and Weizhong(BL40)were frequently employed.
邱旋;姚小洁;张宏
广州中医药大学第一附属医院,广州 510405广州中医药大学针灸康复临床医学院,广州 510006广州中医药大学针灸康复临床医学院,广州 510006
医药卫生
古籍文献刺血疗法眼病穴位
classical literaturebloodletting therapyocular diseasesacupoints
《中国中医眼科杂志》 2026 (2)
119-122,155,5
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