文章摘要
小儿推拿“六腑”穴位考
Investigation Of "Liufu" In Pediatric Massage
DOI:
中文关键词: 小儿推拿  六腑  穴位考  退热  通腑  文献研究  临床应用
英文关键词: pediatric massage  Liufu  acupoint  defervescence  purge  literature research  clinical application
基金项目:广东省高等学校教学质量与教学改革工程项目(粤教高函[2019]精简号)
作者单位邮编
黄咏梅 广州中医药大学 针灸康复临床医学院 510006
梁劭钦 江西中医药大学 针灸推拿学院 
邵瑛* 广州中医药大学 针灸康复临床医学院 510006
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中文摘要:
      [目的]通过考证相关文献,更全面认识小儿推拿特定穴“六腑”,正确指导临床应用。[方法]通过整理研究小儿推拿经典古籍和现代文献,对六腑的定位、操作、功效、配伍及现代临床应用、机制研究进行详细解析,从多个方面深入了解该穴。[结果]归纳古籍发现六腑的定位和操作存在争议,普遍认为穴性为寒凉,有退热、通腑之效,常与三关配伍合用于寒热、虚实夹杂之证。现代医家认为该穴有通腑、泻热、解毒的作用,临床可用于小儿多系统病变的治疗,尤以肺、脾胃系疾病多见,效果显著,但目前作用机制的研究较少,退热机制可能与神经反馈调节、免疫调节等相关,通腑、解毒机制尚未有前人研究。[结论]小儿推拿六腑穴退热、通腑功效卓著,古今广泛用于临床多种小儿疾病的治疗,备受医家推崇。全面了解该穴,正确指导辨证施术,才能发挥其最佳临床疗效。
英文摘要:
      [Objective] To obtain more comprehensive understanding of "Liufu" of specific points of pediatric massage and guide the clinical application correctly through the study of relevant literatures. [Methods]Through sorting out the relevant classic ancient books and modern literatures of pediatric massage, the location, operation, efficacy, compatibility, modern clinical application and mechanism of Liufu were analyzed in detail to in-depth understanding of the acupoint. [Results]The ancient records show that the location and operation of Liufu are controversial, it is generally accepted that this acupoint is cold, which has the function of defervescing and purging, is often used in combination with Sanguan in treatment of diseases which are mixed with deficiency and excess, cold and heat.Modern doctors think it has the effect of clearing viscera, purging heat and detoxifying, and it can be used in the treatment of children’s multi-system diseases, especially the diseases of lung, spleen and stomach, with remarkable effect.However, there are few studies on the mechanism of action, and the antipyretic mechanism may be related to nerve feedback regulation, immune regulation and so on, but the mechanism of clearing viscera and detoxifying has not been studied before. [Conclusion]Liufu with a remarkable function of defervescing and purging, has been widely used in multiple pediatric diseases from ancient times to present, and is well recognized by doctors. Fully understanding the acupoint and correct guiding the operation with syndrome differentiation, is helpful to obtain the best clinical efficacy.
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