CAJ | 학술논문

目的：：对比研究古今临床文献中灸法临床特点，以发展和完善灸法的临床功能。方法：以灸法古籍《神灸经纶》和近5年(2009~2013)公开发表的灸法临床文献为样本，采用计量方法分别从疾病种类、取穴和操作等方面分析其临床特征。结果：现代文献中灸法治疗的疾病共8类146种，《神灸经纶》中灸法证治疾病10类392种；现代文献中灸法选穴范围相对较窄(总215穴<298穴)，而每个处方的用穴数稍多(平均4.07穴>3.42穴)；《神灸经纶》主要采用艾炷直接灸，现代文献中灸法多与其它治法配合使用，并更多采用艾条悬灸。结论：古今灸法在疾病种类、取穴、操作等方面均有较大不同，现代灸法临床应用有待进一步发展。
목적：：대비연구고금림상문헌중구법림상특점，이발전화완선구법적림상공능。방법：이구법고적《신구경륜》화근5년(2009~2013)공개발표적구법림상문헌위양본，채용계량방법분별종질병충류、취혈화조작등방면분석기림상특정。결과：현대문헌중구법치료적질병공8류146충，《신구경륜》중구법증치질병10류392충；현대문헌중구법선혈범위상대교착(총215혈<298혈)，이매개처방적용혈수초다(평균4.07혈>3.42혈)；《신구경륜》주요채용애주직접구，현대문헌중구법다여기타치법배합사용，병경다채용애조현구。결론：고금구법재질병충류、취혈、조작등방면균유교대불동，현대구법림상응용유대진일보발전。
Objective:To compare the clinical features of moxibustion based on the studies in ancient book and contemporary publications.Methods:Ancient book of “Shen jiu jing lun”and publications (2009~2013), reported the clinical applications of moxibustion,were collected.Statistical analysis was performed according to the indications,prescriptions of acupoints and operations for moxibustion.Results:There were 146 indica-tions of moxibustion reported in contemporary publications,correspond to 392 in “Shen jiu jing lun”;The modern application of acupoints showed narrower range (total 215 <298 acupoints)and bigger prescription (average 4.07>3.42 acupoints)than ancient;“Shen jiu jing lun”had always used direct moxibustion with moxa-cone in clinic,and the modern probably prefer indirect moxibustion with moxa-roll.Conclusion:There are many differences between ancient and modern moxibustion clinic in indications,prescriptions of acupoints and operations.