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Records And Application Of Ghost Points In Chinese Medicine, From Ancient To Modern Time

Posted on:2013-02-01Degree:DoctorType:Dissertation
Country:ChinaCandidate:Z Y GuoFull Text:PDF
GTID:1114330371998636Subject:Acupuncture and Massage
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Acupuncture is an important component of traditional Chinese medicine, which has a long history. Long-term accumulation of experience, doctors in the past on several classics, which brilliantly, is the essence of people experience refine but, assumes the role of continuity in traditional Chinese medicine, to guide clinical and inspire innovation. This article tries to collate the articles about "ghost points" available from ancient to modern time. Although the'points are derived in ancient time, they, are still widely used in modern. Chinese acupuncture treatment, especially Sun Si-miao's13ghosts points are most commonly used. Clinical researches are also done. However, the content recorded are different betweeen ancient and modern time, including the acupoint selection and operation, which is no good for further study and implementation. In view of today's increasing burden of some mental diseases to our medical resources. The collation of information about traditional Chinese medicine "Ghost point" on the treatment of mental disease may help us to understand more about the specificity of the "Ghost point"; the feasibility and their intervention."Ghost points" was firstly recorded in the Tang Dynasty, in the book called Qian Jing Yao Fang of Sun Si-miao's and another book call Qian Jing Yi Fang. Which is mainly for the treatment of mental disorders, and so named, and the time after that, different description on "ghost points" was suggested. Some may quest Sun's original, some built up from the idea before, some from self clinical experiencet of which are developed from the original Sun's "ghost points" Although some people may have different understanding, even the acupoints suggested were totally different, the authors believed that there were acupoints that can give special treatment effect on mental illnesses, so all of them tended to name the acupoints selected as "ghost points"We found from search that in the ancient time,"ghost points" records mainly indicate the efficacy, and the naming of the related acupoints. But along the history, the records vary. Even the "ghost points" relative points or orientation can also be different among the different editions in different dynasty. But there is no discussion of the specificity of the "ghost points", nor explanation of acupoint compatibility, indication-type for treatment discussion, corrections and notes.In the modern context, the focus of the "ghost point" study is on "ghost points" relative point acupuncture treatment effect for clinical psychiatric problem and mental illness, although there are many clinical researches, there is no indication of difference of curing effect among the existing "ghost point" versions and also the traditional Chinese medicine theories used. In addition, there is no much description on the trend of "ghost point" usage, including the number of ghost selected, some of them may include single use of "ghost point", while some may claimed the treatment effect is due to the usage of "ghost point" but of which included many other acupoints at the same time, the situation makes the comparison among the researches impossible, including those of higher level such as the production of guidelines or evidence-based medicine review analysis. So that the usage of "ghost points" fails to promote.However, the "ghost points" and is still widely used in clinical research in modern Chinese medicine, especially on mental illness suggesting possible versions of "ghost points", or a single Ghost point, or when mixed with other points, may have a certain effect on mental illness. Nevertheless, in various versions of the "ghost points" Allied but not on the basis of interpretation of the case further research seems to be a bit confusing. This article will cover these data, collating ancient records, and try to explore "ghost points" in the theory of traditional Chinese medicine and their clinical value. We hope that the research can help providing data for future researches.Objective:This article was a literature study, purpose is to collate of ancient Chinese medicine acupuncture and moxibustion "ghost points" records and use. So the object is the ancient and modern history "Ghost points" description for all existing records and clinical use.Methods:research study is extant in ancient classical and modern literature that are published. For ancient literature, it mainly includes original researches, which meet the inclusion criteria with their sources checked, also the similarities and differences recorded along the history.For modern literature, referenced by its records, similarities and differences, and point selection, acupuncture manipulation and others around more than20categories are used. Finally, there are five major versions "ghost points" recorded. Most frequently referenced ones include 《Qian Jing Yao Fang》"managing hundreds of evil madness13needles", and 《Zhen Jiu Da Cheng》"Sun Si-miao's point13ghosts".Results:After searching, proofreading, there are six new insights.Firstly,for naming, there are29acupoints are named as "ghost-point", including some are of same relative point location but of different "ghost point" name. Here, we count double-sided acupoints as one. Combo points, such as ten vision, as one single acupoint. There are five complete set of "Ghost point". Including the ancient ones appeared in 《Qian Jing Yao Fang》,《Qian Jing YI Fang》,《Zhen Jiu Da Cheng》 Sun Si-miao's13ghosts points,《Zhen Jiu Zu Ying》, Xu Qiufu of point13ghosts, and modern Li Zhongyu ten demons of acupoint indications of mental psychosis. Clinical and research and history play in Sun's13ghosts point. Describes Sun's version of point13ghosts is different, but most of the points of the same, similar to acupuncture, are actually unique and believed from the same origin.Secondly, the "ghost point" selection of meaning, is to adjust the flowing of Qi in Ren and Du meridian and stimulate outstanding at the end of limbs.Thirdly, for the selection of acupoints and the total number of acupoints selected, due to the absence of complete description in ancient literature, there are170articles included. Within which,32articles use DU26as main acupoint or as single use.51articles use DU26together with other2to12"ghost points".27articles use all of the13"ghost points"; There are44articles showing usage of ghost points other than DU26, of single use or as main acupoints in treatment. That is, LU11, SP1, PC7, BL62, DU16, ST6, RN24, PC5(or PC8), DU23, RN1and EX-HN11, but except LI11. And more articles,17articles, describes PC7. It is interesting that the clinical treatment effect is still good, although the main acupoints of the original prescription by Sun is not used.So, it can be seen that, in terms of point selection, the selection of "ghost point" may not be followed all the time, but the description of the amount of needle needed is around5to6seems to be rather accurate.Fourthly, for the order of insertion of needles, it is rarely discussed,(only1article of this is found). So it is still not confirmed if the treatment effect will be better when using special sequence of insertion of needles. However, within the170included articles, there are169never talked about the sequence but which still provide significant clinical treatment effect. We, up to now, may say that no significant difference if we just forget about the order of insertion of needles when using "ghost points".Fifthly, for the method of acupuncture, although the original recorded include fire-acupuncture, and said that "if method of acupuncture and moxibustion is followed, and preparation is well... it will be absolutely safe", practically, methods may vary from experience of different Doctors and still could help treating metal illness well. Of course, if one wants to research the original ghost point acupuncture method, only by further clinical trials.Sixthly, for location of the "ghost point" as recorded in ancient books. Although the ghosts of past dynasties had been described by Sun Si-miao's point location and natural point of the same, it is still an open discussion for some "ghost points"Conclusions:"ghost points" are named and used for treatment of mental disease since long time ago in China. Its mechanism is believed by stimulation of Qi in DU and REN maridian. any also Qi in at extremities of limbs, which all together will adjust Yin and Yang of the whole body, and is created by Bian Que in legend, firstly introduced by a Chinese medicine doctor in Tang Dynasty, Sun Si-miao's in 《Qian Jin Yao Fang》. After that and by others contribution, such as 《Qian Jin Yi Fang》 and 《Zhen Jiu Da Cheng》. There are29"ghost points" recorded in the ancient time, and full set of conventional use consist of13acupoints. Which later becomes the most modern of "13ghosts point" version. In addition, other existing "ghost points" set include Xu Qiufu13ghosts in the Song dynasty and the modern ten Li Zhongyu ghost points. The naming of Ghost point is different along the history, there are some names used repeatedly for different points, but.the idea and proposed mechanisms are the same, adjusting the Yin and Yang in the body, by stimulating acupoints on Du and Ren meridian and at extremites. In clinical use, when using the ghost points, one may not always follow the original set, but can use anyone, or some of the ghost points, according to the severity and situation, which is the golden idea in Chinese medicine. If so, the ghost points can provide reliable effect on treating mental diseases.There are totally seven major types of ghost point sets and are mainly for the treatment of mental illnesses. Clinically ghost points suggested in "Zhen Jiu Da Cheng" are the most commonly used which include the first four ghost points, with frequency, namely, DU26(48.82%), LU11(35.88%), SP1(27.65%), PC7(27.65%).
Keywords/Search Tags:ghost point, consciousness, mental disease
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