基于多元融合方法的谷世喆教授道术传承研究

【作者】 陈丹；

【导师】 王朝阳；

【作者基本信息】 北京中医药大学 ， 针灸学， 2021， 硕士

【摘要】 目的:本研究基于“道术结合”的思路开展谷世喆教授道术传承研究,通过扎根理论和数据挖掘研究方法,全面挖掘谷世喆教授道术两方面内容,提炼出传承要点,实现全面传承。方法:1.对谷世喆教授本人、弟子及患者进行深度访谈获得访谈资料,应用扎根理论研究方法深入挖掘谷世喆教授的思想道德、文化精神、价值观念等隐形的人文底蕴信息,形成类属及核心类属,并获得传承要点。2.应用数据挖掘方法分析针灸取穴规律。主要采用R语言软件、Gephi软件对谷世喆教授治疗颈型颈椎病的针灸处方进行频数统计、关联规则和复杂网络可视化分析,了解穴位的选用频率、归经及穴位之间的关联规则,探讨谷教授去取穴规律和取穴原则。结果:1扎根理论研究本研究访谈谷世喆教授本人2次,共计2.5小时;访谈谷世喆教授师承弟子、学生6名,每人1次,平均时长0.8小时/人;访谈患者5名,每人1次,平均时长0.5小时/人;共获转录资料19份,共计6.8余万字。通过扎根理论研究方法对访谈资料、文献资料以及其他补充资料进行分析,获得初始编码729个,形成副类别34个,类别8个,分别为思想道德、文化精神、价值观念、学术渊源、学术思想、诊疗方法、针灸疗法特点和疗效要素。抽提出一个核心类别为文化精神,文化精神包括自强不息、敢于担当、实事求是、淡泊名利、谦逊好学、气质儒雅六个方面。最终获得扎根理论:道为术之基,术为道之果,道高术才高。2数据挖掘本研究共纳入101首针灸处方,使用最多的腧穴为颈百劳,其次是肩中俞、天柱、合谷、风池。阳经穴位使用频率高达70.37%,使用频次最多的经脉为足太阳膀胱经。关联规则分析结果显示,治疗颈型颈椎病腧穴配伍以颈百劳-天柱-肩中俞最为常见。社区聚类结果显示,形成了三个稳定的腧穴群组,分别为:肝俞-肾俞-膈俞-大肠俞;膻中-百会-印堂-安眠;肩中俞-天柱-风池。结论:1.通过扎根理论全面挖掘谷教授道术两方面内容,得出文化精神为核心类别;依据扎根理论结果:道为术之基,术为道之果,德高术才高,进一步讨论“道术”的关系,可以得出“以道统术”的发现,文化精神的内核可以指引外在行为的发生。因此在名老中医传承的内容应该包含道术两个层面,“道”主要包含了名老中医的思想道德、文化精神、价值观念,“术”主要包含了学术思想、诊疗技术、针灸疗法特点等。在名老中医传承中应尽力做到全面传承,高效传承。2.通过数据挖掘分析得出谷世喆教授针刺治疗颈型颈椎病注重阳经选穴,颈项局部选穴和腰背部选穴相结合,注重调神腧穴的使用。体现了谷教授治疗颈椎病“温阳通气,形神同调”的学术思想。数据挖掘结果与扎根理论研究结果一致。更多还原

【Abstract】 Objective:This study is based on the idea of "Integration of Tao and Shu" to carry out the research on the inheritance of Professor Gu Shizhe’s Tao.Through the grounded theory and data mining multi fusion method,it comprehensively excavates the two aspects of Professor Gu Shizhe’s Tao and Shu,extracts the key points of inheritance,and realizes the comprehensive inheritance.Methods:1 We interviewed with Professor Gu Shizhe himself,his disciples and patients to obtain interview data,and applied the grounded theory method to dig deep into the invisible nondigital information of Professor Gu Shizhe,such as values cultural spirit,speculative methods,etc.,and then formed genera and core genera.2 Data mining method is used to analyze the law of acupuncture point selection.R language software and Gephi software were used to analyze the frequency statistics,association rules and complex network visualization of Professor Gu Shizhe’s acupuncture prescriptions for cervical spondylosis.The frequency of acupoint selection,meridian tropism and association rules between acupoints were understood,and the rules and principles of acupoint selection were discussed.Results:1 Research based on grounded theoryThis study interviewed Professor Gu Shizhe twice,a total of 2.5 hours;interviewed Professor Gu Shizhe’s 6 disciples and students,once per person,with an average time of 0.8 hours per person;interviewed 5 patients,once per person,with an average time of 0.5 hours per person;obtained 19 transcriptional data,a total of more than 68000 words.Based on the analysis of interview data,literature and other supplementary data by grounded theory research method,729 initial codes are obtained,34 subcategories and 8 categories are formed,They are ideological and moral,cultural spirit,values,academic origin,academic thought,diagnosis and treatment methods,characteristics of acupuncture therapy and therapeutic elements.Cultural spirit includes six aspects:self-improvement,daring to take responsibility,seeking truth from facts,indifferent to fame and wealth,modest and studious,and refined temperament.Finally,we get the grounded theory:Tao is the foundation of Shu,Shu is the fruit of Tao.2 Data miningA total of 101 prescriptions for acupuncture and moxibustion were included.The most frequently used acupoint was Jingbailao(EX-HN 1 5),followe by Tianzhu(BL10),Hegu(LI4)and Fengchi(GB20),Jianzhongshu(SI15).The acupoints of the Yang Meridian are used up to 70.37%,The most frequently used meridians are:bladder meridian of foot-Taiyang.The results of association rule analysis showed that the most common acupoint compatibility in the treatment of cervical spondylosis is Cervical Bailao-Tianzhu-Jianzhongshu.The community clustering results showed that three stable acupoint groups were formed,namely:GanshuShenshu-Geshu-Dachangshu;Tanzhong-Baihui-Yintang-Anmian;Jianzhongshu-TianzhuFengchi.Conclusion:1.Based on the grounded theory,this paper comprehensively excavates Professor Gu’s two aspects of Tao and Shu,and concludes that cultural spirit is the core category;According to the grounded theory,Tao is the foundation of Shu,Shu is the fruit of Tao,and virtue is higher than skill.Further discussion of the relationship between "Tao and Shu" can lead to the discovery of"Tao is the most important factory ",and the core of cultural spirit can guide the occurrence of external behavior.Therefore,the content of the inheritance of famous and old TCM should include two levels:"Tao" mainly includes the ideological and moral,cultural spirit and values of famous and old TCM,"Shu" mainly includes academic thought,diagnosis and treatment technology,acupuncture and moxibustion characteristics,etc.In the inheritance of famous and old TCM,we should try our best to achieve comprehensive inheritance and efficient inheritance.2 Through data mining and analysis,Professor Gu’s acupuncture treatment of cervical spondylosis focused on the selection of Yang channel points,which reflects Professor Gu Shizhe’s" WenyangTongqi,Treating both physique and mind" academic thoughts in treating cervical spondylosis and the principle of formulating acupoints far and near.The results of data mining are consistent with those of grounded theory.更多还原