试论《卫生宝鉴》的针灸学术特点  

On academic characteristics of acupuncture and moxibustion in The Wei Sheng Bao Jian

作　　者：严善馀[1] 

机构地区：[1]福建医科大学附属第一医院,福州350005

出　　处：《中国针灸》2004年第11期809-810,共2页Chinese Acupuncture & Moxibustion

摘　　要：元代医学家罗天益承袭其师李东垣医学思想 ,遵循《内经》《伤寒杂病论》的理论 ,结合自己的临床经验良方 ,编次了《卫生宝鉴》二十四卷 ,书中有关针灸的记载 ,反映罗氏针灸学术特点。首先罗氏承袭东垣医学理论 ,发扬遗蕴 ,重视脾胃内伤病 ,认为内伤脾胃既耗气 ,而又伤阴 ,对脾胃病有了更加全面的认识 ;其次罗氏善用灸法补中益气 ,补东垣针法之不足。对于阳热病 ,罗氏常在红肿热痛处用燔针、三棱针、砭刺等 ,在其处进行针刺以放血排脓 ,开泄邪气。倡导大接经针法治疗中风病偏枯。重视对疾病的综合治疗 ,取长补短 ,协同作用 ,以求速效。The medical expert Luo Tianyi in the Yuan dy na sty inherited LI Dongyuans medical thought, and followed the theories of The Internal Classic and The Treatise on Febrile Disease, and in combina tion with own clinical experience compiled The Wei Sheng Bao Jian (24 volume s). Records about acupuncture and moxibustion in the book reflect Luos aca demic characteristics. Firstly, Luo inherited Dongyuans medical theories, payed att ention to internal injury diseases of spleen and stomach, held that internal injury of the spleen and stomach not only consumed qi and also impaired yin, hence mor e overall understanding for diseases of stomach and spleen; secondly, Luo w as good at using moxibustion to invigorate the spleen and qi supplementing t he insufficiency of Dongyuans needling method. For the yang-heat dise ases, Luo adopted commonly heated needle, three-edged needle, stone needle and so on for blood-letting and drainage of pus at red, swelling, hot and pain regions, removing the pathogen s. And he proposed that hemiplegia due to apoplexy should be treated by the met hod of connecting meridians, and payed attention to comprehensive treatment of d iseases.

关 键 词：针灸学 东垣 脾胃 学术特点 针法 卫生 邪气 补中益气 红肿热痛 内伤 

分 类 号：R245[医药卫生—针灸推拿学] R22[医药卫生—中医临床基础]