头痛心痛刺治对认识腧穴主治规律的启示  

An Enlightment of the Regularities of Acupoint Indications from Acupuncture Treatment of Headache and Cardiodynia

作　　者：赵京生[1] 

机构地区：[1]中国中医科学院针灸研究所针灸基础理论研究室,北京100700

出　　处：《针刺研究》2008年第5期344-347,共4页Acupuncture Research

基　　金：国家中医药管理局中医药科学技术研究专项(06-07JP53)

摘　　要：对厥头痛与厥心痛的取治之处不同表达方式、心痛与厥心痛的取治之处表达方式演变的分析表明,早期针灸文献中常见的治疗取经脉,是指取四肢远端一定节段内的腧穴。越近四肢远端的邻近腧穴,主治病症的同一性越高,这个远端的界线基本在腕踝关节。如果腧穴主治的同一性以病证类别而论,则四肢远端腧穴的邻近范围就可放大到肘膝关节之内,代表性的一类腧穴即五输穴。Analysis on the different styles of expression of acupoint selection and application for ＂Jue Toutong＂ （severe headache） and ＂Jue Xintong＂ （cardiodynia with cold limbs） and the development of expression styles of acupoint selection and treatment of ＂Xintong＂ （cardiodynia） and ＂Jue Xintong＂ shows that the selected meridians for treatment of the related disorders commonly-seen in the ancient acu-moxibustion literature are, in fact, referred to the acupoints on the distal part of the four limbs in a certain neurosegment. The closer to the distal part of the four limbs, the higher is the identity of the acupoints in indications. The limit of the distal part is basically located at the wrist and ankle joints. If this identity of acupoint indications is referred to categories of diseases or syndromes, the range of acupoints on the four limbs may be extended to proximal part of the elbow and knee joints, and the representative acupoints are Five Shu-Points （Well-point, Spring-point, Stream-point, River-point and Sea-point）.

关 键 词：腧穴主治 经脉 五输穴 头痛 心痛 内经 

分 类 号：R221[医药卫生—中医基础理论]