试论腧穴配伍中的相须、相使与相恶  

Mutual promotion,mutual assistance and mutual inhibition in the compatibility of acupoints

作　　者：杨馥铭[1] 郭义[1] 

机构地区：[1]天津中医药大学,天津300193

出　　处：《中国针灸》2015年第10期1021-1024,共4页Chinese Acupuncture & Moxibustion

基　　金：国家重点基础研究发展计划(973计划)项目:2014CB543201

摘　　要：相须、相使与相恶原本用于描述中药配伍,腧穴与腧穴之间也存在相须、相使、相恶的配伍。本文总结腧穴配伍的相关文献,描述何为腧穴配伍的相须、相使、相恶,并浅要总结以上3种腧穴配伍形态的规律、理论依据和现代研究。相须、相使都是用来描述具有协同作用的腧穴配伍,二者区别在于相使配伍中的腧穴存在主辅关系。使穴又分为单纯的辅穴和引经穴两种。相恶是用来描述具有拮抗作用的一种腧穴配伍。有关相须配伍的作用机制现代研究较多,相恶配伍研究较少,对其作用机制的探讨仅有假说,但对其进行深入研究对提高针灸疗效、阐释针灸作用机制都很重要。Mutual promotion,mutual assistance and mutual inhibition are commonly for the compatibility of Chinese herbs,but they are also existed among the acupoints.In the paper,the relevant literature on acupoint compatibility was collected and the mutual promotion,mutual assistance and mutual inhibition relationships of acupoints were described.The laws of the above mentioned combinations,the theoretic evidences and modern researches were summarized briefly.The mutual promotion and mutual assistance refer to the coordination of acupoints,presenting the relationship of the primary and the secondary about the mutual assistance.Hereby,the acupoints could be divided into the simple assistant acupoints and the acupoints from the affected meridians.The mutual inhibition is used to describe the antagonism effect in acupoint combination.There are more researches on the mutual promotion of acupoint combination but less ones on the mutual inhibition and its mechanism is just hypothetic.It is very important to have the deep study on those compatibility relationships for the improvement of acupuncture efficacy and to elaborate the effect mechanism.

关 键 词：腧穴配伍 相须 相使 相恶 

分 类 号：R224[医药卫生—中医基础理论]