雷火神针之“源”与“流”  

Origin and evolution of the thunder-fire moxibustion therapy

作　　者：薛昊 张建斌[2] 陈仁寿 XUE Hao;ZHANG Jianbin;CHEN Renshou(Institute of TCM Literature, Nanjing University of C;the Second Clinical Medical College of Nanjing University of C)

机构地区：[1]南京中医药大学中医药文献研究所,江苏南京210023 [2]南京中医药大学第二临床医学院

出　　处：《中国针灸》2018年第4期440-444,共5页Chinese Acupuncture & Moxibustion

基　　金：国家重点基础研究发展计划(973计划)项目:2013 CB 532006

摘　　要：通过梳理雷火神针的起源和演变脉络来揭示其被玄化、仪式化以及被曲解的过程,从而使今人对这种古代的针灸治疗手段有一个较为客观全面的认识。雷火神针可能以元代之前的道教法术为雏形发展而来,成型于明中期。在长期的历史发展中分化为两大类别:一种为不用艾条、以桃树枝为主要灸具并且保留了法术咒语的"道法系";另一种为使用掺药艾条、有相对固定的药物配方、剔除咒语的"俗医系"。前者至明末逐渐消亡,后者从明中期一直发展到近现代,并产生了药物配方改良、主治范围扩大、操作方式进步等主要变化,在当代仍然为不少医家继续改良和使用。Through analyzing the origin and evolution of the thunder-fire moxibustion therapy, the mysteries and misunderstandings of it were revealed. As a result, a more objective and comprehensive recognition of this ancient therapy was displayed to the people nowadays. The thunder-fire moxibustion therapy maybe originate from the Taoism magic arts before the Yuan Dynasty and became matured in the middle of the Ming Dynasty. Two categories were divided during the long-term evolution in the history. In one category, the peach twig was taken as the moxa material rather than moxa stick and the incantation of Taoism remained. Regarding the other category, the herbal medicine was mixed in the moxa stick and the herbal composition was relatively specified. The incantation was removed. The moxibustion in the first category vanished at the end of the Ming Dynasty. The latter one kept on development from the middle of the Ming Dynasty through the modern times. Additionally, the herbal composition of moxa material has been modified; the indication enlarged and the operation improved. This therapy is still developed and applied by many doctors at the present times.

关 键 词：雷火神针 实按灸 灸法 历史 谱系 演变 

分 类 号：R245.8[医药卫生—针灸推拿学]