《全婴方论》小儿灸法刍议  

Discussion on moxibustion for pediatric diseases in Quanying Fanglun

作　　者：陈少华 马钦 赵可琢 丁侃[1] 张丽君[1] CHEN Shaohua;MA Qin;ZHAO Kezhuo;DING Kan;ZHANG Lijun(Institute for the History of Chinese Medicine and Medical Literature,China Academy of Chinese Medical Sciences,Beijing100700,China)

机构地区：[1]中国中医科学院中国医史文献研究所,北京100700

出　　处：《中国医药导报》2022年第36期144-147,共4页China Medical Herald

基　　金：国家社会科学基金重大项目(20&ZD222);中国中医科学院基本科研业务费(ZZ120507、ZZ13-YQ-122)。

摘　　要：南宋医家郑端友所撰《全婴方论》是在摭证诸家学说的基础上汇集个人临床经验而成的儿科专著,虽非灸法专著,但设有小儿灸法专卷。本文从该书中关于小儿灸法的注意事项、常见病灸穴、灸痫3个方面进行分析,发现《全婴方论》在取穴上推崇同身寸法,认为取穴应当高效且精准;注意事项中主要涉及气候、患者状态、时间与部位、灸量等方面的避忌;在灸法适用的29种常见病中,以内科的肝胆病证与心系病证居多,选穴以任脉、督脉及经外奇穴为主;在灸痫上该书认为灸痫关键在于虚实,并归纳出惊痫四证。《全婴方论》中记载的小儿灸法对现今儿科及针灸临床仍有一定的启迪作用,具备深入挖掘的价值。Quanying Fanglun is written by Zheng Duanyou,a Southern Song Dynasty physician,as a monograph on paediatrics,the book is based on a collection of his clinical experience and the doctrines of various schools.Although it is not a monograph on moxibustion,it has a special volume on moxibustion for children.This paper analyzes the points for attention of children moxibustion method,moxibustion points for common diseases,and moxibustion epilepsy in the book.It is found that Quanying Fanglun advocates the same body inches method in the selection of acupoints,and believes that the selection of acupoints should be efficient and accurate.Precautions mainly involved in climate,patient status,time,location,moxibustion amount,and other aspects of avoidance.Among the 29 common diseases applicable to moxibustion method,most of them are liver and gallbladder diseases and heart diseases in internal medicine.The main points selected are conception channel,governor channel,and extra points.The book holds that the key to moxibustion epilepsy lies in deficiency and excess,and summarizes four syndroms of convulsive epilepsy.The moxibustion for children recorded in Quanying Fanglun still has a certain enlightening effect on pediatrics and clinical acupuncture and moxibustion,which has the value of in-depth exploration.

关 键 词：《全婴方论》 灸法 部位 禁忌证 

分 类 号：R245.8[医药卫生—针灸推拿学]