针药结合疗法的指导理论及其临床应用策略  

Guiding Theory and Clinical Application Strategy of Acupuncture-Moxibustion and Medicine Combination Therapy

作　　者：代冉冉 王欣君 DAI Ran-ran;WANG Xin-jun(School of Acupuncture-Moxibustion and Massage,School of Health and Rehabilitation,Nanjing University of Chinese Medicine,Nanjing 210023,China)

机构地区：[1]南京中医药大学针灸推拿学院·养生康复学院,江苏南京210023

出　　处：《南京中医药大学学报》2023年第7期606-612,共7页Journal of Nanjing University of Traditional Chinese Medicine

基　　金：江苏省高等学校自然科学研究重大项目(20KJA360002);第四批江苏省中医临床优秀人才研修项目。

摘　　要：论述了针药结合疗法的历史及现状,认为针药结合疗法自古至今均有应用,但其直接指导理论一直未明确。通过分析历代针药结合疗法的相关文献,认为经络理论为其直接指导理论,提出针药结合疗法的临床应用策略首先要遵循早治防变、标本缓急、三因制宜的治疗原则,以病位病性特征、病情轻重缓急、疾病发展预期为出发点,根据病在脏腑、肢节、经络等不同情况,采用不同的临床策略,以实现增效和/或减毒的效应目标。并就针灸疗法和药物疗法在针药结合中的角色特征进行了分析。This article discusses the history and current situation of acupuncture-moxibustion and medicine combination therapy,and believes that the combination therapy has been applied since ancient times,but its direct guiding theory has not been clear.By analyzing the relevant literature in previous dynasties,it is believed that the meridian theory is its direct guiding theory.The clinical application strategy of acupuncture-moxibustion and medicine combination therapy should first follow the treatment principles of early treatment and prevention of changes,syndrome urgency,and adaptation to three conditions.Starting from the location and property characteristics of the disease,the severity of the condition,and the expectation of disease development,different clinical strategies should be adopted based on disease conditions,e.g.,the location of the disease in the organs,limbs,or meridians,to achieve the goal of increasing efficacy and/or reducing toxicity.Finally,the role characteristics of acupuncture-moxibustion and medicine therapy in the combination of acupuncture-moxibustion and medicine were analyzed.

关 键 词：针药结合 脏腑 经络 肢节 增效减毒 临床应用策略 

分 类 号：R246[医药卫生—针灸推拿学]