针灸治疗胃脘痛的古代文献研究  被引量:2

Study on Ancient Literature of Acupuncture and Moxibustion in the Treatment of Epigastric Pain

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作  者:俞莹 王奕娴 吴焕淦[2] 王书婷 吕思颐 王晓梅[2] YU Ying;WANG Yixian;WU Huangan;WANG Shuting;LYO Siyi;WANG Xiaomei(Yueyang Integrated Traditional Chinese and Western Medicine Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China;Shanghai Research Institute of Acupuncture and Meridian,Shanghai 200030,China)

机构地区:[1]上海中医药大学附属岳阳中西医结合医院,上海200437 [2]上海市针灸经络研究所,上海200030

出  处:《中医药导报》2023年第8期215-219,共5页Guiding Journal of Traditional Chinese Medicine and Pharmacy

摘  要:针灸治疗胃脘痛历史悠久,古代文献中早有相关记载。秦汉时期最早提出了胃脘痛的病名,认为胃脘痛的病因包括机体虚弱、外邪侵袭、饮食不节及肝气犯胃,主要病机则是胃失和降。在针灸治疗取穴上以井穴、合穴为主,但多采取单穴治疗,缺乏穴位的配伍运用。汉末至唐代进一步完善了胃脘痛的认识,创建胃脘痛各类证型,明确各类证型的选穴,逐步采用多穴共治法。该时期各医家开始根据证型灵活选用针刺、艾灸、汤药,推崇多种治法并用。宋金元时期胃脘痛已独立成章,彻底与心痛鉴别开来,明确了针灸治疗胃脘痛的主穴,摆脱了以单穴为主的配穴理论,选穴更加多样,开始注重穴位配伍。针灸治法上着重针法,讲究补泻手法。明清时期对前期历代医家进行总结,出现大量综合性针灸学专著,为后世针灸治疗胃脘痛奠定了基础。Acupuncture and moxibustion has a long history of treating epigastric pain,which has been recorded in ancient literature.The name of epigastric pain was first proposed during the Qin and Han dynasties.It was believed that the causes of epigastric pain included weakness of the body,invasion of external pathogens,improper diet,and liver Qi invading the stomach.The main pathogenesis was adverse rising of stomach Qi.In acupuncture and moxibustion treatment,Jing point and He point were the main points,but most of them took single point treatment and lacking the compatible use of acupuncture points.From the late Han Dynasty to the Tang Dynasty,the understanding of epigastric pain was further improved,various types of syndromes of epigastric pain were created,and the selection of acupoints for each type of syndrome was clarified,gradually adopting the method of multi acupoint co treatment.During this period,various medical practitioners began to flexibly choose acupuncture,moxibustion,and decoction based on their syndrome types,and advocated the use of multiple treatment methods in combination.During the Song,Jin and Yuan Dynasties,epigastric pain was completely distinguished from heartache and became a separate course.It defined the main acupoints of acupuncture and moxibustion for treating epigastric pain,and got rid of the acupoint matching theory based on single acupoint.The acupoint selection was more diversified,and began to focus on acupoint compatibility.During the Ming and Qing dynasties,various physicians improved the views of their predecessors and summarized a large number of comprehensive acupuncture and moxibustion monographs,which laid the foundation for the treatment of epigastric pain by acupuncture and moxibustion in later generations.

关 键 词:胃脘痛 针灸 文献研究 

分 类 号:R2-09[医药卫生—中医学]

 

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