下合穴理论探疑  

Exploration of the theory of the Xiahe acupuncture

作　　者：宫甜甜 王茎[2] 李庆羚 曾永蕾 GONG Tiantian;WANG Jing;LI Qingling;ZENG Yonglei(School of Acupuncture,Moxibustion and Tuina,Anhui University of Chinese Medicine,Anhui 230038,China)

机构地区：[1]安徽中医药大学针灸推拿学院,合肥230038 [2]安徽中医药大学教育部新安医学重点实验室,合肥230038 [3]安徽中医药大学中医学院,合肥230038 [4]安徽中医药大学第二附属医院

出　　处：《环球中医药》2024年第4期595-599,共5页Global Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(81574084);2021年度安徽中医药大学科学研究基金自然重点项目(2021zrzd01);安徽省重点研究与开发计划(202004j07020045);安徽省教育厅重点项目(KJ2021A0570)。

摘　　要：下合穴理论是《内经》中论治腑病的经典理论,其出现解决了腑病无所主的困境。古医籍中因无“下合穴”这一名词,使得合穴与下合穴主治条文模糊难辨,造成了五输合穴与下合穴概念上虽存在绝对差异,主治上却相似的尴尬局面。本文基于医书古籍及临床经验,深入探讨下合穴理论的出现缘由、产生基础、取穴特点及与五输合穴的差异。提出下合穴理论的出现以根结、标本理论为雏形,在气街理论中得到支撑:胫气街经冲脉与腹气街沟通,使腑病下取得以实现,为临床诊疗腑病提供了新的思路。下合穴中上下巨虚与委阳三穴的选取,体现了协调阴阳、上病下取的中医特色诊疗原则。The theory of Xiahe acupuncture is a classic theory on the treatment of intestinal diseases in the Neijing,and its emergence solves the dilemma of having no owner of intestinal diseases.Because there is no term“Xiahe acupuncture”in ancient medical texts,the main treatment provisions of uniting point and lower uniting point are blurred and difficult to distinguish,resulting in the embarrassing situation that although there are absolute differences in the concepts of the five infusion uniting point and the lower uniting point,the main treatment is similar.Based on ancient medical books and clinical experience,this paper deeply discusses the reasons for the emergence of the theory of the Xiahe acupuncture,the basis of its production,the characteristics of acupoint extraction and the differences between the five infusion points.It is proposed that the emergence of the theory of the lower combination of points is based on the root knot and specimen theory,which is supported by the theory of qi street:the tibia street communicates with the abdominal qi street through the rushing pulse,so that the lower qi disease can be realized,which provides a new idea for the clinical diagnosis and treatment of the disease.The selection of the upper and lower giant voids and the three acupoints of Weiyang in the Xiahe acupuncture reflects the principle of TCM characteristic diagnosis and treatment of coordinating yin and yang,and taking upper and lower diseases.

关 键 词：六腑 下合穴 根结 标本 气街 取穴 合穴 主治 

分 类 号：R224[医药卫生—中医基础理论]