从《针方六集》论“八脉交会穴”  

A discussion on eight confluent points in Zhen Fang Liu Ji

作　　者：杨帅 秦丽娜 宋裕如 YANG Shuai

机构地区：[1]北京市大兴区中西医结合医院,北京100076 [2]北京中医药大学第三附属医院,北京100029

出　　处：《中医临床研究》2024年第13期69-72,共4页Clinical Journal Of Chinese Medicine

摘　　要：《针方六集》是明代医家吴昆晚年之作,其中有大量篇幅对八脉交会穴进行了论述,有较强的实用性,被称为“针家纪纲”。文章对《针方六集》中“八法”相关内容进行了分类、分析、归纳,总结出“八法”形成不晚于元代窦杰的《针经指南》,并通过《医学小经》以歌诀形式流传。《针方六集》提出了“列缺本络手阳明,心主犹乎心,又肝肾之邪同一治,皆不及之及也”,将十二经脉以及奇经八脉全部囊括其中;首次以伤寒六经“表、里、半表半里”理论解释“八脉”交会穴的治疗原理,提出了后溪穴与申脉穴主治在表之疼痛性疾病,内关穴与公孙穴主治在里之胃肠、心胸疾病,临泣穴与外关穴主治在半表半里之肝胆、三焦疾病。系统整理了八脉交会穴定位(值得注意的是照海穴、申脉穴、列缺穴的定位),强调“解结”与四穴同取,同时需要在针刺得气基础上进行补泻,以症状好转为一次治疗结束的标志等。文章最后以临床案例进行验证,并对八脉交会穴临床应用现状予以分析,提出了相应观点,以期为八脉交会穴的临床运用提供少许启发,为进一步临床研究和推广应用提供部分依据。Zhen Fang Liu Ji(《针方六集》),written by WU Kun in his later years in Ming Dynasty,has a large number of passages on the eight confluent points,which has strong practicality,and is called acupuncture guiding principle.In this paper,the contents related to the eight methods of TCM in Zhen Fang Liu Ji are classified,analyzed,and summarized,and the following conclusions are drawn:the formation time of eight methods of TCM was not later than that of DOU Jie’s Zhen Jing Zhinan(《针经指南》)in the Yuan Dynasty,and it was circulated in the form of rustic song in Yixue Xiao Jing(《医学小经》).It was proposed that Lieque point(LU7)is the collateral point of hand Yangming(阳明)large intestine meridian,and the theory of treating the liver and kidney simultaneously,which included the twelve meridians and eight extraordinary meridians.It was the first time to explain the treatment principle of eight confluent points based on the theory of“superficial,internal,and half superficial and half internal”.It was proposed that Houxi point(SI3)and Shenmai point(BL62)were mainly used to treat painful diseases on the surface.Neiguan point(PC6)and Gongsun point(SP4)were mainly used to treat gastrointestinal and cardio-thoracic diseases,and Zulinqi point(GB41)and Waiguan point(SJ5)were mainly used to treat half superficial and half internal diseases such as the diseases in liver,gallbladder,and tri-jiao(三焦).The positioning of the eight confluent points was systematically sorted out.It is worth noting the positioning of Zhaohai point(KI6),Shenmai point and Lieque point,emphasizing deaccumulation and selecting four points simultaneously,the need to supplement method or reduce method on the basis of needling response,and taking the symptom amelioration as the sign of the end of a treatment.Finally,the author verifies it with clinical cases,analyzes the current clinical application of the eight confluent points,and presents the corresponding views,in order to provide some inspiration for the clinical application

关 键 词：中医药 《针方六集》 八脉交会穴 

分 类 号：R224[医药卫生—中医基础理论]