热证可灸论刍议  

Discussion on Moxibustion of Heat Syndrome

作　　者：连道仕 周浩[2] 曾月 黄祖波[2] 潘超然 黄静娴 王超[2] LIAN Daoshi;ZHOU Hao;ZENG Yue(Chengdu Universi ty of Traditional Chinese Medicine,Acupuncture and Tuina School,Chengdu Sichuan 610075,China;Sichuan Integrated Traditional Chinese and Western Medicine Hospital,Chengdu Sichuan 610041,China;Southuvest Medical Univrsity,College of integrated traditional Chinese and Western Medicine,Luzhou Sichuan 646000,China)

机构地区：[1]成都中医药大学针灸推拿学院,四川成都610075 [2]四川省中西医结合医院,四川成都610041 [3]西南医科大学中西医结合学院,四川泸州646000

出　　处：《四川中医》2024年第6期52-55,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：四川省中医药院士后备人选培养项目。

摘　　要：《灵枢》有云:“盛者泻之,虚则补之,热则疾之……”认为虚寒宜灸,实热宜针。《伤寒论》中亦提出了艾灸用于热证后可产生诸多变证,加重病情,如出现口干、舌烂、烦躁等,影响疾病的病程与转归;从古至今,有不少医家受到仲景的影响,坚持热证禁灸的观点。然而,在《素问·至真要大论》中早已提出,“正者正治,反者反治”“逆者正治,从者反治。”不仅阐述了“以寒治热、以热治寒”的治则常法。也提出了“以寒治寒,以热治热”的反常的治疗方法,热证以温热法治之,乃属反治与从治,其进一步阐述了热证可施灸。笔者将近10年来热证用灸的相关文献进行归纳梳理,分别从理论探讨、机理探讨及临床应用三方面着手论述“热证可灸”,以期提高人们对灸法的认识,对临床研究有所帮助,为扩大灸法在临床上的适应范围提供依据。In"Lingshu",it is said:"The prosperous will relieve it,the deficiency will replenish it,the heat will cause ill-ness.."It is believed that moxibustion is suitable for deficiency and cold,and acupuncture is suitable for actual heat.""Treatise on Febrile Diseases"proposes that moxibustion can cause yellowing,delirium,panic,blood in the stool,dry mouth,rotten tongue,irritability,etc.,and aggravate the condition.From ancient times to the present,many physicians have been influenced by Zhong Jing and insisted on the viewpoint of prohibiting moxibustion with heat syndrome.However,the"Su Wen·Zhi Zhen Yao Da Lun"mentioned that"the upright is the rule,the opposing one opposes the rule","the adversary is the rule,the follo-wer opposes the rule",It not only puts forward the regular method of"treating heat with cold and treating cold with heat".The abnormal treatment method of"treating cold with cold and treating heat with heat"is also proposed.The treatment of heat syn-drome by warming heat is an anti-treatment and follow-up treatment.It further elaborates that moxibustion can be used for heat syndrome.The author summarized and combed the related literature on moxibustion for heat syndrome in the past 1years,and discussed the theory of"heat syndrome can be moxibustion"from three aspects:theoretical discussion,mechanism discussion and clinical application,so as to improve people's understanding of moxibustion,and to expand the use of moxibustion.The scope of clinical adaptation provides a basis for clinical research.

关 键 词：艾灸 热证 热敏灸 

分 类 号：R245.8[医药卫生—针灸推拿学]