丰隆穴主治病症演变考略——兼与《中国针灸》“丰隆治痰”相关文章探讨  

Textual research on the evolution of therapeutic indications of Fenglong(ST 40):discussion on the related articles for"Fenglong(ST 40)for phlegm"published in Chinese Acupuncture and Moxibustion

作　　者：马强 MA Qiang(College of Acupuncture-Moxibustion and Tuina,Anhui University of CM,Hefei 230038,China)

机构地区：[1]安徽中医药大学针灸推拿学院,合肥230038

出　　处：《中国针灸》2024年第7期845-850,共6页Chinese Acupuncture & Moxibustion

基　　金：安徽省高校哲学社会科学研究项目:2023AH050699。

摘　　要：基于传世文献《黄帝内经》,结合《黄帝明堂经辑校》以及出土文献《天回医简》,认为秦汉时期诸医籍中丰隆穴主治病症多有重合,且所针对病机多为“气逆”,《黄帝明堂经》对部分症状的文字表述改写后,影响了后世医籍对丰隆穴主治的认识。在隋唐时期痰病理论构建的基础上,宋金元医家重视痰与气机之间的关系,窦汉卿针灸著述中治疗“痰饮”“痰喘”选取丰隆穴,也是针对“气逆”这一病机,并非针对“痰”之本身,且可结合“三里泻之,以去风”佐证。经《玉龙歌》《针方六集》强调丰隆穴与“痰”之间的关系后,自明代以来逐渐形成丰隆为“治痰要穴”这一认识。丰隆穴主治病症的形成与演变受文本传抄讹误、文化背景影响、病症名称表述形式转变以及医家自身临床经验等因素的综合作用。Based on Huangdi Neijing(Yellow Emperor's Internal Classic),combined with the Huangdi Mingtang Jing Ji Jiao(Compilation and Correction of Yellow Emperor's Mingtang Classic)and unearthed Tianhui Yijian(Tianhui Medical Bamboo Slips),it is recognized that the therapeutic indications of Fenglong(ST 40)were recorded repeatedly in many medical works of the Qin and Han dynasties;and the treatments mostly focus on"upward reversion of qi".In Huangdi Mingtang Jing(Yellow Emperor's Mingtang Classic),a part of symptoms were re-described textually,which affects the understanding on the indications of Fenglong(ST 40)in the medical works of the later generations.On the basis of the construction of phlegm theory in the Sui and Tang dynasties,the scholars of Song,Jin and Yuan dynasties had placed the emphasis on the relationship between phlegm and qi movement.In acupuncture works by Dou Hanqing,Fenglong(ST 40)was selected in treatment of phlegm dampness and phlegm-induced asthma,which is also based on the pathogenesis,"upward reversion of qi",rather than"phlegm"itself.This view can be understood by the proof of"reducing Zusanli(ST 36)for eliminating wind".The relationship between Fenglong(ST 40)and phlegm was emphasized in Yulong Ge(Jade Dragon Verse)and Zhenfang Liuji(Six Sets of Acupuncture Methods),after which,the understanding,"Fenglong(ST 40),the key point for phlegm disorders",had been formed gradually since the Ming dynasty.The formation and evolution of the therapeutic indications of Fenglong(ST 40)are influenced comprehensively by the errors in textual duplication,cultural background,changes in the term expressions of disorders,and the clinical experience of medical practitioners.

关 键 词：丰隆穴 腧穴主治 痰饮 针灸文献 

分 类 号：R245[医药卫生—针灸推拿学]