张仲景《伤寒杂病论》针刺期门穴旨要探析  

ZHANG Zhongjing s Intention on Needling LR14 in Treatise on Cold Damage and Miscellaneous Diseases

作　　者：赵沛涵 徐爽 赵京博 钟相根[1] ZHAO Peihan;XU Shuang;ZHAO Jingbo;ZHONG Xianggen(Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学,北京100029

出　　处：《针灸临床杂志》2024年第8期95-98,共4页Journal of Clinical Acupuncture and Moxibustion

基　　金：国家重点研发计划,编号:2019YFC1709200、2019YFC1709201;北京中医药大学教育科学研究课题,编号:XJZX2019。

摘　　要：《伤寒杂病论》中仲景针刺处方出现频次最高者当属期门穴,历代医家多从调肝经之气,开启“周期之门”释其用义。本研究基于文字考证及两汉针灸学术视角探究期门之腧穴含义、归经特性和特定穴属性,认为期门穴命名取象汉代武官名,隐喻其有护卫心主之特性;其特性主要源自特定穴属性,作为肝之募穴乃脏气盛聚之处,刺之可泻血分之热盛。本研究归纳分析仲景刺期门穴条文,仲景针刺期门穴用于尸厥乃行气滞血结、护卫心主;治疗肝乘肺、肝乘脾证乃因期门为肝之募穴以泻其过亢;用在谵语证乃取其护心主、醒神志和泻肝之血分邪热,以针刺之法行急救醒神之功。In the Treatise on Cold Damage and Miscellaneous Diseases by Zhongjing,the most frequently mentioned acupoint is undoubtedly the Qimen(LR14)point.Throughout the ages,medical experts have often interpreted its usage from the perspective of regulating Liver meridian Qi and opening the gateway of the menstrual cycle to explain its significance.This study explores the meaning of LR14,its tropism feature and specific attributes of acupoints from a textual and academic perspective on acupuncture in the Han and Wei dynasties.It suggests that the naming of LR14 is derived from the names of Han Dynasty military officials,symbolizing its characteristic of guarding the Heart.Its main characteristic stem from specific attributes as it serves as the gathering point of Liver-Qi,and needling it can dissipate the excess heat of blood.This study analyzes Zhongjing s description of needling LR14,indicating its use in treating symptoms such as cold-induced collapse due to stagnation of Qi and blood,and safeguarding Heart.It is also used in cases of Liver overacting on Lungs and Liver overacting on Spleen to disperse excess Liver-Qi;for delirium,it is utilized to protect Heart,awaken Shen,and dissipate heat and evil of Liver-blood,employing acupuncture techniques to quickly revive consciousness in emergency situations.

关 键 词：伤寒杂病论 期门 张仲景 针刺 考据 

分 类 号：R245.2[医药卫生—针灸推拿学]