《痧胀玉衡》刺络放血在痧症治疗中的具体应用  

Application of Collateral Bloodletting from Sha Zhang Yu Heng(《痧胀玉衡》) for Treatment of Sha(痧)

作　　者：吴林纳 许瀚予 杨霖轩 王居义 畅明德 尚懿纯[2] 李桂平[3] WU Linna;XU Hanyu;YANG Linxuan;WANG Juyi;CHANG Mingde;SHANG Yichun;LI Guiping(The First School of Clinical Medicine,Yunnan University of Chinese Medicine,Kunming,,650500;Tianjin University of Traditional Chinese Medicine;First Teaching Hospital of Tianjin University of Traditional Chinese Medicine;Yunnan First People's Hospital;Baoshan Hospital of Traditional Chinese Medicine,Yunnan Province;Institute for the History of Chinese Medicine and Medical Literature,China Academy of Chinese Medical Sciences)

机构地区：[1]云南中医药大学第一临床医学院,650500 [2]天津中医药大学 [3]天津中医药大学第一附属医院 [4]云南省第一人民医院 [5]云南省保山市中医医院 [6]中国中医科学院中国医史文献研究所

出　　处：《中医杂志》2024年第17期1835-1838,共4页Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(81703968);天津市高等学校研究生教育改革研究计划项目(TJYG125);天津市卫健委中医中西医结合科研课题(2023086);天津市教学成果奖重点培育项目(PYGJ-032);天津中医药大学“杏林育贤班”质量工程建设项目(2021XLYX-18);天津中医药大学中医学院教育教学改革研究一般课题(ZYXY-2021-005,ZYXY-2022-001)。

摘　　要：痧症是因接触时行痧毒疠气而发的、以皮肤出现痧筋为特点的急性传染性疾病。《痧胀玉衡》论痧症治则治法,将实质为刺络放血的放痧法列为主要治疗措施。通过整理《痧胀玉衡》条文及验案,发现郭志邃主张痧症乃疫邪所致,皆属热毒,变化迅猛,故放痧治疗宜早,取气血双治、透气转卫之效。《痧胀玉衡》重点论述放痧时患者状态体位、针具材料、施治部位、刺激量及禁忌证等要领,并根据病位浅深,以配用方药、刮痧以断痧症病根。此外,在瘥后防复,饮食顾护方面亦有详述。Sha(痧) is an acute infectious disease characterised by the appearance of rashes on the skin, caused by exposure to epidemic toxin and pestilent qi. Sha Zhang Yu Heng(《痧胀玉衡》) discussed the treatment principles and methods, and listed collateral bloodletting as one of the main treatments. Through organizing the articles and proved cases, we found that the author believes Sha(痧) is caused by epidemic pathogen, belonging to heat toxin with rapid changes, so timely treatment for qi and blood simultaneously could achieve the effect of transforming qi into defensive qi. Sha Zhang Yu Heng focuses on patient's position during treatmet, the material of the needle, the site of treatment, the quantum of stimulation and the operation of the contraindications and other essentials. According to the depth of the disease location, use traditional Chinese herbal medicine, scraping together to identify the root of the disease. In addition, diet suggestions for the prevention of the recrudescence of disease are also described in detail.

关 键 词：痧症 刺络放血 《痧胀玉衡》 

分 类 号：R246[医药卫生—针灸推拿学]