新安医家汪机“治病无定穴”学术思想探析  

Exploration of Academic Thought on“No Fixed Acupoints for Treating Diseases”of Xin'an Practitioner Wang Ji

作　　者：纵艳平 王茎[2] 曾永蕾[3] 郭锦晨 高兵 李凌基 ZONG Yanping;WANG Jing;ZENG Yonglei;GUO Jinchen;GAO Bing;LI Lingji(School of Acupuncture,Moxibustion and Massage,Anhui University of Chinese Medicine,Hefei 230038 Anhui,China;Institute of Xin'an Medicine and Modernization of Chinese Medicine,Anhui University of Chinese Medicine,Hefei 230038 Anhui,China;Dept.of Oncology,the Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230061 Anhui,China;School of Traditional Chinese Medicine,Anhui University of Chinese Medicine,Hefei 230038 Anhui,China)

机构地区：[1]安徽中医药大学针灸推拿学院,安徽合肥230038 [2]安徽中医药大学新安医学与中医药现代化研究所,安徽合肥230038 [3]安徽中医药大学第二附属医院肿瘤科,安徽合肥230061 [4]安徽中医药大学中医学院,安徽合肥230038

出　　处：《广州中医药大学学报》2025年第2期409-414,共6页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(编号:81574084);安徽省教育厅重点项目(编号:KJ2021A0570,2023AH050796);安徽省重点研究与开发计划项目(编号:202004j07020045);新安医学教育部重点实验室开放基金项目(编号:2020xayx07);大健康研究院新安医学与中医药现代化研究所资助专项(编号:2023CXMMTCM022)。

摘　　要：汪机是新安医学杰出的代表人物,他在针灸学术思想方面多有建树,主要包含“针主泻实”“无病忌灸”以及“治病无定穴”等学术特色,历代学者对其“针主泻实”及“无病忌灸”理论的探讨颇多,而“治病无定穴”的研究内容却门可罗雀。该文探寻汪机生平及其代表著作,对汪机“治病无定穴”的辨证论治思想进行深入分析。汪机治病主张审经络、分气血、辨阴阳,选穴强调随证立方、随病用穴,对世医教条于“某穴主某病”的行为予以批判,告诫医者针灸治病须分经辨证,取穴施针,不可不知变通,墨守成规。Wang Ji is an outstanding representative of Xin'an medicine,he has made a lot of achievements in academic thought of acupuncture and moxibustion,which mainly contains the academic features such as“acupuncture treatment mainly purging excessive pathogen”and“use of moxibustion with caution for the disease-free person”,as well as“no selection of fixed acupoints for treating diseases”.The scholars in past dynasties did a lot of research on his theory of“acupuncture treatment mainly purging excessive pathogen”and“use of moxibustion with caution for the disease-free person”,but did less research on his theory of“no selection of fixed acupoints for treating diseases”,this paper explores Wang Ji's life and his representative works,and analyzes the theory of“no selection of fixed acupoints for treating diseases”.Wang Ji advocates the disease treatment principle of differentiation of meridians and collaterals,qi and blood,as well as yin and yang,and his acupoint selection rules focuses on flexible prescription according to syndrome differentiation,point selection according to disease differentiation,which critically criticizes the dogmatic behavior of the conventional theory that“a certain acupoint corresponding treatment for a certain disease”,he reminded the physicians that in treating disease by acupuncture and moxibustion,syndrome differentiation should be according to meridians and collaterals differentiation,acupoint application should be flexible and changeable.

关 键 词：新安医家 汪机 治病无定穴 分经辨证施治 同病异治 

分 类 号：R246.9[医药卫生—针灸推拿学]