李志道“组穴”应用规律与特色精要  

Application rules and characteristics of Professor LI Zhidao's "group acupoints"

作　　者：赵志恒[1,2] 赵曼霖 徐家淳 李志道 李岩 ZHAO Zhiheng;ZHAO Manlin;XU Jiachun;LI Zhidao;LI Yan(Encephalopathy Acupuncture Center,Second Affiliated Hospital of Tianjin University of TCM,Tianjin 300250,China;Intangible Cultural Heritage Studio of Li's Flying Channel Acupuncture Therapy,Tianjin 301617;Graduate School of Tianjin University of TCM;Tianjin University of TCM;Tianjin Public Security Hospital,Tianjin 300050)

机构地区：[1]天津中医药大学第二附属医院脑病针灸中心,天津300250 [2]李氏飞经走气针刺法非遗工作室,天津301617 [3]天津中医药大学研究生院 [4]天津中医药大学 [5]天津市公安医院,天津300050

出　　处：《中国针灸》2025年第2期227-232,共6页Chinese Acupuncture & Moxibustion

基　　金：国家自然科学基金面上项目:82174191;天津市教委科研计划项目:2022KJ181;天津中医药大学教育教学改革研究课题项目:2023YJY009;李岩天津市名中医传承工作室;天津中医药大学第二附属医院“薪火相传计划”后备人才项目。

摘　　要：李志道教授临证仿中药相须、相使原则,提出“组穴”这一腧穴组合应用形式,其理论基础是“腧穴所在,主治所在”的治疗作用,以及古典刺法作用于腧穴的特定应用。组穴分布遵循《针灸甲乙经》腧穴“头身分部,四肢分经”的铺陈顺序,具有“头身分部,重视腧穴与脏腑关系”和“四肢分经,强调神经肌肉的分布”的规律。组穴的临床应用具有鲜明特色,即驾驭针感是组穴应用的针刺精髓;穴刺结合是组穴应用的基本要求;分步针刺是组穴治疗的取效关键。组穴配合一定的刺法,能进一步提高腧穴的应用效率及作用。Professor LI Zhidao puts forward the application of"group acupoints"in his clinical practice by imitating the mutual reinforcement and mutual assistance of Chinese herbal medicine.It is based on the theory as"where is the acupoint located,what are the indications of this acupoint";and consists with the specific actions of ancient needling techniques at acupoints.The distribution of"group acupoints"is in line with the"located by the region division of the head and trunk,and by the meridians on the four extremities",which is recorded in Zhenjiu Jiayi Jing(the Systematic Classic of Acupuncture and Moxibustion).It shows"the importance of the relationship between acupoints and zangfu",and"the emphasis on the distribution of nerves and muscles"respectively.In clinical practice,controlling needling sensation is the essence of this technique at"group acupoints",the integration of acupoints and needling technique is the basic requirement,and the step-by-step needling manipulation is critical for obtaining the therapeutic effect."Group acupoints"combined with specific needling technique advance the application efficiency and the effect of acupoints.

关 键 词：组穴 腧穴 经络 解剖 神经 肌肉 名医经验 李志道 

分 类 号：R246[医药卫生—针灸推拿学] R249[医药卫生—中医临床基础]