浅析《中华医典·普济方》中针灸“肩痹症”之规律  

Analyse the Rules of Acupuncture for“Arthromyodynia of Shoulder”in Chinese Medical Code·Puji Prescription

作　　者：陈飞宇[1] 刘小平[1] CHEN Feiyu;LIU Xiaoping(Hangzhou TCM Hospital Affiliated to Zhejiang Chinese Medical University,Hangzhou(310007),China)

机构地区：[1]浙江中医药大学附属杭州市中医院,杭州310007

出　　处：《浙江中医药大学学报》2025年第3期351-355,共5页Journal of Zhejiang Chinese Medical University

基　　金：浙江省中医药科技计划项目(2022ZA112、2022ZB242);杭州市医学重点学科建设项目(OO202000097)。

摘　　要：[目的]分析《普济方》针灸治疗“肩痹症”的规律,以期为肩关节痛的治疗带来启发。[方法]检索《中华医典·普济方·针灸》,从穴位处方、归经情况、刺灸法、症状体征进行整理,总结《普济方》针灸治疗“肩痹症”的规律。[结果]穴位处方:载穴54个,单穴处方占80.0%,肩髃穴最多;多穴处方占20.0%。穴位分布依次为上肢、肩胛、肩、背、颈、腹、胸、腰、耳、头,上肢最多,占52.1%。归经情况:涉及经脉10条,依次为手阳明大肠经、手太阳小肠经、手少阳三焦经、足太阳膀胱经、手太阴肺经、足少阳胆经、足厥阴肝经、手少阴心经、足阳明胃经、督脉,其中手阳明大肠经占比最高,占26.7%。刺灸法:灸法占74.4%,均为直接灸(麦粒灸),针刺占25.6%。症状体征:最多为“痛”,占67.3%;活动受限以“不举”为最多,占64.1%。全书学术上受宋代影响大,对穴位的主治功效描述具体,操作量化、宜忌分明。[结论]《普济方》中针灸治疗“肩痹症”,依据不同症状及体征选穴,注重灸法,结合经筋理论,值得现代针灸借鉴。[ObjectiveObjective]To explore the characteristics of acupuncture and moxibustion in the treatment of“arthromyodynia of shoulder”in Puji Prescription,so as to bring inspiration to the treatment of shoulder-related soft tissue diseases.[MethodsMethods]Chinese Medical Code·Acupuncture and Massage·General Theory·Puji Prescription·Acupuncture and Moxibustion was searched,and the rules of acupuncture and moxibustion treatment of“arthromyodynia of shoulder”were sorted out from four aspects:acupoints,meridians,acupuncture and moxibustion,symptoms and signs.[ResultsResults]Acupuncture prescription:There are 54 acupoints,with single acupoint prescriptions accounting for 80.0%,and the most frequent acupoint is Jianyu.Multiple acupoint prescriptions account for 20.0%.The distribution of acupoints is in the following order:upper limbs,scapula,shoulder,back,neck,abdomen,chest,waist,ear and head,with the upper limbs appearing the most frequently,accounting for 52.1%.Meridian involvement:It involves 10 meridians,in the order of the Large Intestine Meridian of Hand-Yangming,Small Intestine Meridian of Hand-Taiyang,Tri-Jiao Meridian of Hand-Shaoyang,Bladder Meridian of Foot-Taiyang,Lung Meridian of Hand-Taiyin,Gallbladder Meridian of Foot-Shaoyang,Liver Meridian of Foot-Jueyin,Heart Meridian of Hand-Shaoyin,Stomach Meridian of Foot-Yangming and the Governing Vessel,with the Large Intestine Meridian of Hand-Yangming having the highest proportion of 26.7%.Moxibustion and acupuncture techniques:Moxibustion accounts for 74.4%,all of which are direct moxibustion(grain-sized moxibustion),while acupuncture accounts for 25.6%.Symptoms and signs:The most common is“pain”,accounting for 67.3%,and the most frequent limitation of movement is“inability to raise”,accounting for 64.1%.The academic content of the book is greatly influenced in the Song Dynasty,with specific descriptions of the main therapeutic effects of acupoints,quantified operations,and clear indications and contraindications.[ConclusionConclusion]In Puji Pr

关 键 词：肩痹症 《中华医典》 《普济方》 针灸 肩痛 肩不举 肩髃穴 灸法 

分 类 号：R245[医药卫生—针灸推拿学]