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浅析《针灸大成》中内关穴的临床应用 被引量:10

Analysis on Neiguan in “Great Compendium of Acupuncture and Moxibustion”
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摘要 [目的]研究《针灸大成》中内关穴的相关文献记载,为扩大内关穴在现代针灸临床中的运用提供理论依据。[方法]整理《针灸大成》有关内关穴的条文,系统分析其定位、刺灸方法及临床应用规律,探讨内关穴的古今临床应用差异。[结果]《针灸大成》中内关穴定位在掌后横纹上二寸,两筋间,可针入三分、五分及一寸二分。内关穴为心包经之络穴,主治心胸虚实病证,配合阳池穴为主客原络配穴法可治疗三焦经病症。后世医家在此基础上演化出了本经原络配穴法及异经原络配穴法,使内关穴的现代临床应用更为广泛。内关穴又为八脉交会穴,通于阴维脉,可治疗神志疾病以及与阴维脉相关联的足三阴经、任脉及阳明经经脉循经所过病症。[结论]将《针灸大成》中内关穴的定位、刺灸法及临床应用规律进行总结对内关穴在现代针灸临床中的应用具有借鉴意义。 [Objective] By means of study of related literature records about Neiguan points in "Great Compendium of Acupuncture and Moxibustion", it is intended to provide a theoretical foundation for the application of Neiguan points in modem clinical acupuncture and moxibustion. [Method] Collect articles with regard to Neiguan points in "Great Compendium of Acupuncture and Moxibustion ", and systematically analyze its location, needling and moxibustion techniques, as well as clinical application law. To investigate the clinical application of differences between ancient and modern Neiguan. [Results] In "Great Compendium of Acupuncture and Moxibustion " , Neiguan points are located at 2-inch above palm strips. Needle can be penetrated into 3/10 inch, 1/2 inch, and 1.2inch between two tendons. Neiguan point is a collateral-connecting acupoint for pericardium meridian, and mainly treats cardiothoracic excess and deficiency related diseases. If matching with yangchi point, it can be called Yuan-primary point and collateral-connecting point combination that can treat triple energizer meridian related diseases. The Neiguan point is also regarded as the eight confluence point connecting Yinwci meridian that can treat mental diseases, Yinwei vessel is associated three yin meridians of foot diseases, conception vessel diseases and Yangming Channel penetration diseases. [Conclusion] It is concluded the location, needling therapy and clinical application law of Neiguan points in "Great Compendium of Acupuncture and Moxibustion ", which is of reference significance to the application of Neiguan points in modern clinical acupuncture and moxibustion.
出处 《浙江中医药大学学报》 CAS 2017年第5期430-431,446,共3页 Journal of Zhejiang Chinese Medical University
关键词 内关穴 针灸大成 络穴 八脉交会穴 原络配穴法 临床应用 Neiguan Great Compendium of Acupuncture and Moxibustion collateral point eight-channel confluent point method of combining the source points with the collateral points clinical application
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