五输穴理论及其临床应用体会

【作者】 刘颖；

【导师】 李凤萍；

【作者基本信息】 北京中医药大学 ， 针灸推拿学， 2005， 硕士

【摘要】 本文从文献综述及本人临床应用体会两方面论述了五输穴。 在综述中首先从历史文献的记载论述了五输穴的渊源及发展。在最初的《灵枢经》中仅对除心经以外的十一条经脉,共五十五个腧穴名称来源、具体位置、经脉归属进行了记载,之后的针灸著作逐渐将其发展完善,确立了十二经五输穴的名称、位置、五行配属的理论,五输穴按季节、按主病、按病位、按虚实补母泻子等应用原则亦延用至今。其次,现代医家在古代理论之基础上进一步说明了五输穴何以以井为始,提出了五输-经别循行系统、五输穴全息论等理论,并利用现代实验手段开展了五输穴的研究,运用五输穴治疗疾病的范围亦更加广泛。 在第二部分总结了自己在临床运用五输穴的体会。有五输穴单独应用,有五输穴配合应用,还有补母泻子法的应用。其中有的应用印证了古代理论,也有的应用在原有理论基础上有所发挥。期望通过对五输穴理论及其运用的总结,更好地指导临床治疗。更多还原

【Abstract】 Five Shu Point are five specific points of the twelve regular channels which are named Jing-well, Xing-spring, Shu-stream, Jing-river, He-sea and sit below the elbow or knee. At first, that Five Shu Point are used ancient and nowaday clinic. Second, it is also introduced that how I choose Five Shu Point in clinic treatment. As the yang-qi goes upward in spring and summer. Qi of the body runs along the superficial layer of the body. So shallow needling is recommended. As the yang-qi goes downward in autumn and winter, deep needling is recommended. Muscles on the areas of Jing-well and Xing-spring points are superficial and thin and Jing-river and He-sea points are deep and thick. Therefore, select Jing-well and Xing-spring points in spring and summer and Jing-river and He-sea points in autumn and winter. The Five Shu Point may also be according to their therapeutic properties. For examples, the Jing-well point are selected for fullness in the epigastrium; the Xing-spring point for febrile diseases; the Shu-stream point for heavy sensation of the body and painful joints; the Jing-river point for cough and asthma due to pathogenic cold and heat; and the He-sea point for diarrhea due to perversive flow of qi. The Five Shu Point can be used to treat diseases according to the relations of the five zang-organs, Five Shu Point and Five Elements. For instantce, the Liver Channel relates to wood. The excess syndrome of the Liver Channel can be treated by reducing Xingjian (Liv 2) because Xingjian (Liv 2) attributes to fire. This is the principle of “reducing the son for excess syndrome ”; the deficiency syndrome of the Liver Channel can be treated by reinforcing Ququan (Liv 8) because this point attributes to water. This is the principle of “reinforcing the mother for deficiency syndrome ”.This method is known as reinforcing mother and reducing son of channel and point. When using the Five Shu Point in clinic, I also select Jing-well point for headache, aphonia, summering stroke, profuse menstruation; Xing-spring point for smellless, redness and pain of the eye, schizophrenia; Shu-stream point for sciatica, swell of the axilla and of the hemiplegia; Jing-river point for toothache, menstruation diseases; He-sea point for fu-organs diseases; the method is known as reinforcing mother and reducing son of channel and point for cough and asthma, hypertension, spontaneous sweating and night sweating.更多还原