“五十九刺”定穴探微

Acupoints Locating in "Fifty-Nine Needling"

“五十九刺”是《灵枢经》中记载治疗热病的一种具体操作方法,历代医家在文献著作中对其多有关注。但因原文缺少对这五十九个穴位的确切说明,且古今医家对于其中部分穴位定位的观点认识也存在差异,导致了临床对于针灸治疗热病及相关研究也受到了一定程度的制约。针对五十九个穴位的争议之处,笔者认为,“两手外内侧各三”应指少商、商阳、中冲、关冲、少泽、少冲;“耳前后口下者各一”应指耳门、完骨;“项中一”应指哑门。明确“五十九刺”中五十九个穴位的定穴,对于临床治疗热病有着重要意义。

"Fifty-nine needling" is a specific operation method recorded in Ling Shu Jing for the treatment of fever, so physicians in the past dynasties paid much attention to it in the literature.However, due to the lack of exact descriptions of these fifty-nine acupoints in the original text, and the differences in the views and understandings of ancient and modern physicians on the positioning of some of these acupuncture points, clinical research on acupuncture treatment of fever and related research has also been restricted to a certain extent.In response to the controversy over the fifty-nine acupuncture acupoints, the author believes that "three on the outer and inner sides of both hands" should refer to Shaoshang, Shangyang, Zhongchong, Guanchong, Shaoze, and Shaochong acupoints;"one before and after ears and one under mouth" should refer to Ermen and Wangu acuoints;"one in back neck" should refer to Yamen acupoint.Defining the location of the fifty-nine acupoints in the "fifty-nine needling" is of great significance for the clinical treatment of fever.