浅析《救伤秘旨》中的辨穴施治

Analysis of the Treatment according to Acupoint in Secret Points for Rescuing Traumatology

辨穴施治思想最早见于异远真人所创立的“血头行走穴道歌”,歌中将十二个时辰内人身气血循环的“血头”分别对应到相应的穴道上。而后赵廷海所著的《救伤秘旨》和《救伤秘旨续刻》将此思想进一步发展,总结出“三十六致命大穴”,在治疗上以“十三味总方”为主方,依据穴位及证候的轻重加减用药,形成极具特色的辨穴施治理论。其特点主要有定位准确、辨伤轻重加减用药和重视预后判断,对于局部的肿痛或轻度的震荡伤具有显著的疗效。这些辨穴施治临床经验如今依然具有较高的学术价值和临床意义。

The idea of the treatment according to acupoint is first seen in the Xuetou Xingzou Xuedao Ge,which is created by Yiyuanzhenren.In this song,the“Xuetou”of human Qi and blood circulation in twelve hour corresponds to the corresponding acupoint respectively.Then in Zhao Tinghai's Secret Points for Rescuing Traumatology and Sequel of Secret Points for Rescuing Traumatology will further develop this idea,summed up“thirty six deadly acupoint theory”,in the treatment of“general prescription of thirteen flavors”as the main prescription,with the weight of acupuncture points and syndrom increased and reduced medication,forming a very distinctive acupoint treatment theory.It is characterized by accurate positioning,distinguishing the severity of the injury and paying attention to prognostic judgment,and has a significant effect on local swelling pain or mild concussion injury.These valuable clinical experience of treatment according to acupoint still has high academic value and clinical significance.