条口穴用于肩关节周围炎治疗的起源初探

Research of the Origin of Treatment of the Scapulohumeral Periarthritis By Using Tiaokou(ST38)

条口穴在临床上广泛用于治疗肩关节周围炎,疗效确切,但此种治法的起源一直未明。自从《针灸甲乙经》首载条口穴以来,直至明清时期,针灸医籍(包括综合性医籍中的针灸专卷)中未曾记载用条口穴治疗肩部疾患。查阅近10年文献报道,临床用条口穴治疗肩周炎的验案众多,遗憾的是,均未曾注明出自何时何人之法。据本人所搜集到的资料,焦国瑞编著的《针灸临床经验辑要》是最早将这一治法收录到正规出版物中的,并作为肩周炎和肩痛症的主要治疗手段;胡学曾在1966年报道的“针刺条口透承山穴治疗45例肩凝症”,是本人所能查阅的文献中,最早应用此法的。虽然不能仅据此下定论,但胡氏和焦氏理所当然是早期将此治法推广和发扬的医家之一。

The acupoint Tiaokou(ST38) has been widely used to treat the disease of Scapulohumeral Periarthritis with good curative effect.But the origin of this method has not been discovered until now.Although there are many clinical reports about Tiaokou,nothing has been proved about its origin.According to the study,the book 'Abstract of Clinical Experience about Acupuncture'(JIAO Guo-rui) and the article 'Treatment of 45 Cases of the Scapulohumeral Periarthritis by Using Tiaokou through Chengshan(BL57)'(HU Xue-zeng) are the two earliest record of Tiaokou during the latest 10 years used for this disease.They are probably the doctors who first introduced this method to clinic.Author's address:Beijing University of Chinese Medicine,Beijing 100029,China