张伸景针灸学术思想探述

Discussion on Physician Zhang Zhongjing's Academic Thought of Acupuncture and Moxibustion

以《伤寒论》和《金匮要略》两书中涉及针灸的条文为依据,对张仲景的针灸学术思想进行了分析、探讨、归纳、总结,初步阐释了其针灸学术思想的重点,挖掘了其中的学术及临床价值,指出张仲景继承了《内经》中部分关于针灸的学术观点,并在此基础上有所创新,创立了六经辨证的理论体系,对穴位的主治范围有所补充;并且提出了"阴证虚证宜灸,阳证实证不宜灸"的针灸治疗原则,总结了误用灸法及烧针引起的变证及救治措施,以及针药的各有利弊,和针、灸、药并施或可增强疗效的学术观点。

In this study,Physician Zhang Zhongjing's academic thought of acupuncture and moxibustion was diseussed based on the provision of Treatise on Ex- ogenous Febrile Disease and Synopsis of the Golden Chamber.It is indicated that the academic thought of Zhang Zhongjing is partially originated from Huangdi's Canon of Medicine,and Zhang Zhongjing has innovated the thought,founded the theoretical system of syndrome differentiation of six meridians,and supplied the indications of acupoints.Meanwhile,the therapeutic principles of'moxibustion for yin syndrome and deficiency syndrome,acupuncture for yang syndrome and excess syndrome'were established,the manifestations and therapy of deteriorated syndrome induced by mis- use of moxibustinn and acupuncture with heated needle were summarized,the advan- tage and disadvantage of acupuncture and medicine were discussed,and the combina- tion of acupuncture,moxibustion and medicine enhancing the therapeutic effect was suggested.