“合谷”、“三阴交”下胎机制探析

Analysis on abortion mechanism of "Hegu" and "Sanyinjiao"

针灸下胎在中医古籍中记载丰富,其中"合谷"、"三阴交"使用频率位列第一。补"合谷"、泻"三阴交"的下胎机制有三:1)泻"三阴交"泻肝之阴血,补"合谷"可补气,使妇女机体处于气旺血衰的状态,不利于胎元生长导致下胎。2)泻"三阴交"使冲任失调,胎失所养;补"合谷"行气而导胎下行,而至下胎。3)泻"三阴交"使肝、脾、肾3脏功能失调,胎元不固;补"合谷"可补肺,肺主气降,气降太过终至下胎。

The application of acupuncture in aborting fetus was recorded in many ancient classics in TCM, in which ＂Hegu＂ and ＂Sanyinjiao＂ were the most frequently mentioned. The aborting mechanisms of reinforcing ＂Hegu＂ and purgation of ＂Sanyinjiao＂ was as follow： firstly, purgation of ＂Sanyinjiao＂ can purge the Yin blood from the liver, while reinforcing ＂Hegu＂ can supply Qi. These can make the woman in a state of excessive Qi and insufficient blood, which may be adverse to the growth of fetal origin and thus result in abortion. Sec- ondly, the purgation of ＂Sanyinjiao＂ will lead to disorder of chong and ren meridians and the fetus will lose its nourishment; the reinforcement of ＂Hegu＂ will promote the circulation of Qi and cause the fetus to go descending till miscarriage. Thirdly, the purgation of ＂Sanyinjiao＂ will result in the dysfunction of liver, spleen and kidney and the insecurity of fetal origin; the reinforcing ＂Hegu＂ can invigorate the lung, which governs Qi. The excessive lowering of Oi may lead to abortion.