摘要
Objective: To elucidate the key effects of moxibustion points and quantity of moxibustion used in order to enhance the curative effect of moxibustion therapy. Methods: It analyzed the occurrence rules of acupoint heat-sensitization and its relationship to the moxibustion location and dose, in view of the original definition of acupoints in Nei Jing (Internal Canon) and the acupoint heat-sensitization in clinical practice. Results: (1) The original definition of acupoint is the reflecting area of a disease on surface of the body, which is individualized, motive and sensitive; (2) The location in which heat-sensitization is generated relating to a heat-sensitive acupoint, which therefore depicts the best choice for point selection and also the most accurate area to give moxibustion; (3) The heat-sensitization time can be taken as a clinical index to quantify the moxibustion dose, in order to apply sufficient moxibustion for each individual. Conclusion: The key points for enhancing the curative effect of moxibustion therapy are to identify heat-sensitive points and a scientific moxibustion dose.
目的:阐述灸位、灸量在提高灸疗疗效中的关键作用。方法:从《内经》对腧穴内涵的原始定义及临床热敏灸感的现象入手,论述热敏灸感的出现规律、与灸位、灸量的关系。结果:(1)腧穴的原始内涵是指个体化的、动态的、敏化态的疾病在体表的反映部位;(2)产生热敏灸感的部位是热敏态穴位,是灸疗的最佳选穴,也是施灸的准确部位;(3)以热敏灸感消失所需时间可作为指导悬灸科学定量(即达到个体化的充足灸量)的临床可操作的实用指征。结论:探感定位、科学定量是提高灸疗疗效的关键。