“开风路针”小考

Research on acupuncture for throat diseases in Qing Dynasty

对清朝中期喉科文献中相关针法部分进行整理,确定了《重楼玉钥》中"开风路针"的具体穴位和使用方法。结果表明,郑梅涧父子所谓的"开风路针"实际至少包括手部及头部两组穴位,依次应用于喉风轻症及重症,它们与极重症加用的第3组穴位一起归属于"气针"范畴。虽然在同期不同医著中所载穴位组成与使用步骤略有差别,但其治疗思想都是"予风邪以出路,从而发散风热结邪,流通气血"。

The accurate acupoint and application of acupuncture for throat diseases described in ZHENG Mei-jian＇s book Chonglou Yuyao（Jade Key to the Secluded Chamber） is clarified through exploration on recordings of the relative acupuncture skills in medical literatures of the mid-Qing Dynasty.It is found that the so called open-the-wind-way-acupuncture includes at least two groups of acupoints on the hand and the head,they are applied respectively for light and severe cases of sore-throat.Together with the third group of points which is used for the extremely severe cases,the three groups of points are all classified into the concept of qi-acupuncture.Although the composition of acupoints and process of application are different in recordings of various medical literatures in same periods,the treating principles are all focused on ＂opening the passage for elimination of the wind so as to remove the pathogenic wind-heat and promote blood circulation＂.