阿是取穴法源流论

Origin and development of Ashi point locating method

梳理阿是穴理论源流,认为阿是穴本质上是一种取穴方法,适用于所有腧穴的定位。此法导源于《内经》,是早期的主要取穴方法,与《内经》的腧穴形态相应,通过切诊揣度以取穴。这一取穴法可以广泛适用于腧穴的临床定位,而且阿是之法亦不局限于局部压痛。《千金要方》提出阿是穴的概念,在腧穴归经的背景下,渐渐演变为与经穴、奇穴平行的类穴。这一过程造成了临床取穴方法的变异:经穴、奇穴以骨度分寸法为主取穴,阿是穴则以寻按揣穴法定位,分类之后的取穴方法渐渐背离了经典与临床实际。

The origin and development of the Ashi point theory are arranged, it is believed that the essence of Ashi point is a point locating method and it is suitable for the location of each acupoint. Originated from Neijing （Internal Classic）, this method is the primary point locating method in ancient times, corresponding to the forms of acupoints in Neijing （Internal Classic）, the points are located though palpation. This point locating method can be widely used to locate the points clinically, what＇s more, the Ashi method is not limited to use for local ten- derness. Ashi point got its conception from Qianjin Yaofang（Prescriptions Worth a Thousand Gold）, under the background of acupoint channel tropism, it gradually evolved to a certain kind of point that parallel to the regular point and extra point. This process changed the clinical point locating method：regular point and extra point are lo- cated according to proportional bone measurement, while Ashi point is located by palpation. However, it betrays the classic and clinical practice gradually.