石门穴“女子禁不可灸”的中医理论探微

On “the moxibustion shouldn ’t be applied at Shimen (CV 5) on female”

对石门穴"女子禁不可灸"的中医理论进行探讨,为石门穴的临床合理应用提供理论指导。以文献研究为基础,通过挖掘中医古籍中石门穴"女子禁不可灸"的相关记载,从古籍记载、注文考究、石门穴与女子有子的生理联系、其解剖位置及与奇穴"绝孕穴"关系等角度对石门穴"女子禁不可灸"的相关中医理论进行深入探究。研究提示,石门穴作为禁忌穴,临床中应用石门穴为女性患者治疗要引起重视,针刺手法宜补不宜泻,且谨慎选择石门穴的艾灸疗法,尤其孕妇慎用石门穴。

The TCM theory ＂moxibustion shouldn＇t be applied at Shimen（CV 5） on female＂ is discussed in thisarticle, which provides theoretical instruction on proper clinical application of Shimen（CV 5）. Based on literature study, ancient classics concerning contraindication of ＂moxibustion shouldn＇t be applied at Shimen（CV 5） on female＂ were studied. TCM theory ＂moxibustion shouldn＇t be applied at Shimen（CV 5） on female＂ was explored profoundly through ancient record, physiological relations between Shimen（CV 5） and pregnancy, the relation between the anatomic structure of Shimen（CV 5） and the extra acupoint Jueyun Xue. And the result indicated that as an acupoint with contraindications, Shimen（CV 5） should be attached with great importance in its clinical practice on female patients. Reinforcing manipulation should be given instead of reducing. Moxibustion should be applied with cautiousness on the point, especially during pregnancy.