子午流注针法时间标准探析

Discussion on Time Standards of Acupuncture Based on Ziwu Liuzhu

《内经》在医学史上最早提出了比较系统的时间生物医学思想,其基本核心是"天人相应",理论基础源自于《内经》的子午流注针法,是临床上常用、有效的传统时间针法之一,其取穴的重要依据是时辰的干支,而时辰的干支是根据具体的时间推算出来的,所以采用什么样的时间标准来推算时辰,这是子午流注针法的关键。该文溯本求源,从《内经》中讨论古人关于太阳在疾病发生发展过程中的作用,从中国历史上主要的记时制度来分析古代时辰的制定依据——太阳视运动,认识到应采用真太阳时间作为子午流注针法的时间标准,临床中子午流注针法的疗效才能更好的发挥。

Systematic chronomedicine was originally proposed by Huangdi＇s Classic in medical history. Correspondence between man and universe, that＇s the core concept. Ziwu Liuzhu, as the theory base of Huangdi＇s Classic, is a useful and effective acupuncture method on schedule. Designation of days and hours in terms of the heavenly stems and earthly branches is held as an important basis for point selection according to the ancient acupuncture theory of Ziwu Liuzhu. While the heavenly stems and earthly branches are predicted on the base of particular times. Therefore, what standard of time should be adopted is essential for acupuncture based on Ziwu Liuzhu. The thesis tracks down the origin and development, discusses the effection of sun in the developing process of disease, and the regulation of ancient time in day and night. It proposes that real solar time should be adopted as the time standard for acupuncture based on Ziwu Liuzhu in the view of analysis if the theory itself and history background of the generation of the theory.