论子午流注针法之知常与达变

On “Knowing Routine Regularities and Making Flexible Management” in Midnight-noon Ebbflow Aided Acupuncture Treatment

子午流注针法因机械的推算模式,历来受到不少医家的质疑。笔者认为机械推算只是方法,辨证与创新才是子午流注针法的关键。本文通过梳理子午流注针法推算的关键问题,分析按时与择时、开穴与闭穴、流派与取舍等临床应用之关键环节,指出子午流注针法虽有一定的推算方法,但其每一步推算均需因人、因时、因地而宜,需辨证论治。所以学习和应用子午流注针法不可拘泥于机械的推算,应知常而达变,一方面全面继承其学术思想,另一方面结合当今之自然、社会环境,创新性地开展研究和应用。

The old theory of midnight-noon ebb-flow for selection of acupoints in acupuncture treatment of clinical disor- ders is mechanical in the calculation of the time （hours and days） of flowing and ebbing of qi and blood in terms of the heavenly stems and earthly branches, thus, it has been called considerable questibns by many Chinese physicians in different historical pe- riods. The author of the present paper holds that the time calculation is merely a method, only the symptom-differentiation and in- novation ideas are the key points for the acupuncture treatment. Following summarizing up the key points of this acupuncture ma- nagement, the present paper thinks that on-time and time-point selection, acupoint-open and acupoint-closing, academic schools and clinical choice-making are critical for clinical practice. It denotes that despite the midnight-noon ebb-flow acupuncture manage- ment has its special calculation method, but the calculation always differs from person to person, from time to time, and from place to place, and the best treatment is conducted according to syndrome-differentiation. Thus, when applying the midnight-noon ebb-flow acupuncture method, we should not adhere to mechanical calculation, and rather, thoroughly understand the conventional management regularities and make corresponding changes in the treatment of different clinical conditions, i.e., inherit the prede- cessors＇ excellent academic thoughts on one hand, and conduct innovation research and application on the basis of current natural and social environments on the other hand.