《灵枢官能第七十三》学术思想刍议

Academic Ideology of Guan Neng Di Qi Shi San in Spiritual Pivot

《灵枢官能第七十三》是为《黄帝内经·灵枢》的重要篇章。本文从"徐而安静,手巧而心审谛者,可使行针艾"、"必知天忌,乃言针意"、"用针之要,无忘其神"、"上工救其萌芽、不治已病治未病"、"明于五输,徐疾所在,屈伸出入,皆有条理"、"用针之理,必知形气之所在"、"泻必用方,补必用员"、"针所不为,灸之所宜"几个代表性语汇入手,就其中医针灸的学术思想特点进行讨论。《灵枢官能篇》论述了针灸医师必须具备性格平和沉稳、知识渊博、医德高尚的人品;必须具备正确辨证施治的医师基本功;还论及了针刺手法补泻、针和灸的不同适应症和治未病的理论;这些都为后世中医理论,特别是针灸理论的发展奠定了基础;其提出的因材施教的教育思想至今仍有指导意义。

Guan Neng Di Qi Shi San in Spiritual Pivot is an important part of the Spiritual Pivot in Yellow Emperor＇ s In- ner Classic. This paper mainly discussed the characteristics of acupuncture theory from eight typical theses. Guan Neng in the Spiritual Pivot mainly discussed that doctors must have a calm character, broad and profound knowledge, gracious medical ethics, and the basic skill of pattern differentiation and treatment. At the same time, it also discussed supple- mentation and drainage when acupuncture, the different adaptation diseases between acupuncture and moxibustion, and the theory of treating disease before its onset. All these theories established the foundation for the TCM medicine espe- cially the acupuncture - moxibustion theory. The educational thought of teaching students in accordance with their apti- tude in it has an instructional significance till present.