《针灸大成》三阴交穴临床应用规律探析

Exploration of Clinically Applied Law of Sanyinjiao in Acupuncture Dacheng

通过整理《针灸大成》一书中有关三阴交穴的文献记载,对三阴交穴的腧穴定位、刺灸方法、针灸处方进行讨论,发现三阴交作为足三阴经的交会穴,临床上有广泛的适应症,除了可以治疗足太阴脾经经脉循行所过的疾病外,与肝脾肾三脏相关的疾病均可配伍使用。其临床适应症可概括为三个方面:内科疾病、外科疾病、妇科疾病。其中内科疾病又分为:脾胃系疾病、肝系疾病、肾系疾病等。组方特点上,三阴交可单独使用,也可以配伍其它穴位,临证须注意辨证施治、灵活选穴。

Through finishing the information about Sanyinjiao in Acupuncture Dacheng and discussing location of acupoints,acupuncture and moxibustion methods,acumoxibustion prescription,we find that Sanyinjiao has a wide range of indications,such as disease related to liver,spleen,kidney and the spleen meridian circulated. Its clinical indications can be summarized into three aspects： internal disease,surgical disease,gynecological disease. Internal disease can be divided into the spleen and stomach disease,liver disease,kidney disease. Sanyinjiao can be used alone and mixed with other points. Attention of syndrome differentiation and flexible acupoints selection should be paid in clinical use.