基于《针灸甲乙经》文献的飞扬穴命名及内涵挖掘研究

Nomenclature of Feiyang(BL 58) and its connotation exploration based on A-B Classic of Acupuncture and Moxibustion

《针灸甲乙经》作为现存最早的针灸学专著,有着不可替代的文献价值,对后世产生了巨大影响。飞扬为膀胱经络穴,在《针灸甲乙经》中共出现11次,对其腧穴命名以及临床内涵的挖掘颇具代表性。本文通过对飞扬穴正名、别名的文字内涵考证,发现飞扬穴的命名主要以症状、循行特点、针刺效果为依据,印证并突出了该穴经气升腾宣散飞扬的独特穴性。同时,通过对影宋版《黄帝三部针灸甲乙经》及《经络腧穴学》教材的比较,发现飞扬穴的功能主治范围、内涵比教材所述更为广泛丰富,有助于扩大临床应用范围。

A-B Classic of Acupuncture and Moxibustion（Zhen Jiu Jia Yi Jing） is the earliest and existed well-known work on acupuncture and moxibustion, with irreplaceable literature values and huge impacts on the later generations. Feiyang（BL 58） is the luo-connecting point of the bladder meridian and recorded 11 times in A-B Classic of Acupuncture and Moxibustion. This book is the representative for the exploration on the acupoint nomenclature and clinical connotation. Through the investigation on the textual connotation of the specified terms and the alias of Feiyang（BL 58）, it was discovered that the nomenclature of this acupoint was based on the main symptoms, the characters of the running course of meridian and acupuncture effects. It was proved that the unique property of this acupoint was as rising, dispersing and flying of meridian qi. In comparison of Huangdi Three-Version of A-B Classic of Acupuncture and Moxibustion（Huangdi Sanbu Zhen Jiu Jia Yi Jing） of the printed edition of the Song Dynasty version and Meridian-Collateral and Acupoints（Zhen Jiu Shu Xue Xue）, it was found that the indications and connotation of Feiyang（BL 58） were more extensively richer than the records in teaching materials. Those study results contribute to the extension of the clinical application of this acupoint.