阿是穴的古往今来

Exploration on the development of ashi point of all ages

阿是穴是无固定部位、无具体名称、依据疾病的不同性质选取多种治疗方法的腧穴。马王堆出土的帛书中有关针灸的记载是阿是穴及"阿是之法"产生的根源;《黄帝内经》是阿是穴提出的重要理论依据;唐代医家孙思邈首创"阿是"之名,立"阿是之法",在《备急千金要方》中进行了记载;后世医家对阿是穴的命名不一。现代腧穴研究丰富和发展了阿是穴的内涵。理清阿是穴、压痛点、肌筋膜触发点和"反阿是穴"这四者之间的关系,对针灸的靶向治疗具有极其重要的指导意义。

ashi points have no fixed location or name. They are the points selected according to different nature of the diseases. There were a large number of the records on acupuncture in the silk manuscripts discovered in Mawangdui, which were the origin of the ashi points and ‘ashi method＇; Huangdi Neijing provided important theoretical evidences for the proposal of ashi points. SUN Si-miao, a famous doctor in Tang Dynasty, created the name ashi points and ‘ashi method＇, which were recorded in Beiji Qianjin Yao Fang. Physicians of later ages had different names of the concept of ashi points. Modern acupoints research riches and develops the connotation of ashi points. To identify the relationship among ashi points, tender points, myofascial trigger points and anti-ashi points is very important in the target treatment with acupuncture.