《针灸大成》中神门穴临床应用规律探析

Analysis of Clinical Application Rules of Shenmenacupointin Great Compendium of Acupuncture and Moxibustion

目的:探讨《针灸大成》中神门穴的应用规律及理论依据,为现代针灸临床应用提供全面的理论指导。方法:整理《针灸大成》与神门穴相关的所有条文,系统分析其定位归经、刺法灸法、配伍补泻规律及临床应用方法,探讨神门穴的临床应用规律。结果:神门穴的定位在掌后锐骨端陷中,常针三分,灸可三壮或七壮,通常用原络配穴及同名经配穴等配穴方法,常用神门穴泻法治疗心经实证。神门穴善治神志病,神门为心经原穴,多用于治疗脏腑病,以心系病症应用较多,如心痛、心烦失眠、健忘失记、惊悸怔忡等,还可治疗喘逆、咳嗽、咽痛、呕血、遗溺等它脏病症及上肢经络瘀阻、舌吐不收及尸厥等经络病症。结论:神门穴临床应用方法多样,可治病种繁多,其配伍规律有迹可循,临证之时应辨证施治,对于神门穴的临床应用规律总结对其在现代针灸临床中的应用具有借鉴意义。

Objective To explore the application rules and theoretical basis of Shenmenacupoint in Great Compendium of Acupuncture and Moxibustion,so as to provide comprehensive theoretical guidance for the clinical application of modern acupuncture and moxibustion.Methods All articles related to Shenmenacupoint in Great Compendium of Acupuncture and Moxibustion were collated to systematically analyze its localization and channel tropism、acupuncture and moxibustion、acupoints compatibility rules、reinforcing and reducing methods and clinical application methods,so as to explore the clinical application rules of Shenmenacupoint.Results The positioning of Shenmenacupoint is in the sharp bone depression behind the palm,and acupuncture is often inserted into the shallow depth.Moxibustion often uses three or seven moxacones,usually use the Yuan-Luo acupoints or the same name meridian acupoint or other acupoint matching methods,andShenmenacupoint catharsis is commonly used to treat the symptoms of the heart channel of Hand-Shaoyin.Shenmenacupoint is good at treating mental diseases.Shenmenacupoint is the Yuan-Source acupoint of the heart channel of Hand-Shaoyin,it is mostly used in the treatment of viscera diseases,with heart-related diseases used more,such as heartache,upset insomnia,amnesia,palpitation,etc.,it can also treat asthma,cough,sorethroat,hematemesis,enuresis and other viscera diseases and upper limb meridian block,tonguecan not be recovered and syncope and other meridian diseases.Conclusion The clinical application methods of Shenmenacupoint are diverse,and there are many kinds of treatments.The compatibility rules can be traced,and the treatment should be based on syndrome differentiation when the symptoms are present.The summary of the clinical application rules of Shenmenacupoint has reference significance for its clinical application in modern acupuncture.