血会膈俞之理论探微

Exploration of The Theory of Blood Confluence to Geshu

古代医家认为“血会膈俞”主治一切血证,多用于治疗心痛、胸痛、痹证及呃逆、呕吐、不欲食、神志病等病证,该理论一直沿用至今。基于“心主血脉”“肝藏血”等理论,心俞、肝俞又分别为心和肝的背俞穴,近年来关于心俞、肝俞治疗心血管疾病等方面的临床研究逐渐增多,不少医者在临床提出“血会心俞”“血会肝俞”的观点,质疑“血会膈俞”的指导性意义。基于此争议点并通过查阅大量文献,从心俞在临床治疗体现心主神明而非心主血脉的功能特点,肝俞在临床治疗上体现肝主疏泄而非肝藏血的功能特点,“血会膈俞”的合理性这三个方面展开论述,认为“血会膈俞”更具有指导性意义和合理性,并为临床治疗血证提供思路。

Ancient doctors believe that Geshu(BL17),where blood assembles,is often used to treat heartache,chest pain,arthralgia syndrome,hiccups,vomiting,lack of appetite,mental disorders and other syndromes.This theory is still in use today.According to the theories that heart governs blood and liver stores blood,as well as the increasing clinical studies on the treatment of cardiovascular diseases by Xinshu(BL15)and Ganshu(BL18),the back-shu points of heart and liver.In recent years,many doctors proposed that blood assembles in heart and liver.After reviewing a large number of literatures,author argues Xinshu's(BL15)clinical efficacy implies that heart controls mental activities rather than governs blood,and Ganshu's(BL17)clinical efficacy reveals that liver governs regulating rather than stores blood.Finally,author proves that Geshu is more instructive and reasonable and provided some ideas for clinical treatment of blood syndrome.As a result,the idea that blood assembles in Geshu(BL17)is more reasonable and instructive,which may provide some ideas for clinical therapy of blood syndrome.