论灸壮与灸效

Discussion on cone and effect of moxibustion

影响艾灸疗效的核心因素是灸量与灸位。灸法在临床上日益受到重视,但仍存在疗效不稳定、适用病证有局限等问题,解决的关键是厘清艾灸的量效关系。笔者通过分析古人施灸理念,阐释用灸方法,认为古人用灸以足量为要;对现代医家关于艾灸壮数的研究进行总结,发现随着艾灸壮数的增加,灸效多随之提升;近现代名家用灸,贵在量足发灸疮。故对于急病、重病、慢病,应该在准确辨证的前提下,选择合适灸法,使用饱和灸量,结合灸感定灸位,适当发灸疮,提升艾灸的治疗效果。

The core factors affecting the curative effect of moxibustion are moxibustion volume and moxibustion position.The amount of stimulation is an important factor in the effect of moxibustion,which is paid attention to increasingly,and has the problems of unstable efficacy and limited diseases.By analyzing the ancient concept of moxibustion and explaining the methods of moxibustion,the authors believe that the ancient people should use enough moxibustion;It is found that with the increase of moxibustion cone number,the moxibustion effect increases;Modern famous experts use moxibustion to measure enough moxibustion sores.There is still a gap between the curative effect of moxibustion and the ancients.The authors believe that clinically,for acute,serious and chronic diseases,on the premise of accurate syndrome differentiation,we should select appropriate moxibustion,use saturated moxibustion volume,determine the moxibustion position in combination with moxibustion feeling,appropriately send moxibustion sores and improve the therapeutic effect of moxibustion.