基于《素问·遗篇》运气学说防治脏腑疾病针刺法探究

Study on Acupuncture Methods of Preventing and Treating Zang-Fu Organs Diseases Based on Theory of Circuit and Qi in Chapter 72 of Suwen

《素问·遗篇》提出了根据运气学说防治脏腑疾病的针刺方法。其一,由岁气升降不及、气交异常可导致五脏受害,出现一系列证候,此可为临床提供诊断依据;其二,从六气升降太过不及、五运之气未能迁正及退位、刚柔失守而三年化疫、五脏三虚等几方面介绍了起病病机及具体的针刺方法,示人以圆机活法,是古人治未病的典范;最后,为强身固本、抵御外邪,还介绍了保真固元的针刺方法,此对临床选穴配穴有一定的指导意义,可考虑传承并创新运用于防治疾病。

In Chapter 72 of Suwen,acupuncture methods of preventing and treating zang-fu organs diseases are proposed according to the theory of circuit and qi.Firstly,the injury of five-zang organs,caused by the deficient ascending and descending of dominate qi and the abnormal interaction of yin and yang,leads to a series of syndromes,which can provide reference for clinical diagnosis.Secondly,the pathogenesis of diseases and specific acupuncture methods are introduced from the aspects of the excessive or deficient ascending and descending of six qi,the failure of five-circuits qi migrating to its original position or moving to other positions,imbalance of yin and yang resulting in serious diseases in several years and deficiency of several zang organs,which is the model of the ancients to treat diseases before they arise and thus instructs us to use the acupuncture methods according to different syndromes.Thirdly,in order to strengthen the body and consolidate the foundation as well as resist the external pathogens,the acupuncture method of preserving true qi and consolidate original qi is also introduced,which has certain guiding significance for clinical point selection and collocation.Therefore,the theory can be considered to be inherited and innovatively applied in the prevention and treatment of diseases.