《针灸大成》手三里穴临床应用浅析

Analysis on the Clinical Application of Shousanli(LI10)in Zhenjiu Dacheng

目的通过整理《针灸大成》中关于手三里穴的记载,对其定位及临床应用的规律方面进行分析总结,以期为临床使用手三里穴治疗疾病提供一定理论参考。方法应用中医文献学的研究方法,从手三里穴的定位、刺灸法、临床应用3个方面,对《针灸大成》中有关手三里穴的记载进行整理。结果手三里穴位于曲池下二寸,按之肉起锐肉端处;可针可灸,是一个相对安全的穴位;临床应用广泛,可疏通经络治疗肢体经络病及头面五官病,调和气血治疗中风病、胃肠疾病、外科病等。结论《针灸大成》较为详细地记载了手三里穴所处的位置、归经等,这些特点与其临床应用关系密切,有助于对手三里穴的穴位本意有更深入的了解,也对临床应用有参考作用。

Objective By sorting out the literature records of Shousanli(LI10)in Zhenjiu Dacheng,and analyzing the rules of its location and clinical application,to provide certain reference and theoretical guidance for clinical use of Shousanli(LI10)in the treatment of diseases.Methods We used the philology research method and catalogued the records of Shousanli(LI10)in Zhenjiu Dacheng from the aspects of location,acupuncture moxibustion,and the clinical application.After that,we make a summary.Results The location of Shousanli(LI10)is tow cun below Quchi(LI11),at the muscle bulge.Needling or moxibustion or combined using are all fine.It can treat the meridian diseases and the diseases of head and face by dredging the channels.It can also treat the stroke disease,the diseases of surgical and gastroenteropathy,etc.Conclusion The location and meridian of Shousanli(LI10)are detailed in Zhenjiu Dacheng,which are closely related to its clinical applications.The deep understanding of the original intention may have reference value for the clinic.