针灸传承与创新发展之间应有必要的张力——针灸经验处方的传承与穴位配伍规律研究的互动问题

Necessary Tension between Acupuncture Inheritance and Innovation and Development:The Interaction between the Inheritance of Empirical Prescriptions of Acupuncture and Moxibustion and the Study of Acupoints Compatibility

针灸临床的治疗方案普遍采用多个穴位组成的经验处方。对于许多疾病的针灸治疗,并没有确切的证据证明众多穴位配伍的疗效一定优于取用更少的穴位甚至取用单个穴位的疗效。研究提示,多个穴位组成的经验处方中可能存在着“滥竽充数”的无效穴位,这对于普遍采用多穴位处方的经验习惯提出了挑战,但经验惯性对这类挑战几乎没有做出过什么反应。对这一现状的原因进行了分析,认为针灸疗法的收费标准弱化了多穴位处方的经验习惯与穴位配伍规律研究之间的关系,并提出经验处方与穴位配伍研究之间需要维系必要的张力,以维持二者之间积极的互动关系。

The clinical treatment scheme of acupuncture and moxibustion generally adopts the empirical prescription composed of multiple acupoints.There is no definite evidence that the efficacy of multiple acupoints is better than that of fewer acupoints or even one acupoint for many diseases treated by acupuncture and moxibustion.The research suggests that some invalid acupoints may"be there just to make up the number"in the empirical prescription composed of multiple acupoints,which poses a challenge to the empirical habit of adopting multiple acupoints prescription generally,but the empirical inertia has hardly responded to such challenges.This paper analyzes the reasons for this situation.It is considered that the charging standard of acupuncture and moxibustion therapy weakens the relationship between the empirical habit of multiple acupoints prescription and the study of acupoints compatibility,and it is proposed that the necessary tension should be maintained between empirical prescription and acupoint compatibility in order to maintain positive interaction.