《千金方》艾灸治疗妇科病的应用规律

Application Laws of Moxibustion in the Treatment of Gynecological Diseases in Important Prescriptions Worth a Thousand Gold for Emergency

目的:分析孙思邈代表作《千金方》中艾灸治疗妇科病的应用规律。方法:通过对《千金方》中有关艾灸治疗妇科病的条文进行提取,根据艾灸方法、疾病种类、病名、选取穴位、归属经络、穴位分类、所在部位、灸量等各要素进行归类,构建孙思邈艾灸治疗妇科病的应用规律数据表。结果:发现艾灸治疗在妇科病应用广泛,治疗疾病主要以赤白带下和不孕为主;腧穴以特定穴为主,其中以交会穴、五输穴和募穴居多;经脉以冲任二脉、肝经和肾经为主;在部位上主要应用于下腹部;在灸量上,单用艾灸以一百壮应用频次最多,其中募穴和交会穴都以一百壮为主;针刺与艾灸合用的艾灸壮数多为三壮。结论:孙思邈《千金方》艾灸治疗妇科疾病与现代既有差异,又有共性,其应用规律对现代临床及科研具有借鉴意义,值得进一步研究。

Objective:To analyze the application laws of moxibustion in the treatment of gynecological diseases in Important Prescriptions Worth a Thousand Gold for Emergency(Bei Ji Qian Jin Yao Fang)by SUN Simiao.Methods:Relevant clauses on moxibustion for gynecological diseases in Important Prescriptions Worth a Thousand Gold for Emergency were extracted and classified based on various elements such as moxibustion method,types of diseases,specific disease names,acupoint selection,meridian tropism,acupoint classification,location,and moxibustion dosage.A data table was constructed to summarize the application laws of moxibustion for gynecological diseases by SUN Simiao.Results:Moxibustion was found to be widely used in gynecological diseases,with the main focus on treating abnormal uterine discharge(either excessive or insufficient)and infertility.Specific acupoints were predominantly used,with confluence points,five transport points,and alarm points being the most common choices.The main meridians involved were the thoroughfare and conception vessels,liver meridian,and kidney meridian.The lower abdomen was the primary location for moxibustion therapy.The most frequently used moxibustion dosage was 100 moxa cones,especially for alarm points and confluence points.When combined with acupuncture,the moxibustion dosage was often three moxa cones.Conclusion:SUN Simiao′s moxibustion therapy for gynecological diseases in Important Prescriptions Worth a Thousand Gold for Emergency shows both differences and similarities compared with modern practices.The application laws described in his work have valuable implications for modern clinical practice and research,warranting further investigation.