《灵枢》“心痛,当九节刺之”辨析

Analysis on the Method for Treating Heartache in Lingshu:"Heartache,pierce the Jiujie"

通过对《灵枢·杂病》中“心痛,当九节刺之”的考释及其注解的辨析,认为刊本中的“九节次之”为音释之异文,而“九节”应指筋缩穴,“上下求之”则是上求之至阳穴,下求之中枢穴。意为心痛发作时针刺并按压筋缩穴,疼痛立止,若不止则取至阳穴、中枢穴。此句是治疗心痛发作的重要方法,首言筋缩疗心痛之效,强调按法,以痛为腧,具有重要的临床实践意义。

In the chapter Zabing of Lingshu,there is a method for treating heartache,which is"heartache,pierce Jiujie".Based on the research and interpretation of this sentence and the analysis of the annotations,the paper believes that the"Jiu Jie Ci Zhi"in the published version is a variant of the pronunciation interpretation,while"Jiu Jie"should refer to Jinsuo(GV 8)."Shang"means Zhiyang(GV 9)."Xia"means Zhongshu(GV 7).It means that when the heartache occurs,acupuncture and pressing Jinsuo(GV 8),the pain will disappear immediately.If there is no effect,the points should be Zhiyang(GV 9)and Zhongshu(GV 7).This is an important method for the treatment of heartache attacks.It first mentions the effect of the Jinsuo(GV 8)in the treatment of heartache,emphasizing the method of press,and taking pain as the anchor,which has a high clinical practical significance.