《针灸甲乙经》妇人杂病辨证论治规律的探析

Analysis on the law of syndrome differentiation and treatment of miscellaneous diseases of women in A-B Classic of Acupuncture and Moxibustion

《妇人杂病篇》作为《针灸甲乙经》中妇科病的一篇专论,含有丰富的妇科针灸临床理论。研究表明,该篇通过独特的内容安排,确立了以“无损不足,益有余”为核心的妇科病针灸治疗总则,通过以部列穴的方式,凸显了妇科病症的辨证论治规律。通过梳理《针灸甲乙经·妇人杂病第十》的内容安排、选穴规律,发现皇甫谧对妇人杂病的治疗具有独特的辨证论治规律。辨病位多从冲、任、带、肾、肝、脾、胃经络及肝、脾、肾三脏论之;辨病因多从寒、热、湿、瘀论之;辨病性多从气滞、血瘀、寒凝、热壅论之;病势多从有余不足论之。治疗方面,多采用阴病治阳、上病下治、补虚泻实等治疗原则,并结合腧穴的近治作用、远治作用、特殊主治作用,进行选穴治疗。

As a monograph of gynecological diseases in A-B Classic of Acupuncture and Moxibustion,Women Miscellaneous Diseases contains rich clinical theories of gynecological acupuncture and moxibustion.The research shows that through the unique content arrangement,the article establishes the general principles of acupuncture and moxibustion treatment of gynecological diseases with the core of"not damaging deficiency,tonifing excess",and highlights the law of syndrome differentiation and treatment of gynecological diseases through the way of part column points.By combing the content arrangement and point selection rules of the A-B Classic of Acupuncture and Moxibustion·Women Miscellaneous Diseases,it is found that HUANGFU Mi has a unique law of syndrome differentiation and treatment for miscellaneous diseases of women.The differentiation of disease mainly from Chong,Ren,Belt,kidney,liver,spleen,stomach channels and liver,spleen,kidney three viscera.The etiology is mainly from cold,heat,dampness and stasis.The differentiation of disease mainly from qi stagnation,blood stasis,cold coagulation,heat obstruction.There are many diseases from excess and deficiency.In terms of treatment,the treatment principles of Yin disease treating Yang,upper disease treating under,supplementing deficiency and draining excess are adopted,and the effects of near treatment,far treatment and special treating effect of acupoints are combined to select acupoints.