交信穴定位及临床应用的文献研究

Literature Study on Location and Clinical Application of Jiaoxin(KI8)

历代医籍关于交信穴的定位存在不同看法。晋唐宋元时期,医家公认交信穴处于胫骨后、跟腱前、内踝上二寸的位置;明代及后世医家对于交信穴和复溜穴的相对位置,产生分歧并进行了思辨。作者认为,交信穴应在复溜穴之前,并对交信穴位置出现争议的时间和原因进行分析。文章通过整理古代文献和现代研究,总结交信穴的刺灸法、禁忌、穴名源流、穴性特点和临床应用规律,可知交信穴主要治疗和脾肾相关的泌尿生殖疾病以及下肢内侧病证。文章对于交信穴定位及临床应用等方面的系统文献整理,为经穴研究提供参考。

There are different views on the location of Jiaoxin(KI8)in the medical books of past dynasties.In the Jin,Tang,Song and Yuan Dynasties,doctors recognized that Jiaoxin(KI8)was located at the position of 2 inches behind the tibia,in front of the Achilles tendon,and on the medial malleolus.After the Ming Dynasty,doctors disagreed and speculated on the relative position of Jiaoxin(KI8)and Fuliu(KI7).Through sorting,the author believed that Jiaoxin(KI8)should be in front of Fuliu(KI7),and analyzed and speculated on the time and causes of the dispute over the location of Jiaoxin(KI8).Through sorting out ancient literature and modern research,this paper summarized the acupuncture and moxibustion methods,taboos,origin of acupoint names,characteristics of acupoints and clinical application rules of Jiaoxin(KI8).It can be seen that Jiaoxin(KI8)mainly treats the pathogenesis,spleen and kidney related urogenital diseases and medial lower limb diseases.The systematic literature collation of Jiaoxin(KI8)location and clinical applica-tion can provide ideas and references for meridian point research.