列缺穴“主溺血精出,阴茎痛”基础理论探讨

Discussion on the basic theory of treating hemospermia and phallalgia by acupuncture and moxibustion at the Lieque point

列缺穴治疗前阴病的记载多见于中医古典医籍之中,诸如《备急千金要方》《针灸资生经》《针灸大成》《医宗金鉴》等。由此可见,古代针灸医家在长期的医疗实践中对列缺穴治疗男科病和泌尿系统疾病具有丰富的经验。文章对列缺穴所主治“溺血精出、阴茎痛”的病因病机进行阐述,认为不外乎虚实两面,一为脾虚、肾虚,一为肝经热盛、膀胱湿热。文章从“主溺血精出,阴茎痛”出发,分析了列缺穴的腧穴特性。列缺穴为手太阴肺经腧穴;同气相求沟通于足太阴脾经;为肺经之络穴,通手阳明大肠之经气;为八脉交会穴,沟通于任脉;少阴肾经入肺中;厥阴肝经上注于肺;与膀胱相通赖肺气宣发肃降之力。文章还通过对相关经典著作及文献的研究总结,探讨了列缺穴主治“溺血精出,阴茎痛”是基于肺气宣发肃降、通调水道的原理。列缺穴通过调节多个脏腑、经络来实现“宣(肺)、清(热)、利(水)、通(经)、济(阴)”的腧穴特性,对肝、脾、肾、膀胱及任脉经气共同调节,从而达到治疗“溺血精出,阴茎痛”的目的。文章从中医脏腑-经络理论出发,整理相关文献并结合个人临床实践探讨针灸列缺穴治疗“溺血精出,阴茎痛”,以期为临床提供参考。

The treatment records of Lieque point(LU7)on anterior Yin(阴)disease are mostly found in the classical medical books of traditional Chinese medicine,such as Bei Ji Qianjin Yaofang(《备急千金要方》),Zhenjiu Zishengjing(《针灸资生经》),Zhenjiu Dacheng(《针灸大成》)etc..It can be seen that ancient medical experts have rich experience in the treatment of male diseases and urinary system diseases at the Lieque point in long-term medical practice.This paper expounds the etiology and pathogenesis of the Lieque acupoint for treating hemospermia and phallalgia,and believes that one is spleen and kidney deficiency,the other is liver meridian heat and bladder damp heat.This paper analyzes the characteristics of the Lieque acupoints from the perspective of the disease of hemospermia and phallalgia.Through the research and summary of relevant classic works and literatures,this paper also discusses the principle of Lieque acupoint for the treatment of hemospermia and phallalgia based on the promoting and descending lung Qi(气),and regulating water channels.By regulating multiple viscera and meridians,it can regulate the liver,spleen,kidney,bladder and meridians,so as to achieve the purpose of treating hemospermia and phallalgia.This article discusses the treatment of hemospermia and phallalgia by acupuncture and moxibustion at the Lieque point combined with personal clinical experience,in order to provide reference for clinical practice.