从中医经典理论探讨艾灸禁忌证

Discussion About Moxibustion Contraindications Based on TCM Classical Theories

艾之火是纯阳之火,有地之阳的称谓,而人的体质和病证有寒热虚实之分,艾灸可以治疗许多病证,但并非所有患者和病证均可艾灸。太阳表证慎用艾灸,以防表邪入里化热或进而迫汗而伤阴损阳;温病、中暍禁用艾灸,以防火热伤阴而起变证;实热、湿热证慎用灸法,以防邪因火盛,耗气伤津;阴血亏虚、津液不足者慎用艾灸,以防温热灼伤阴津,阴损及阳。临床艾灸不但要掌握它的适应证,对其禁忌证更应心中明了,外感实热病证,素体阴血不足或肝郁内热病证,湿热体质或患有传染性急症的患者禁止使用艾灸。

The fire of moxa is the fire of pure yang,also called the fire of earth.There are cold and heat,deficiency and excess in people′s constitution and diseases.Moxibustion can treat many diseases,but not all patients and diseases can be treated by moxibustion.For patients with Taiyang exterior syndrome,moxibustion should be used cautiously to prevent the exterior pathogen from damaging yin and yang by entering into the inside body and transforming heat or perspiration.Moxibustion is forbidden in febrile diseases and sunstroke in order to prevent heat from hurting yin and causing deterioration of a case.For excessive heat and damp-heat syndrome,moxibustion should be used cautiously to prevent fire from becoming excessive,which consumes qi and fluid.For those with deficiency of yin and blood and insufficiency of body fluid,moxibustion should be used carefully to prevent heat from burning yin and fluid,damaging yin and yang.In clinical moxibustion,we should not only grasp its indications,but also understand its contraindications.It is forbidden to use moxibustion for patients with exogenous excessive fever,insufficiency of yin and blood,liver depression and internal heat,damp-heat constitution or infectious emergencies.