探讨阿是穴与“阿是之法”
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摘要
阿是穴是无固定部位和具体名称,按压痛点或其他病理反应点确定的针刺穴位。孙思邈在不断继承前人的理论知识、收集总结社会实践经验并在反复临床的基础上,首创"阿是"之名,立"阿是之法",其在撰写的《备急千金要方》中作了记载。"阿是之法"源于《内经》穴法,是精确揣穴之法,确定腧穴的准确位置,提高临床疗效,应该成为临床中准确取穴的普适性方法。阿是穴是典型意义上的疾病反应点,是敏化态腧穴,"热敏点"属于阿是穴的范畴。在"热敏点"上施灸容易激发经气感传,实现气至病所。文章对阿是穴和"阿是之法"的由来、"阿是之法"是精确揣穴之法、阿是穴是敏化态腧穴等内容做一点粗浅的探讨。
Ashi points have no fixed location or name.They are the acupuncture points selected according to tender points or other pathology reactive sites.Based on the inheritance of former theoretical knowledge,collection and conclusion of social practice experience and repeated clinical application,SUN Simiao created the name Ashi points and "Ashi method",which were recorded in the Important Formulae Worth a Thousand Gold Pieces for Emergency written by SUN Simiao.The thought of "Ashi method" originated from the theory of points in The Huangdi's Internal Classics."Ashi method" is the method of accurate Chuaixue.It can achieve the effect of Qi,and its application can improve the clinical effect.Therefore,"Ashi method" should be a universal approach to accurately locate points.Ashi points are the sensitive-status acupoints and the typical points of disease response.Heat sensitive points belong to Aahi points.It is quite easy to stimulate Qi to be delivered and pass the Qi to the disease when using moxibustion on the "heat-sensitive points".This article briefly discussed three aspects:the origin of Ashi points and "Ashi method","Ashi method" being the method of accurate Chuaixue and Ashi points being the sensitive-status acupoints.
Ashi points have no fixed location or name.They are the acupuncture points selected according to tender points or other pathology reactive sites.Based on the inheritance of former theoretical knowledge,collection and conclusion of social practice experience and repeated clinical application,SUN Simiao created the name Ashi points and "Ashi method",which were recorded in the Important Formulae Worth a Thousand Gold Pieces for Emergency written by SUN Simiao.The thought of "Ashi method" originated from the theory of points in The Huangdi's Internal Classics."Ashi method" is the method of accurate Chuaixue.It can achieve the effect of Qi,and its application can improve the clinical effect.Therefore,"Ashi method" should be a universal approach to accurately locate points.Ashi points are the sensitive-status acupoints and the typical points of disease response.Heat sensitive points belong to Aahi points.It is quite easy to stimulate Qi to be delivered and pass the Qi to the disease when using moxibustion on the "heat-sensitive points".This article briefly discussed three aspects:the origin of Ashi points and "Ashi method","Ashi method" being the method of accurate Chuaixue and Ashi points being the sensitive-status acupoints.
引文
[1] 世界卫生组织.WHO西太平洋地区传统医学名词术语国际标准[M].北京:北京大学医学出版社,2009:231.
[2] 孙思邈.备急千金要方[M].北京:人民卫生出版社,1995:519.
[3] 赵京生.“以痛为输”与“阿是穴”:概念术语考辨[J].针刺研究,2010,35(5):388-390.
[4] 姜姗,赵京生.“阿是”本义与“阿是穴”由来[J].中国针灸,2016,36(2):197-199.
[5] 李锄.“阿是”辨释[J].杏苑中医文献杂志,1989,3(2):15-17.
[6] 黄龙祥.中国针灸学术史大纲[M].北京:华夏出版社,2001:640-641.
[7] 张树剑.阿是取穴法源流论[J].中国针灸,2013,33(2):165-167.
[8] 谢丁一,陈日新.“阿是之法”是腧穴精准定位之法[J].中华中医药杂志,2016,31(2):602-604.
[9] 朱文姣.以阿是穴灸刺为主治疗寒湿型腰椎间盘突出症临床研究[J].亚太传统医药,2017,13(7):105-106.
[10] 陈日新.腧穴热敏化:艾灸新疗法[M].北京:人民卫生出版社,2006:36.
[11] 姜劲峰,余芝,徐斌,等.腧穴敏化内涵探析[J].中医杂志,2012,53(20):1714-1716.
[12] 陈日新,康明非,陈明人.岐伯归来—论腧穴“敏化状态说”[J].中国针灸,2011,31(2):134-138.
[13] 陈日新,康明非.腧穴热敏化及其临床意义[J].中医杂志,2006,47(12):905-906.
[14] 陈日新,康明非.一种新类型的疾病反应点—热敏点及其临床意义[J].江西中医学院学报,2006,18(2):29-30.
[15] 陈日新,康明非.灸之要,气至而有效[J].中国针灸,2008,28(1):44-46.
[16] 陈日新,陈明人,付勇,等.艾灸慢性腹泻(脾虚型)天枢穴气至病所的临床研究[J].江西中医药,2011,1(1):24-26.
[17] 谢洪武,刘福水,赵梅梅,等.热敏灸治疗膝骨性关节炎临床疗效观察[J].亚态传统医药,2017,13(9):99-102.
[18] 高希言.透灸法及其临床应用[J].河南中医,2007,27(9):33-34.
[2] 孙思邈.备急千金要方[M].北京:人民卫生出版社,1995:519.
[3] 赵京生.“以痛为输”与“阿是穴”:概念术语考辨[J].针刺研究,2010,35(5):388-390.
[4] 姜姗,赵京生.“阿是”本义与“阿是穴”由来[J].中国针灸,2016,36(2):197-199.
[5] 李锄.“阿是”辨释[J].杏苑中医文献杂志,1989,3(2):15-17.
[6] 黄龙祥.中国针灸学术史大纲[M].北京:华夏出版社,2001:640-641.
[7] 张树剑.阿是取穴法源流论[J].中国针灸,2013,33(2):165-167.
[8] 谢丁一,陈日新.“阿是之法”是腧穴精准定位之法[J].中华中医药杂志,2016,31(2):602-604.
[9] 朱文姣.以阿是穴灸刺为主治疗寒湿型腰椎间盘突出症临床研究[J].亚太传统医药,2017,13(7):105-106.
[10] 陈日新.腧穴热敏化:艾灸新疗法[M].北京:人民卫生出版社,2006:36.
[11] 姜劲峰,余芝,徐斌,等.腧穴敏化内涵探析[J].中医杂志,2012,53(20):1714-1716.
[12] 陈日新,康明非,陈明人.岐伯归来—论腧穴“敏化状态说”[J].中国针灸,2011,31(2):134-138.
[13] 陈日新,康明非.腧穴热敏化及其临床意义[J].中医杂志,2006,47(12):905-906.
[14] 陈日新,康明非.一种新类型的疾病反应点—热敏点及其临床意义[J].江西中医学院学报,2006,18(2):29-30.
[15] 陈日新,康明非.灸之要,气至而有效[J].中国针灸,2008,28(1):44-46.
[16] 陈日新,陈明人,付勇,等.艾灸慢性腹泻(脾虚型)天枢穴气至病所的临床研究[J].江西中医药,2011,1(1):24-26.
[17] 谢洪武,刘福水,赵梅梅,等.热敏灸治疗膝骨性关节炎临床疗效观察[J].亚态传统医药,2017,13(9):99-102.
[18] 高希言.透灸法及其临床应用[J].河南中医,2007,27(9):33-34.