主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2019, Vol. 42 ›› Issue (9): 730-733.doi: 10.3969/j.issn.1006-2157.2019.09.005

• 文献研究 • 上一篇    下一篇

《灵枢·终始》针刺补泻取穴考*

姚鑫1, 刘振国2, 黄作阵1#   

  1. 1 北京中医药大学国学院 北京 100029;
    2 兴安盟人民医院
  • 收稿日期:2019-01-08 出版日期:2019-09-30 发布日期:2019-09-27
  • 通讯作者: 黄作阵,男,博士,教授,博士生导师,研究方向:中医古籍训诂研究,E-mail: huangzuozhen@126.com
  • 作者简介:姚鑫,男,在读硕士生
  • 基金资助:
    2018年北京市社会科学基金项目(No. 18LSB002),北京中医药大学2019年度基本科研在读研究生项目(No. 2019-JYB-XS-038),北京中医药大学科研发展基金项目(No. 2017-ZXFZJJ-029)

A study on acupoint selection for supplementation/drainage needling in the chapter “Zhongshi” in Lingshu*

Yao Xin1, Liu Zhenguo2, Huang Zuozhen1#   

  1. 1 School of Chinese Culture Studies, Beijing University of Chinese Medicine, Beijing 100029, China;
    2 Hinggan League People’s Hospital, Inner Mongolia 137400, China
  • Received:2019-01-08 Online:2019-09-30 Published:2019-09-27
  • Contact: Prof. Huang Zuozhen, Ph.D., Doctoral Supervisor. Beijing University of Chinese Medicine. No. 11 Beisanhuan Donglu Road, Chaoyang District, Beijing 10029. E-mail:huangzuozhen@126.com
  • Supported by:
    Beijing Social Science Foundation (No. 18LSB002)

摘要: 对《灵枢·终始》针刺补泻取穴进行文献分析,探究其补泻部位之涵义与针刺取穴之方法,并进一步还原其操作方式。根据文献分析结果,认为其补泻部位在各经的脉口处,即“本输”所在,而非传统认为的经脉,如“泻足少阳而补足厥阴”之“足少阳”乃指足少阳本输,而非足少阳胆经。针刺取穴方法之“二泻一补”表示泻阳经本输2次,补阴经本输1次;“二补一泻”表示补阳经本输2次,泻阴经本输1次,并且应为早期本输的特征,即“一穴本输”,而非当时盛行的五输穴,各经脉“本输”的具体部位见于《灵枢·卫气》。据此,或能进一步还原《灵枢·终始》篇针刺操作方法。

关键词: 灵枢, 本输, 针刺取穴, 补泻

Abstract: This paper analyzes literature on acupoint selection for supplementation/drainage needling in the chapter “Zongshi” (Beginning and Ending) in Lingshu (Spiritual Pivot), and explores the actual meaning of texts related to the location of acupoints for supplementation/drainage needling, the way of acupoint selection, and the specific manipulation. According to the results of literature analysis, it is believed that the positions for supplementation/drainage needling are the starting acupoints of the meridians, i.e. the benshu (original acupoints), rather than the meridians based on conventional understanding. For example, “foot shaoyang” in “draining foot shaoyang and supplementing foot jueyin” refers to the original acupoint of the foot shaoyang gallbladder meridian rather than the meridian itself. The specific needling manipulation “two drainage and one supplementation” means draining the original acupoint of the yang meridian twice and supplementing the original acupoint of the yin meridian once; “two supplementation and one drainage” means supplementing the original acupoint of the yang meridian twice and draining the original acupoint of the yin meridian once. In addition, the original acupoint in this context denotes only one acupoint (the starting acupoint) according to its original meaning, rather than the five transport points, a prevalent explanation at that time. The locations of the original acupoints in the meridians are specified in the chapter “Weiqi” (Defense Qi) in Lingshu. It is hoped that the paper has helped to clarify the actual needling manipulation in “Zhongshi”.

Key words: Lingshu, original acupoint, acupoint selection, supplementation and drainage

中图分类号: 

  • R221.2