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小儿特定穴"阳池"穴探微

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采用古籍文献挖掘的方法检索自明代小儿推拿体系建立至今的小儿推拿相关医籍,探明小儿特定穴"阳池"穴的定位、功效及主治.根据小儿特定穴"阳池"穴的历史渊源及演变,该穴定位当为腕背横纹正中下3寸,尺桡骨之间的凹陷处,具有温、热、阳、补的特性,能够发挥温经散寒、解表化痰的作用,主要治疗风痰头痛.大横纹穴两端应为阳穴及阴穴,两穴常搭配使用,有分阴阳、合阴阳之操作.随着历史的发展,部分古代医家将大横纹两端凹陷处的阳穴、阴穴标注为阳池穴、阴池穴;亦有医家将第三、四掌骨上腕横纹凹陷处标注为阳池穴.但小儿特定穴"阳池"穴自1959年以来,被众多教材、专著记载为"膊阳池"穴,该法亦不失为一种与分阴阳之阳池穴相鉴别的方法.
Analysis of Special Pediatric Acupoints"Yangchi(SJ4)"
The method of ancient literature mining was used to search the relevant medical books of pediatric Tuina since the establishment of the pediatric Tuina system in the Ming Dynasty,and to find out the location,efficacy and indications of the specific point"Yangchi(SJ4)"for children.According to the historical origins and evolution of the specific acupoint"Yangchi(SJ 4)"in children,the location of the point should be 3 inches below the wrist horizontal line,the depression between the radius and the ulna,It has the characteristics of warmth,heat,Yang,and tonifying,and can play a role in warming the meridians,dispelling cold,and resolving surface phlegm.It is mainly used to treat wind phlegm headache.The two ends of the Dahengwen acupoint should be the Yang acupoint and the Yin acupoint,which are often used in combination and can be divided into Yin Yang and combined with Yin Yang.With the development of history,some ancient doctors marked the Yang and Yin points in the depressions ends of Dahengwen as Yangchi(SJ 4)and Yinchi points.There are also doctors marked Yangchi(SJ 4)point at the third and fourth metacarpal bone wrist transverse depression.However,since 1959,Yangchi(SJ 4)point has been recorded as"Boyangchi"point by many teaching materials and monographs.This method is also a way to distinguish it from the Yangchi(SJ4)acupoint that separates Yin and Yang.

Yangchi(SJ4)pointBoyangchi pointYinchi pointspediatric Tuinaspecific acupointslocation of acupoints

张星贺、高天蕾、董航、李敏、郭太品、李志宏

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云南中医药大学第二临床医学院,云南 昆明 650500

阳池 膊阳池 阴池 小儿推拿 特定穴 腧穴定位

云南省科技厅中医联合专项云南省专业学位研究生教学案例库建设项目云南中医药大学研究生优质课程项目

202101AZ070001-189云学位[2021]18号

2024

中医药导报
湖南省中医药学会 湖南省中医管理局

中医药导报

CSTPCD
影响因子:0.952
ISSN:1672-951X
年,卷(期):2024.30(9)