热证可灸论刍议
Discussion on Moxibustion of Heat Syndrome
连道仕 1周浩 2曾月 3黄祖波 2潘超然 1黄静娴 1王超2
作者信息
- 1. 成都中医药大学针灸推拿学院,四川成都 610075
- 2. 四川省中西医结合医院,四川成都 610041
- 3. 西南医科大学中西医结合学院,四川泸州 646000
- 折叠
摘要
《灵枢》有云:"盛者泻之,虚则补之,热则疾之……"认为虚寒宜灸,实热宜针.《伤寒论》中亦提出了艾灸用于热证后可产生诸多变证,加重病情,如出现口干、舌烂、烦躁等,影响疾病的病程与转归;从古至今,有不少医家受到仲景的影响,坚持热证禁灸的观点.然而,在《素问·至真要大论》中早已提出,"正者正治,反者反治""逆者正治,从者反治."不仅阐述了"以寒治热、以热治寒"的治则常法.也提出了"以寒治寒,以热治热"的反常的治疗方法,热证以温热法治之,乃属反治与从治,其进一步阐述了热证可施灸.笔者将近10年来热证用灸的相关文献进行归纳梳理,分别从理论探讨、机理探讨及临床应用三方面着手论述"热证可灸",以期提高人们对灸法的认识,对临床研究有所帮助,为扩大灸法在临床上的适应范围提供依据.
Abstract
In"Lingshu",it is said:"The prosperous will relieve it,the deficiency will replenish it,the heat will cause ill-ness..."It is believed that moxibustion is suitable for deficiency and cold,and acupuncture is suitable for actual heat."Treatise on Febrile Diseases"proposes that moxibustion can cause yellowing,delirium,panic,blood in the stool,dry mouth,rotten tongue,irritability,etc.,and aggravate the condition.From ancient times to the present,many physicians have been influenced by Zhong Jing and insisted on the viewpoint of prohibiting moxibustion with heat syndrome.However,the"Su Wen·Zhi Zhen Yao Da Lun"mentioned that"the upright is the rule,the opposing one opposes the rule","the adversary is the rule,the follo-wer opposes the rule",It not only puts forward the regular method of"treating heat with cold and treating cold with heat".The abnormal treatment method of"treating cold with cold and treating heat with heat"is also proposed.The treatment of heat syn-drome by warming heat is an anti-treatment and follow-up treatment.It further elaborates that moxibustion can be used for heat syndrome.The author summarized and combed the related literature on moxibustion for heat syndrome in the past 10years,and discussed the theory of"heat syndrome can be moxibustion"from three aspects:theoretical discussion,mechanism discussion and clinical application,so as to improve people's understanding of moxibustion,and to expand the use of moxibustion.The scope of clinical adaptation provides a basis for clinical research.
关键词
艾灸/热证/热敏灸Key words
Moxibustion/Heat syndromes/Heat-sensitive moxibustion引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据