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马王堆医书中灸法学术特色探析

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对马王堆出土的15种医书所记载的灸法相关内容进行系统梳理与探析.从马王堆医书中灸法文化的起源入手,综合考析其中灸法记载;通过对其中灸法相关内容记载比较丰富的《足臂十一脉灸经》《阴阳十一脉灸经》甲本、乙本及《五十二病方》等进行分析,发现灸法所涉病候达170余种,涵盖了经络肢体病类、肺系病类、心脑病类等12个病候分类.总结认为马王堆医书中灸法的学术特色为原始朴素、巫医结合,哲学推演、向心循行,灸材多样、病候广泛,灸有禁忌、防治结合.其灸法防治思想及应用则主要表现在未病先防、既病防变,审因求异、善一病而分治之,立足经络、综数病而合治之.
Research on the Characteristics and Ideology of Moxibustion in Mawangdui Medical Books
This article systematically studied the moxibustion methods embedded in the 15 medical books of the Mawangdui medical literature.Starting from the origin of the medical moxibustion culture in Mawangdui,this paper comprehensively analyzed the records of moxibustion.By analyzing the Classic of Moxibustion to Eleven Foot-arm Channels《足臂十一脉灸经》)and Classic of Moxibustion to Eleven Yin-yang Channels《阴阳十一脉灸经》)as well as Formulas for Fifty-two Diseases(《五十二病方》),which have relatively rich records of moxibustion,it is found that moxibustion involves more than 170 diseases and syndromes,covering 12 categories such as limb diseases related to meridians and collaterals,lung system diseases,and heart and brain diseases.In summary,the distinctive characte-ristics of moxibustion in Mawangdui medical books include primitive simplicity,combination of witch culture and medical practices,philosophical deduction,centripetal circulation,diverse moxibustion materials,extensive cove-rage of diseases and syndromes,taboos in moxibustion,and the integration of prevention and treatment.The ideas and applications of moxibustion mainly manifest in preventing diseases before they occur and preventing changes in existing diseases,distinguishing and treating each disease based on different causes,and combining treatment based on meridians,collaterals and comprehensive diseases.

moxibustionMawangdui Medical BooksClassic of Moxibustion to Eleven Foot-arm Channels(《足臂十一脉灸经》)Classic of Moxibustion to Eleven Yin-yang Channels(《阴阳十一脉灸经》)

魏一苇、葛晓舒、陈小平、胡宗仁、何清湖

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湖南中医药大学中医学院,湖南省长沙市岳麓区学士路300号,410208

湖南中医药大学马克思主义学院

湖南医药学院中医学院

灸法 马王堆医书 《足臂十一脉灸经》 《阴阳十一脉灸经》

湖南省社会科学基金湖南省中医药科研项目湖南中医药大学校级科研项目

22ZDA003C20220352022YYSK008

2024

10.13288/j.11-2166/r.2024.16.002

中医杂志
中华中医药学会 中国中医科学院

中医杂志

CSTPCD北大核心
影响因子：1.464
ISSN：1001-1668
年,卷(期)：2024.65(16)
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