Ma Qiang
College of Acupuncture-Moxibustion and Tuina, Anhui University of CM, Hefei 230038, China.
Zhongguo Zhen Jiu. 2024 Jul 12;44(7):845-50. doi: 10.13703/j.0255-2930.20231129-k0007.
Based on (), combined with the ( ) and unearthed (), it is recognized that the therapeutic indications of Fenglong (ST 40) were recorded repeatedly in many medical works of the Qin and Han dynasties; and the treatments mostly focus on "upward reversion of ". In (), a part of symptoms were re-described textually, which affects the understanding on the indications of Fenglong (ST 40) in the medical works of the later generations. On the basis of the construction of phlegm theory in the Sui and Tang dynasties, the scholars of Song, Jin and Yuan dynasties had placed the emphasis on the relationship between phlegm and movement. In acupuncture works by , Fenglong (ST 40) was selected in treatment of phlegm dampness and phlegm-induced asthma, which is also based on the pathogenesis, "upward reversion of ", rather than "phlegm" itself. This view can be understood by the proof of "reducing Zusanli (ST 36) for eliminating wind". The relationship between Fenglong (ST 40) and phlegm was emphasized in () and (), after which, the understanding, " Fenglong (ST 40), the key point for phlegm disorders", had been formed gradually since the Ming dynasty. The formation and evolution of the therapeutic indications of Fenglong (ST 40) are influenced comprehensively by the errors in textual duplication, cultural background, changes in the term expressions of disorders, and the clinical experience of medical practitioners.
基于(),结合()以及出土的(),可知丰隆穴(ST40)的治疗适应证在秦汉时期的诸多医学著作中均有反复记载;且治疗多聚焦于“气逆”。在()中,部分症状被重新文字描述,这影响了后世医学著作对丰隆穴(ST40)适应证的认识。在隋唐时期痰证理论构建的基础上,宋金元时期的学者们强调了痰与气机的关系。在()的针灸著作中,选取丰隆穴(ST40)治疗痰湿及痰喘,其依据也是“气逆”的病机,而非“痰”本身。“泻足三里(ST36)以祛风”的记载可佐证这一观点。在()和()中强调了丰隆穴(ST40)与痰的关系,此后,自明代起逐渐形成了“丰隆穴为治痰要穴”的认识。丰隆穴(ST40)治疗适应证的形成与演变受到文献传抄错误、文化背景、病症术语表达变化以及医家临床经验等多方面的综合影响。