摘要
十二井穴和十宣穴均是常用的急救穴,因二者位置相近、功能相似,常被混淆使用。为探析二者定位和理论的源流,理清脉络,通过资料检索后归纳发现:井穴和十宣穴的关系最早可追溯至《黄帝内经》,可以认为井穴的位置是十二经脉的起止穴位,而十宣穴为十二经脉阴阳两经交汇的部位,二者一脉相承,一源两歧。此外气端穴的别名为足十宣,十宣穴和气端穴可以同井穴一样看成一组穴位。在临床运用中,治疗脏腑内科疾病、局部和循经所至疾病一般选用井穴,可以单穴单用;对闭证、厥证的急救,可以首选十宣穴(可配合气端穴)。井穴和十宣穴二者同中有异,临床应各取所长,相辅相成。
Both the twelve jing-well points and Shixuan(EX-UE 11) are the commonly used first-aid points. These two kinds of acupoints are located closely and similar in function, hence, they are often confused in application. In order to explore the origin of their location and theory as well as their relationship, the relevant data were retrieved. It has been found that the relationship between jing-well points and Shixuan(EX-UE 11) is traced at the earliest time to Huangdi Neijing(Yellow Emperor’s Internal Classics). It is believed that the jing-well points refer to the starting points or the ending points of the twelve regular meridians and Shixuan(EX-UE 11) are located at the crossing sites of yin-yang related meridians of the regular meridians. These two kinds of acupoints are interconnected, share the same source and are also different from each other. Qiduan(EX-LE 12) is also named as foot-Shixuan. Shixuan(EX-UE 11) and Qiduan(EX-LE 12) can be regarded as the same category, just like jing-well points. In clinical practice, the jing-well points are generally selected in treatment of internal diseases, local diseases and those on the running course of meridians. They can be used separately in treatment. Shixuan(EX-UE 11) is the first option, or combined with Qiduan(EX-LE 12) in the emergent treatment of tense syndrome and syncope. The jing-well points and Shixuan(EX-UE 11) are different even though sharing the same origin. They are mutually benefited and supplemented with each other in clinical practice.
作者
曾天笑
梁靖蓉
郝晓敏
孙娇
黄佩怡
刘清国
ZENG Tian-xiao;LIANG Jing-rong;HAO Xiao-min;SUN Jiao;HUANG Pei-yi;LIU Qing-guo(School of Acupuncture-Moxibustion and Tuina,Beijing University of CM,Beijing 100029,China)
出处
《中国针灸》
CAS
CSCD
北大核心
2020年第5期553-556,共4页
Chinese Acupuncture & Moxibustion
基金
国家自然科学基金项目:81774413。
关键词
井穴
十宣穴
气端穴
腧穴关系
腧穴源流
jing-well points
Point EX-UE 11(Shixuan)
Point EX-LE 12(Qiduan)
acupoint relationship
acupoint origin
