| 李子祎,罗煊之,刘慧林.基于“络以通为用”理论浅析刺络放血治虚[J].浙江中医药大学学报,2022,46(11):1274-1277. |
| 基于“络以通为用”理论浅析刺络放血治虚 |
| Discussion on Bloodletting Puncture to Treat Deficiency Syndrome Based on the Theory of “Collateral Needs to Keep Unobstructed” |
| DOI：10.16466/j.issn1005-5509.2022.11.016 |
| 中文关键词: 刺络放血 虚证 络脉理论 络以通为用 以通为补 理论探讨 |
| 英文关键词: bloodletting puncture deficiency syndrome collateral theory collateral needs to keep unobstructed keep unobstructed to tonify theoretical discussion |
| 基金项目:国家自然科学基金面上项目(81973925)；北京市医管中心扬帆计划项目(XMLX201832)；国家中医药管理局项目(2019XZZX-ZJ002) |
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| 中文摘要: |
| [目的] 探析“络以通为用”理论，总结刺络放血从络治虚的理论基础，为刺络放血疗法的临床应用拓展思路。[方法] 通过查阅古今文献及临床观察，从“络以通为用”理论出发，探讨刺络放血的作用机制及虚证的治疗，并浅析刺络放血从络治虚的理论基础。[结果] 《黄帝内经》及张从正、李东垣、杨继洲、傅青主等医家的著作中均有刺络放血用于治疗虚证的记载，但对其作用机制的探讨尚不充分。叶天士在《黄帝内经》“以通为用”理论和通络法的基础上，提出“络以通为用”。从“络以通为用”的角度分析，刺络放血有“以通为补”之效，临床疾病多正虚与邪实并存，虚证可“以通为补”，从络论治。刺络放血治虚的理论依据主要有以清为通平寒热、以消为通理气血、以和为通调阴阳三方面。[结论] 刺络放血治虚的机制根本在于“通”，具体可从寒热、气血、阴阳论，络脉理论对其临床应用有重要指导作用。 |
| 英文摘要: |
| [Objective] To explore the theory of“collateral needs to keep unobstructed”， summarize the theoretical basis of using bloodletting puncture to treat deficiency syndrome， and expand the ideas for the clinical application of bloodletting puncture. [Methods]Through reviewing ancient and modern literature and clinical observation， this paper investigated the mechanism of bloodletting puncture and the treatment of deficiency syndrome based on the theory of “collateral needs to keep unobstructed”， and analyzed the theoretical basis of using bloodletting puncture to treat deficiency syndrome. [Results] In Huangdi Neijing and the medical publications of ZHANG Congzheng， LI Dongyuan， YANG Jizhou， FU Qingzhu and so on， bloodletting puncture was used for deficiency syndrome. However， its mechanism of action had not been fully explored. Based on the theory of “collateral needs to keep unobstructed” and the method of removing obstruction in collaterals in Huangdi Neijing， YE Tianshi put forward the theory of “collateral needs to keep unobstructed”. From the perspective of “collateral needs to keep unobstructed”， it is proposed that bloodletting puncture has the effect of “keep unobstructed to tonify”， and healthy energy deficiency and evil excess exist simultaneously in clinic. Under the guidance of collateral theory， bloodletting puncture can remove obstruction and keep unobstructed to tonify， and then treat deficiency syndrome， which mainly includes three aspects: balancing cold and heat by clearing method， regulating Qi and blood by resolving method， and regulating Yin and Yang by harmonizing method to keep unobstructed. [Conclusion] The mechanism of treating deficiency syndrome by using bloodletting puncture is based on the principle of “removing obstruction”， which is based on the theory of cold and heat， Qi and blood， and Yin and Yang， and collateral theory has an important guiding role in its clinical application. |
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