《伤寒论》针(灸)药选配思想浅析

作为方书之祖,《伤寒论》对针、灸、药的选择应用谨慎而精到,并开创了针(灸)药并用之先河。其内容有先针后药者;有先灸后药者;有只针不药者;有只灸不药者;有针灸药皆宜者;有误用针灸,汤药救逆者;有根据疾病轻重,而选择针或药者。通过整理、分析《伤寒论》中针(灸)药选配应用的有关条文,探析针(灸)药各自的优势及相互作用,把握其针(灸)药选配特点,以期为针灸临床提供参考。

Elementary analysis on the theory of matching of acupuncture (moxibustion) and Chinese herbs in Treatise on Cold-induced Diseases

As the headstream of pharmacology of traditional Chinese medical formulae, Treatise on Cold-induced Diseases carefully and precisely selects and applies the needle, moxibustion and medicine, and it is the first book that records the applying of both acupuncture(moxibustion) and herbs in clinical practice. There are many aspects of the selection, such as first to select acupuncture then herbs, first moxibustion then herbs, acupuncture only, moxibustion only, herbs only, or combination of acupuncture and herbs. The misuse of acupuncture should be saved inversely by herbal medicine and the reasonable selection of the needle or herbs should according to the severity of diseases. Through organizing and analyzing the relevant sentences in the book, we hope to grasp their respective advantages and the interaction between each other and master the characteristics of the matching of acupuncture (moxibustion) and herbs. All the works we have done is in the interest of providing a reference for the acupuncture clinic.