通讯作者: 刘芳, bihaiyuxiao@126.com

DOI：10.12201/bmr.202506.00043

Analysis of the Experience in Treating Sores and Ulcers in Compendium of Acupuncture and Moxibustion

• 摘要：本文围绕《针灸大成》中狭义疮疡的相关内容展开探究。疮疡的病因病机多为火热炽盛，发于体表。其发病特点以体表阳位为主。在治疗疮疡的选穴上，杨氏多重视“以痛为腧”的局部取穴原则，在远道取穴上则多选用手阳明大肠经及足太阳膀胱经等阳经穴位，亦重视特效穴“骑竹马穴”的应用。在刺灸法的选择上，尤其重视分期治疗，在疮疡初期多使用隔蒜灸以促脓外出，越早越好；中期则多施以针刺，先以病灶大小定深浅，再按病位深浅选针具（铍针、三棱针、火针）；末期则选用隔药饼灸以去腐生肌。此外，《针灸大成》亦重视对新生儿疮疡的预防，符合中医＂治未病＂的思想。本文通过对这些内容的归纳分析，探析杨氏针灸治疗疮疡的经验，总结其选穴及刺灸法应用的分期特点，以期为狭义疮疡的临床治疗及预防提供经验分享。

  关键词： 《针灸大成》；疮疡；选穴特点；分期治疗；刺灸特色; ; ; ; 

   

  Abstract: This article focuses on exploring the relevant content of the narrow sense of sores and ulcers in Compendium of Acupuncture and Moxibustion. The onset characteristics of sores and ulcers are mostly characterized by intense heat and fire, occurring on the body surface, and often developing in yang positions such as the head, face, and back. In terms of selecting acupoints for the treatment of sores and ulcers, Yang attached great importance to the principle of local acupoint selection of taking the painful point as the acupoint. For distant acupoint selection, acupoints of yang meridians such as the Large Intestine Meridian of Hand-Yangming and the Bladder Meridian of Foot-Taiyang were mostly chosen. He also attached great importance to the application of the special-effect acupoint Qizhuma Acupoint. In the selection of acupuncture and moxibustion methods, particular emphasis was placed on stage-based treatment. In the initial stage of sores and ulcers, garlic-separated moxibustion was mostly used to promote the discharge of pus, and the earlier the better. In the middle stage, acupuncture was mostly applied. First, the depth was determined according to the size of the lesion, and then the needle tools (Pi needle, Sanleng needle, fire needle) were selected according to the depth of the lesion site. In the final stage, medicine-cake-separated moxibustion was chosen to remove the necrotic tissue and promote tissue regeneration. In addition, Compendium of Acupuncture and Moxibustion also recorded the preventive measures for neonatal sores and ulcers, which is in line with the traditional Chinese medicine ideology of preventive treatment of disease. Through the induction and analysis of these contents, this article explores Yangs experience in treating sores and ulcers with acupuncture and moxibustion, summarizes the stage characteristics of the application of acupoint selection and acupuncture and moxibustion methods, in the hope of providing experience sharing for the clinical treatment and prevention of narrow sense of sores and ulcers.

  Key words: Compendium of Acupuncture and Moxibustion; Sores and Ulcers; Characteristics of Acupoint Selection; Stage-based Treatment; Characteristics of Acupuncture and Moxibustion

  提交时间：2025-06-18

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• 序号	提交日期	编号	操作
  1	2025-04-04	bmr.202506.00043V1	下载

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