Textual research on the evolution of therapeutic indications of Fenglong (ST 40)—discussion on the related articles for "Fenglong (ST 40) for phlegm" published in <italic style="font-style: italic">Chinese Acupuncture and Moxibustion</italic>

MA Qiang

doi:10.13703/j.0255-2930.20231129-k0007

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Textual research on the evolution of therapeutic indications of Fenglong (ST 40)—discussion on the related articles for "Fenglong (ST 40) for phlegm" published in Chinese Acupuncture and Moxibustion

Discussion on Theory | 更新时间：2024-07-11

- Textual research on the evolution of therapeutic indications of Fenglong (ST 40)—discussion on the related articles for "Fenglong (ST 40) for phlegm" published in Chinese Acupuncture and Moxibustion
- Chinese Acupuncture & Moxibustion Vol. 44, Issue 7, Pages: 845-850(2024)
- 作者机构：
  
  安徽中医药大学针灸推拿学院，合肥　230038
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20231129-k0007
  CLC：
- Received：29 November 2023，
  
  Online First：21 May 2024，
  
  Published：12 July 2024
- 稿件说明：
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MA Qiang. Textual research on the evolution of therapeutic indications of Fenglong (ST 40)—discussion on the related articles for "Fenglong (ST 40) for phlegm" published in Chinese Acupuncture and Moxibustion[J]. Chinese Acupuncture & Moxibustion, 2024, 44(7): 845-850. DOI: 10.13703/j.0255-2930.20231129-k0007.
DOI：

MA Qiang. Textual research on the evolution of therapeutic indications of Fenglong (ST 40)—discussion on the related articles for "Fenglong (ST 40) for phlegm" published in Chinese Acupuncture and Moxibustion[J]. Chinese Acupuncture & Moxibustion, 2024, 44(7): 845-850. DOI: 10.13703/j.0255-2930.20231129-k0007. DOI：

摘要

基于传世文献《黄帝内经》，结合《黄帝明堂经辑校》以及出土文献《天回医简》，认为秦汉时期诸医籍中丰隆穴主治病症多有重合，且所针对病机多为“气逆”，《黄帝明堂经》对部分症状的文字表述改写后，影响了后世医籍对丰隆穴主治的认识。在隋唐时期痰病理论构建的基础上，宋金元医家重视痰与气机之间的关系，窦汉卿针灸著述中治疗“痰饮”“痰喘”选取丰隆穴，也是针对“气逆”这一病机，并非针对“痰”之本身，且可结合“三里泻之，以去风”佐证。经《玉龙歌》《针方六集》强调丰隆穴与“痰”之间的关系后，自明代以来逐渐形成丰隆为“治痰要穴”这一认识。丰隆穴主治病症的形成与演变受文本传抄讹误、文化背景影响、病症名称表述形式转变以及医家自身临床经验等因素的综合作用。

Abstract

Based on

Huangdi Neijing

(

Yellow Emperor's Internal Classic

)

combined with the

Huangdi Mingtang Jing JiJiao

(

Compilation and Correction of Yellow Emperor's Mingtang Classic

) and unearthed

Tianhui Yijian

(

Tianhui Medical Bamboo Slips

)

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

Huangdi Mingtang Jing

(

Yellow Emperor's Mingtang Classic

)

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

Dou Hanqing

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

Yulong Ge

(

Jade Dragon Verse

) and

Zhenfang Liuji

(

Six Sets of Acupuncture Methods

)

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.

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Related Author

NIU Shuping

Related Institution

School of Acupuncture-Moxibustion and Tuina, Anhui University of CM

⁰

Textual research on the evolution of therapeutic indications of Fenglong (ST 40)—discussion on the related articles for "Fenglong (ST 40) for phlegm" published in Chinese Acupuncture and Moxibustion

DOI：10.13703/j.0255-2930.20231129-k0007

摘要

Abstract

关键词

Keywords

references