摘要
丘墟透照海作为中医学透穴刺法的经典代表,以贯通足少阳胆经原穴(丘墟)与足少阴肾经八脉交会穴(照海)为核心,通过横穿跗骨窦骨性管道实现“一针透五经”的协同效应,达到调和肝胆枢机与肾阴精气的功效,形成阴阳经脉互济的治疗机制。该文系统考辨其源流,指出“丘墟透照海”的明确记载首现于现代文献(1989年),后经天津名医李中和完善操作规范并拓展临床应用。该针法优势病谱集中于神经系统疾病(偏头痛、失眠、耳鸣)、运动系统疾病(中风后足内翻、肩袖损伤)及少阳枢机不利型痛证(带状疱疹后遗神经痛);同时揭示其潜在适应证,包括精神心理疾病(焦虑、抑郁)和妇科疾病(月经不调),但因其循证研究匮乏故需临床验证。针刺时强调精准定位,取跗骨窦外口(丘墟)与内口(照海);操作时结合互动式行针手法以强化得气效应,并需规避血管神经损伤风险。未来研究需深化历史脉络梳理、扩大病谱循证支持、探索多靶点作用机制,以推动该针法的标准化传承与创新应用。
As a classic representative of penetrating acupuncture in traditional Chinese medicine,Qiuxu(GB40)point penetrating Zhaohai(KI6)point acupuncture focuses on penetrating the source point of the foot shaoyang gallbladder channel(Qiuxu,GB40)and eight confluence point of the foot shaoyin kidney channel(Zhaohai,KI6)by traversing the bony canal of the sinus tarsi.This achieves a synergistic effect of"one needle penetrating five meridians,"harmonizing the liver-gallbladder pivot mechanism with kidney yin essence,thereby establishing a therapeutic mechanism of mutual reinforcement between yin and yang meridians.This article systematically examines its origin and development,noting that the first explicit documentation of"Qiuxu point penetrating Zhaohai point"appeared in modern literature(1989)and was later refined by the renowned Tianjin physician LI Zhonghe,who standardized its operation and expanded its clinical applications.The advantageous disease spectrum of this technique primarily includes neurological disorders(migraine,insomnia,and tinnitus),musculoskeletal disorders(post-stroke foot inversion,rotator cuff injury),and pain syndromes due to shaoyang pivot dysfunction(postherpetic neuralgia).Additionally,potential indications encompass psychiatric conditions(anxiety,depression)and gynecological disorders(menstrual irregularities),but further clinical validation is needed due to insufficient evidence-based support.Precise localization of the external(Qiuxu)and internal(Zhaohai)openings of the sinus tarsi is emphasized during needling,along with interactive needle manipulation techniques to enhance the arrival of qi effect while avoiding vascular and nerve damage.Future research should deepen historical context exploration,expand evidence-based support for the disease spectrum,and explore multi-target mechanisms to promote standardized inheritance and innovative application of this technique.
作者
许艺江
赵志恒
徐明杰
赵曼霖
XU Yijiang;ZHAO Zhiheng;XU Mingjie;ZHAO Manlin(Xiamen Huli District Maternity and Child Care Hospital,Xiamen Fujian 361006,China;Acupuncture and Moxibustion Center for Encephalopathy,The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300250,China;Graduate School,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)
出处
《新中医》
2025年第24期123-128,共6页
New Chinese Medicine
基金
天津市教委科研计划项目(2022KJ181)
天津中医药大学教育教学改革研究课题(2023YJY009)
天津中医药大学第二附属医院“薪火相传计划”后备人才项目
天津中医药大学第二附属医院引进博士人才培养项目。
关键词
丘墟透照海
针法源流
优势病谱
针刺操作
起效机制
Qiuxu point penetrating Zhaohai point
Origin of acupuncture technique
Advantageous disease spectrum
Acupuncture operation
Mechanism of action
