基于《傷寒雜病論》構(gòu)建“脈-證-經(jīng)-穴”針灸診療模式

[中圖分類號(hào)］R245 [文獻(xiàn)標(biāo)志碼]A [文章編號(hào)]0256-7415（2025）12-0126-05

DOI：10.13457/j.cnki.jncm.2025.12.023

Establishing a "Pulse-Syndrome-Meridian-Acupoint" Acupuncture and Moxibustion Diagnosis and Treatment Model Based on Shang Han Za Bing Lun

ZHUJiacheng，SUNJing，HANDexiong，HUQimiao

TheThirdSchoolofClinicalMedicineof ZhejiangChineseMedicalUniversity，Hangzhou Zhejiang31Oo53，China

Abstract：By systematically analyzing the passges related to acupuncture and moxibustion and pulse diagnosis in ZHANG Zhongjing's Shang Han Za Bing Lun（Treatise on Cold Damage and Miscellaneous Diseases），this study summarizes ZHANG's acupuncture and moxibustion-pulse diagnostic philosophy across three dimensions：disease syndromes，the nutritiveand defensiveqi，and the eight principles.Building on ZHANG's theories and scholarly interpretations of pulse-guided acupuncture and moxibustion，combined with the authors’insights from studying Shang Han Za Bing Lun，we explore the necesityof pulse diagnosis prior to acupunctureand moxibustion and propose a "pulse-syndrome-meridian-acupoint"diagnosticand treatment model.This model emphasizes theprincipleof "prioritizingsyndrome differentiation through pulse asessment" toguideclinicalacupuncture and moxibustion practice， aiming to enhance therapeutic precision and effects.

Keywords：Shang Han Za Bing Lun；Pulse diagnosis；Acupuncture and moxibustion； Syndrome diferentiation and treatment

《傷寒雜病論》系東漢張仲景所著，是一部論述外感疾病和內(nèi)傷雜病為主要內(nèi)容的醫(yī)學(xué)經(jīng)典，集秦漢以來醫(yī)藥理論之大成，論廣湯液，撰用內(nèi)難，實(shí)為留給后世學(xué)習(xí)中醫(yī)藥的瑰寶。（剩余6640字）