从“开合枢”“五行–脏腑”探讨合谷穴的主治

Exploring the Therapeutic Effects of Hegu from the Perspectives of “Opening and Closing Pivot” and “Five Elements - Viscera”

摘要: 合谷穴作为手阳明大肠经之原穴，其临床价值在历代医籍中均已阐述。笔者以《黄帝内经》“开阖枢”理论及五行–脏腑相关学说作为切入点，分条论述合谷穴的主治病症，即阳明主阖(降)，阳明兼表(开)，四关调枢(气机)，并归纳总结合谷穴的功效：一穴多效，理肺调肠平肝用，疏肝调神畅玄府，以期为医者运用合谷治疗疾病提供更多参考。

Abstract: As the Yuan point of the Hand Yangming Large Intestine Meridian, the Hegu point has been described in various medical classics throughout history for its clinical value. The author takes the “Opening, Closing and Pivot” theory from the “Huangdi Neijing” and the Five Elements - Viscera Organ Correlation Theory as the entry point to discuss the main diseases treated by the Hegu point in detail, namely, the Yangming Meridian mainly governs closing (descending), the Yangming Meridian also governs the exterior (opening), and the Four Gates regulate the pivot (Qi movement). The author summarizes the efficacy of the Hegu point as follows: it has multiple effects, regulating the lung, intestines and liver, soothing the liver, regulating the spirit and unblocking the orifices. This is intended to provide more references for medical practitioners who use Hegu to treat diseases.