《针灸聚英》妇科病的选穴规律探析

Analysis of Acupoint Selection Rules for Gynecological Disease Treatment in Acupuncture and Moxibustion Juying

摘要: 本研究旨在系统地梳理古籍《针灸聚英》中治疗妇科疾病的针灸取穴规律。方法：自行查阅书中所有涉及妇科疾病的主治腧穴、治疗处方及相关医案，并建立Excel数据库。对数据库中的腧穴进行描述性统计分析。本研究共纳入134条条文，涉及83个穴位，总使用频次为192次。结果显示，三阴交为最常用穴(16次，8.3%)，任脉使用频率最高(35次，18.2%)。特定穴以五腧穴选用频次最多；《针灸聚英》还强调远部取穴(四肢穴位占114次，59.9%)；处方精简(单穴处方43次，占61.4%)。研究表明，《针灸聚英》针灸治疗妇科疾病以三阴交为核心，注重调理任脉及足三阴经，善用特定穴与远部取穴，其用穴规律对现代妇科针灸临床具有重要指导意义。

Abstract: This study aims to systematically sort out the acupuncture point selection rules for treating gynecological diseases in the ancient book Acupuncture and Moxibustion Juying. Methods: Independently search for all the acupoints indicated for gynecological diseases, treatment prescriptions and relevant medical cases in the book, and establish an Excel database. Conduct descriptive statistical analysis on the acupoints in the database. A total of 134 articles were included in this study, involving 83 acupoints, with a total usage frequency of 192 times. The results showed that Sanyinjiao (SP6) was the most frequently used acupoint (16 times, 8.3%), and the Conception Vessel had the highest usage frequency (35 times, 18.2%). Among the specific acupoints, the five-shu acupoints were selected most frequently. Acupuncture and Moxibustion Juying also emphasized far acupoint selection (acupoints on the extremities accounted for 114 times, 59.9%); the prescriptions were concise (single-acupoint prescriptions accounted for 43 times, 61.4%). The study shows that in the gynecological acupuncture of Acupuncture and Moxibustion Juying, Sanyinjiao is the core, paying attention to regulating the Conception Vessel and the three yin meridians of the foot, being good at using specific acupoints and far acupoint selection. Its acupoint selection rules have important guiding significance for modern gynecological acupuncture clinical practice.