手足同名经交叉取穴法的理论渊源探讨

Discussion on the Theoretical Origin of the Cross Point Selection Method of Same-Name Meridians of the Hand and Foot

摘要: 手足同名经交叉取穴法源于《黄帝内经》所载的缪刺与巨刺法，后世结合对应取穴及同名经配穴思路，逐渐形成一种上下肢相应、左右侧交错的复合取穴模式。临床操作中，常选取与病灶同属一经、位于健侧的腧穴施针，例如依据膝关节局部腧穴所属经脉，在对侧肘关节同名经脉的对应部位进行针刺。该法能够通经接气、疏调气血，主要用于肢体扭挫伤、关节疼痛等经络阻滞类病证。本文通过系统梳理古今相关文献，探讨该取穴法的理论渊源，以期为针灸临床实践提供参考。

Abstract: The cross-needling method of the same-named meridians of hands and feet is derived from the collateral needling and major needling methods recorded in Huangdi Neijing. Later generations combined the ideas of corresponding needling and the same-named meridian point-matching, gradually forming a composite point-selection pattern with corresponding upper and lower limbs and crossed left-right sides. In clinical practice, acupoints on the healthy side that belong to the same meridian as the lesion are often selected for needling. For example, according to the meridian to which the local acupoints of the knee joint belong, needling is performed at the corresponding part of the same-named meridian of the contralateral elbow joint. This method can dredge the meridians, connect qi, and regulate qi and blood. It is mainly used for diseases with meridian blockage such as limb sprains and contusions and joint pain. This paper systematically reviews relevant ancient and modern literature to explore the theoretical origin of this point-selection method, aiming to provide a reference for clinical acupuncture practice.