浅析古代文献中手五里穴禁针学说

Acupuncture Contraindication Theory of Point Shouwuli (LI13) in Ancient Literature

摘要: 手五里穴，昉见于《灵枢》，属手阳明大肠经。自《灵枢•本输》中明确指出手五里穴“刺禁”以来，历代医家多将其列为禁针穴之一，但是，在古代文献和现代临床应用中却不乏使用针刺手五里治疗疾病的记载。本文主要通过文献研究法，分析了手五里穴禁针说的历史源流与发展嬗变，及其刺法运用的发展，认为应对针刺手五里穴持慎重态度，手五里禁针学说在当今仍然值得我们重视。

Abstract: First seen in Lingshu, Point Shouwuli (LI13), belongs to the LI (the Large Intestine Meridian of Hand Yangming). Since the Lingshu•Benshu clearly stated that Shouwuli is contraindicated in needling, physicians of all dynasties have listed LI13 as one of the contraindicated acupuncture points. However, there are several records of the application of acupuncture in the LI13 to treat diseases in ancient medical books and modern clinical applications. The authors analyzed the origination of the contraindication in acupuncture and the development of transmutation and its use of thorns by means of literature retrieval. According to the study, acupuncture at Shouwuli should be cautious, and moxibustion should be the main method in accordance with ancient medical books.