論阿是穴與天應穴異同

在中醫針灸學術的領域中，阿是穴的治療是被廣泛運用的，藉著簡單的辨證方式，找出病灶的部位給予治療，據傳這樣的穴位被發現時，是醫家對於患者疼痛部位的觀察，發現患部皮表有著不同於正常狀況下的徵象，嘗試按之詢問患者是否為該處的疼痛？病患發出痛苦的聲調說出：「阿…阿…是…是…」這樣的狀況下被發現的。阿是穴的命名，是唐代醫家孫思邈，其著作《備急千金要方》中命名為阿是穴。但早在更久之前的年代，這樣搜尋疼痛點，給予治療的方法，已經其來有自，在相關著作的介紹之中，也常將「阿是穴」與「天應穴」的治則劃上等號，或是等同稱呼，然本篇文章將搜尋典籍中對「阿是穴」與「天應穴」的描述，並延伸對照現代西方醫學中的「肌激痛點治療」分析比較後，探討三者之間的異同。

關鍵字

孫思邈；阿是穴；天應穴；肌激痛點

並列摘要

In the academic field of the TCM acupuncture and moxibustion, the treatment of Ah Shi acupoints is widely applied, and has the simplest dialectal way. It is rumored that such acupoints were discovered because the doctors' observation of the pain area of the patients, found that the affected part of the skin surface had a different performance under normal conditions, tried to press it and asked the patients if it is the pain in the place. And the patients gave a painful tone and said, ＂Ah, ah, shi, shi...＂ (shi = yes) And the acupoints were discovered in a situation like this. The naming of Ah Shi acupoints is from the medical scientist in the Tang Dynasty Sun Simiao. He named it Ah Shi acupoints in his book, ＂Beiji Qianjin Yaofang＂ (Prescriptions Worth a Thousand Pieces of Gold for Emergencies). However, in earlier years, there had been a reason for such treatments. This article will be based on the similarities and differences between Ah Shi acupoints and Tian Ying acupoints, as well as the comparison and analysis of the therapies for Myofascial trigger point in modern Western medicine.