中醫古籍應用針灸治療癥瘕積聚的探討

中醫治療原則為針對病人個別特異性給予不同的治療方法，除了湯藥之外，針灸、熨法、按摩等治療手段也常在臨床上運用。癥瘕積聚是中醫臨床常見疾病，主要病因是五臟六腑虛弱，加上邪氣侵襲所造成，時日一久，氣血瘀滯而呈現出的各種生理現象，症狀各不相同，病之緩急也不相同。內服藥有時難以直達病灶，且服藥時間較長，病人的服藥順從性難以掌握。根據《內經》所提出的治療原則，血實宜決之、菀陳則除之、結者散之、留者攻之、溫則消而去之、實則瀉之、虛者補之⋯等辨證治療原則。針灸治療是一種值得重視並運用的治療方式。透過針灸古籍的查找翻閱尋查，針對癥瘕積聚相關的專章，以及治療的相關穴位歸納整理，去除相同者後，雖然僅記載常用有66個治療相關穴位，但是冀望此初步研究結果能提供中醫師臨床擬定癥瘕積聚等病症治療方針時另外的參考依據，運用合併針灸與藥物同時治療可增強療效。

關鍵字

癥瘕；積聚；針灸

並列摘要

Traditional Chinese medicine gives different treatment principles specific for individual patients. In addition to the decoction, acupuncture, ironing method and massage treatments are also often used in clinical practice. Zheng-Jia & Ji-Ju are common diseases of clinical medicine. They are formed, directly or indirectly, due to retention of phlegm and fluid and blood stasis. When dysfunction occurs in some organ, acupuncture and other therapy can be used in order to help further stimulate the regulating function of the channels, and bring the organ back to normality. The purpose of the present will discuss the ancient acupuncture literatures of treatment for Zheng-Jia & Ji-Ju. A detailed literature review and analysis were carried out. There were nine acupuncture classical books has a special chapter discussed the related point. Sixty-six acupuncture points related to the treatment of symptomatic of Zheng-Jia & Ji-Ju. The results could be served as a reference guidance for the clinical medicine.