CAJ | 학술논문

[目的]通过探讨太溪与特定穴的配伍规律，拓展临床选穴应用思维和方法。[方法]查阅大量临床文献，选取太溪和特定穴配伍的相关文章，提取并归纳选穴思路，总结配伍规律。[结果]太溪治疗作用广泛，其中太溪多与心包经、心经、肝经的原穴相配，体现心肾相交、肝肾同源，与络穴合用则多采用异经原络配穴来加强气血流畅，与膀胱经经穴相配常常用于止痛。[结论]在太溪与特定穴的配伍应用中，医家选穴少但注重针感，灵活运用诸如原络配穴的方法，综合考虑五行生克、经脉表里、脏腑虚实等，在辨证论治的基础上，运用中医整体观，配伍选穴即能取得良好疗效。
[목적]통과탐토태계여특정혈적배오규률，탁전림상선혈응용사유화방법。[방법]사열대량림상문헌，선취태계화특정혈배오적상관문장，제취병귀납선혈사로，총결배오규률。[결과]태계치료작용엄범，기중태계다여심포경、심경、간경적원혈상배，체현심신상교、간신동원，여락혈합용칙다채용이경원락배혈래가강기혈류창，여방광경경혈상배상상용우지통。[결론]재태계여특정혈적배오응용중，의가선혈소단주중침감，령활운용제여원락배혈적방법，종합고필오행생극、경맥표리、장부허실등，재변증론치적기출상，운용중의정체관，배오선혈즉능취득량호료효。
Objective] To discuss the compatibility law of Taixi with special acupoints, expand applicable thought and method of clinical acupoints selection. [Method] Review and select a mass of literatures relevant to Taixi with special acupoints, extract and summarize the compatibility law. [Result] Taixi has a wide therapeutic range, which reflects the intercourse between heart and kidney, the homology of liver and kidney, and is constantly combined with Yuan-primary points of Pericardium Meridian, Heart Meridian or Liver Meridian. Combining Yuan-primary point with Luo-connecting point of different meridians is often used to enhance the Qi and blood flow, for analgesia of the acupoints of Bladder Meridian is frequently choosen. [Conclusion] In the compatibility and application of Taixi and special acupoints, physicians select few points but focus on the needling sensation. Based on the holistic concept of traditional Chinese medicine and syndrome differentiation, physicians, considering the generation-inhibition of five elements, the exterior-interior relations between meridians and the deficiency and excess of zang-fu organs, flexibly fol ow different rules of acupoints combination such as Yuan-primary point and Luo-connecting point to select compatible acupoints.Thus,a good clinical efficacy can be got.