針灸五門十變法臟腑通治法

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1、.針灸五門十變法及臟腑通治法【讀周左宇、耿恩廣著作筆記】一、五門十變法1、理論淵源《素問·天元紀大論》：甲己之歲，土運統(tǒng)之。乙庚之歲，金運統(tǒng)之。丙辛之歲，水運統(tǒng)之。丁壬之歲，木運統(tǒng)之。戊癸之歲，火運統(tǒng)之。《素問·五運行大論》：土主甲己，金主乙庚，水主丙辛，木主丁壬，火主戊癸。......天干甲乙丙丁戊經(jīng)絡膽肝小腸心胃脾大腸肺膀胱腎天干己庚辛壬癸合化土金水木火......化合治療法兩穴合用；互化治療法只取單穴。瀉井當瀉滎，補井當補合。甲己合化土甲膽→足臨泣己脾→太白合化脾、胃乙庚合化金乙肝→大敦*行間庚大腸→商陽*二間合化肺、大腸丙辛合

2、化水丙小腸→陽谷辛肺→經(jīng)渠合化腎、膀胱丁壬合化木丁心→少府壬膀胱→通谷合化肝、膽戊癸合化火戊胃→足三里癸腎→陰谷合化心、小腸化合治療法經(jīng)絡五行證候治則五門十變法治療取穴（本穴）肝經(jīng)木實證以火瀉之戊癸合化火胃經(jīng)—足三里腎經(jīng)—陰谷膽經(jīng)虛證以水補之丙辛合化水小腸經(jīng)—陽谷肺經(jīng)—經(jīng)渠......心經(jīng)火實證以土瀉之甲己合化土膽經(jīng)—足臨泣脾經(jīng)—太白小腸經(jīng)虛證以木補之丁壬合化木心經(jīng)—少府膀胱經(jīng)—通谷脾經(jīng)土實證以金瀉之乙庚合化金肝經(jīng)—大敦*行間大腸經(jīng)—商陽*二間胃經(jīng)虛證以火補之戊癸合化火胃經(jīng)—足三里腎經(jīng)—陰谷肺經(jīng)金實證以水瀉之丙辛合化水小腸經(jīng)—陽谷肺經(jīng)

3、—經(jīng)渠大腸經(jīng)虛證以土補之甲己合化土膽經(jīng)—足臨泣脾經(jīng)—太白腎經(jīng)水實證以木瀉之丁壬合化木心經(jīng)—少府膀胱經(jīng)—通谷膀胱經(jīng)虛證以金補之乙庚合化金肝經(jīng)—大敦*曲泉大腸經(jīng)—商陽*曲池下合穴歌胃足三里膽陽陵，膀胱下合是委中，上下巨虛大小腸，三焦委陽是穴名。互合治療法五門十變法病變經(jīng)絡治療經(jīng)絡取穴甲己合化土膽經(jīng)—甲脾經(jīng)—己太白......乙庚合化金肝經(jīng)—乙大腸經(jīng)—庚商陽**二間丙辛合化水小腸經(jīng)—丙肺經(jīng)—辛經(jīng)渠丁壬合化木心經(jīng)—丁膀胱經(jīng)—壬通谷戊癸合化火胃經(jīng)—戊腎經(jīng)—癸陰谷甲己合化土脾經(jīng)—己膽經(jīng)—甲足臨泣乙庚合化金大腸經(jīng)—庚肝經(jīng)—肝大敦**行間丙辛合化水肺

4、經(jīng)—辛小腸經(jīng)—丙陽谷丁壬合化木膀胱經(jīng)—壬心經(jīng)—丁少府戊癸合化火腎經(jīng)—癸胃經(jīng)—戊足三里化合及互化治療法所病經(jīng)絡化合法互合法......實證（－）虛證（＋）膽經(jīng)足三里陰谷陽谷經(jīng)渠太白肝經(jīng)商陽**二間小腸經(jīng)足臨泣太白少府通谷經(jīng)渠心經(jīng)通谷胃經(jīng)行間二間足三里陰谷陰谷脾經(jīng)足臨泣大腸經(jīng)陽谷經(jīng)渠足臨泣太白大敦**行間肺經(jīng)陽谷膀胱經(jīng)少府通谷曲泉曲池少府腎經(jīng)足三里五輸穴之五行與天干屬性......五輸穴井滎輸經(jīng)合陰經(jīng)五行木火土金水天干乙丁己辛癸陽經(jīng)五行金水木火土天干庚壬甲丙戊本經(jīng)自合治療法五門十變法腧穴特性經(jīng)絡配穴治證五輸穴五行甲己合化土陰經(jīng)—輸穴土脾經(jīng)

5、太白脾、胃疾患陽經(jīng)—輸穴木胃經(jīng)陷谷乙庚合化金陰經(jīng)—輸穴木肺經(jīng)少商肺、大腸疾患陽經(jīng)—輸穴金大腸經(jīng)商陽丙辛合化水陰經(jīng)—輸穴金腎經(jīng)復溜腎、膀胱疾患陽經(jīng)—輸穴火膀胱經(jīng)昆侖丁壬合化木陰經(jīng)—輸穴火肝經(jīng)行間肝、膽疾患陽經(jīng)—輸穴水膽經(jīng)俠溪戊癸合化火陰經(jīng)—輸穴水心經(jīng)少海心、小腸疾患陽經(jīng)—輸穴土小腸經(jīng)小海......一、臟腑通治法1、理論淵源《素問·陰陽離合論》：“是故三陽之離合也，太陽為開，陽明為闔，少陽為樞?！薄笆枪嗜幹x合也，太陰為開，厥陰為闔，少陰為樞。”《醫(yī)學入門·臟腑相通篇·五臟穿鑿論》：“心與膽相通（心病怔忡，宜溫膽為主；膽病戰(zhàn)栗癲狂，宜

6、補心為主），肝與大腸相通（肝病宜疏通大腸，大腸病宜平肝經(jīng)為主），脾與小腸相通（脾病宜瀉小腸火，小腸病宜潤脾土為主），肺與膀胱相通（肺病宜清利膀胱水，后用分利清濁；膀胱病宜清肺氣為主，兼用吐法），腎與三焦相通（腎病宜調(diào)和三焦，三焦病宜補腎為主），腎與命門相通（津液胃虛，宜大補右腎），此合一之妙也。”臟腑通治法臟腑通治法臨床應用心與膽通心病怔忡-宜溫膽膽病戰(zhàn)栗癲狂-宜補心肝與大腸通肝病-宜疏通大腸大腸病-宜平肝經(jīng)脾與小腸通脾病-宜瀉小腸火小腸病-宜潤脾土肺與膀胱通肺病-宜清利膀胱，后用分利清濁膀胱病-宜清肺氣，兼用吐法腎與三焦通腎病-宜調(diào)

7、和三焦三焦病-宜補腎腎與命門通津液胃虛-宜大補右腎......臟腑通治法原理開---太陽及太陰樞---少陽及少陰闔---陽明及厥陰足經(jīng)手經(jīng)足經(jīng)手經(jīng)足經(jīng)手經(jīng)陽經(jīng)膀胱經(jīng)小腸膽三焦胃大腸陰經(jīng)脾經(jīng)肺腎心肝心包手足經(jīng)合化膀胱---肺小腸---脾膽---心三焦---腎胃---心包大腸---肝臟腑通治法配穴表配穴相通經(jīng)絡配穴蠡溝肝經(jīng)大腸經(jīng)偏歷通里心經(jīng)膽經(jīng)光明公孫脾經(jīng)小腸經(jīng)支正......列缺肺經(jīng)膀胱經(jīng)飛揚大鐘腎經(jīng)三焦經(jīng)外關十二經(jīng)通經(jīng)關系經(jīng)絡太陽陽明少陽太陰少陰厥陰足手足手足手足手足手足手膀胱小腸胃大腸膽三焦脾肺腎心肝心包上接經(jīng)小腸心大腸肺三焦心包胃

8、肝膀胱脾膽腎五門十變心肺腎肝脾------膽小腸胃膀胱大腸------臟腑通治肺脾心包肝心腎小腸膀胱三焦膽大腸胃下接經(jīng)腎膀胱脾胃肝膽心大腸心包小腸肺三焦表里經(jīng)腎心脾肺肝心包胃大腸膀胱小腸膽三焦十二經(jīng)脈循行交接順序：肺大胃