透灸的临床应用OA
Clinical Applications of Toujiu Method(Moxibustion of Deep Heat Penetration)
透灸是在古代艾灸技术的基础上总结的一种施灸方法,有艾箱透灸、艾条透灸、温针透灸、刺络透灸等多种应用方式.此法灸量充足,使气血透达,有温经散寒、扶阳固脱、消散瘀结、防病保健的作用,又有控温控烟、节省人力等优点,临床优势体现在3 个方面:(1)灸量标准化.相较于传统艾灸依赖艾炷大小与壮数的经验性操作,透灸以局部潮红、汗出等透达体征为客观指标,结合恒温调控(43~45℃)与持续施灸时间(≥30 min),实现灸量精准化,既避免灼伤风险,又确保热力深透.(2)安全性优化.透灸通过专用灸具(如颈项部、腰腹部艾箱)实现解剖适配性施灸,结合滤布控烟技术减少环境污染;改良的温针透灸法可避免传统温针灸艾灰脱落引发的烫伤.(3)适应证突破.透灸在外科疮疡,如巴氏腺脓肿、肛周脓肿等症中验证了"热证可灸"的可行性,并通过联合刺络、中药形成协同增效模式.
Toujiu(moxibustion of deep heat penetration)is a moxibustion method based on ancient moxibustion techniques,character-ized by applying enough moxibustion to promote the circulation of Qi and blood.There are various application methods,including moxa box Toujiu,moxa stick Toujiu,warm needle Toujiu,and pricking collateral Toujiu.This method,with its sufficient moxibustion amount,facilitates qi and blood circulation and has effects such as warming the meridians and dispelling cold,strengthening yang and preventing collapse,resolving stasis and nodules,and disease prevention and health care.It also has advantages such as temperature and smoke control and labor saving.Its clinical advantages are reflected in three aspects:(1)Standardization of moxibustion amount.Compared with traditional moxibustion,which relies on experience with the size and number of moxa cones,Toujiu uses objective indicators such as local redness and sweating to guide treatment,combined with constant temperature control(43-45℃)and sustained moxibustion(≥30 min),achieving precise moxibustion amounts,avoiding the risk of burns while ensuring deep heat penetration.(2)Optimized safety.Toujiu uses specialized moxibustion tools(such as moxa boxes for the neck and waist-abdomen)to achieve anatomically appropriate moxibustion,combined with filter cloth smoke control technology to reduce environmental pollution;the improved warm needle Toujiu can prevent burns caused by the falling of moxa ash in traditional warm needle moxibustion.(3)Expanded indications.Toujiu has veri-fied the feasibility of"moxibustion for Heat syndrome"in surgical ulcers,such as Bartolini's gland abscess and perianal abscess,and has formed a synergistic effect mode when combined with collateral pricking and Chinese herbal medicine.
高希言
河南中医药大学,河南 郑州 450046||河南中医药大学第三附属医院,河南 郑州 450008
医药卫生
透灸艾灸技术临床应用艾条透灸艾箱透灸温针透灸刺络透灸
Toujiu(moxibustion of deep heat penetration)moxibustion techniqueclinical applicationmoxa stick Toujiumoxa box Toujiuwarm needle Toujiupricking collateral Toujiu
《中医学报》 2026 (6)
1131-1138,8
国家自然科学基金项目(82474655)
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