《针灸大成》中合谷穴的主治、配穴规律研究旷徐范文娟陈晓伟[摘要]目的通過研究《针灸大成》中与合谷穴治疗作用相关的条文，总结合谷穴的主治疾病及其配穴规律。方法检索词包括“合谷”“虎口”“含口”“合骨”“四关”，采用电子检索及手工检索相结合的方法检索符合的条文，通过建立数据库和频次分析，总结合谷穴的主治疾病及其配穴规律。结果在《针灸大成》中，关于合谷的条文共有265条，符合纳入标准的条文共246条。合谷穴治疗中医病症出现的频次为292次，主治病症范围包含：中医内科、中医头面五官科、中医妇科、中医外科、中医儿科、中医骨伤科。其中运用最多的学科为：中医内科和中医头面五官科;内科中排前三位是：脑系病症、肢体经络病症、肺系病症;中医头面五官科中眼部疾病运用频次较高。合谷单穴治疗疾病出现的频次是21次，与合谷穴相关的配穴有179个，所有配穴出现频次为838次。其中排前10的配穴为：曲池、足三里、三阴交、百会、颊车、风池、水沟、复溜、行间、中渚。结论合谷穴广泛运用于中医病症的治疗，尤善于治疗内科疾病和头面五官科疾病，合谷穴的腧穴配伍体现了本经配穴法、同名经配穴法、表里经配穴法、上下配穴法、原络配穴法等配伍法则。[关键词]《针灸大成》;合谷穴;主治疾病;配穴[]R245.2[文献标识码]A[]1673-7210（2020）10（b）-0147-04[Abstract]ObjectiveTosumupthemainindicationsandpointscombinationrulesofhégǔpointbystudyingtheliteraturesinCompendiumofAcupunctureandMoxibustion.MethodsThesearchtermswere“hégǔ”“hukou”“hankou”“hegu”“siguan”，andthequalifiedliteratureswerecollectedbythecombinationofelectronicretrievalandmanualretrieval.Themainindicationsandpointscombinationrulesofhégǔpointweresummedupthroughestablishmentofdatabaseandfrequencyanalysis.ResultsInCompendiumofAcupunctureandMoxibustion，therewere265literaturesrelatedtohégǔpointand246literaturesthatmettheinclusioncriteria.Thetotalfrequencyofhégǔpointinthetreatmentofdiseaseswas292.MainindicationsofhégǔpointinvolvedtraditionalChinesemedicineofinternalmedicine，facialfeatures，gynecology，surgery，pediatricsandorthopedics.Themostcommondiseasestreatedbyhégǔpointwereinternalmedicinediseasesandfacialfeaturesdiseases.ThetopthreediseasesintraditionalChinesemedicineofinternalmedicinewerebraindiseases，bodymeridiansdiseasesandlungdiseases.TheapplicationfrequencyoftraditionalChinesemedicineofophthalmicdiseasesinfacialfeatureswasrelativelyhigh.Thefrequencyofhégǔpointaloneinthetreatmentofdiseaseswas21andtherewere179matchingacupointsofhégǔpoint，andthetotalfrequencyofthematchingacupointswas838.Thetop10matchingacupointswereqūchí，zúsānlǐ，sānyīn激āo，bǎihuì，激áchē，fēngchí，shuǐgōu，fùliū，xíng激ān，zhōngzhǔ.ConclusionHégǔpointwaswidelyusedinthetreatmentoftraditionalChinesemedicinediseases，especiallyininternalmedicineandfacialfeatures.Thepointscombinationrulesofhégǔpointinvolvedcombinationofaffectedchannel，combinationofpointsofnamesakechannels，superficies-interiorpointscombination，superior-inferiorpointscombination，yuan-sourcepointsandcollateral-pointscombination.[Keywords]CompendiumofAcupunctureandMoxibustion;Hégǔpoint;Mainindications;Pointscombination杨继洲《针灸大成》初刊于明万历二十九年（1601年），所述内容十分广泛，对明以后的针灸学产生了十分深远的影响，是针灸临床的必读之书[1]。其翻刻次数之多，流传之广，影响之大，声誉之隆，都是罕见的，可谓是一部蜚声针坛的历史名著，对后世针灸学有着承前启后的作用[2]。在《针灸大成》中，合谷穴的运用范围相当广泛，疾病条文和医案颇丰，配穴多样。本文通过全面检索《针灸大成》，总结合谷穴治疗各类疾病的运用范围及...