曾理 谭舒怀 冯芳 常小荣

〔摘要〕 基于“治未病”理论的指导，常小荣教授提出了以湖湘五经配伍为特色的灸法，其应用独具特色。本文以心脑血管疾病的三级分级预防为例来阐述，首先常教授在治法上，以湖湘五经配伍为特色，以“大五经理论”和“广五经理论”为主，以经脉、经穴和脏腑间的五行配伍、生克制化来和五行、控五经和调五脏，重点落在心、肝、肾三脏上，配以王琦教授的九种体质学说，针对易好发心脑血管疾病的体质辨证选穴。同时，常教授以灸法为主要干预手段，配合时令施灸，来达到通补结合、扶正祛邪的功效。

〔关键词〕 治未病;艾灸;湖湘五经配伍;心血管疾病;三级预防;常小荣

〔中图分类号〕R246       〔文献标志码〕A       〔文章编号〕doi：10.3969/j.issn.1674-070X.2021.10.006

Simple Analysis of Professor Chang Xiaorongs Application of Moxibustion Under the Guidance of the Theory of Treating Pre-disease： Take the Heart Cerebrovascular Disease As an Example

ZENG Li1， TAN Shuhuai1， FENG Fang2*， CHANG Xiaorong1*

（1. Hunan University of Chinese Medicine， Changsha， Hunan 410208， China; 2. West Hospital of Chenzhou First Peoples Hospital， Chenzhou， Hunan 423000， China）

〔Abstract〕 Under the guidance of the theory of “treating pre-disease”， professor Chang Xiaorong put forward the moxibustion

method characterized by the compatibility of the five meridians in Huxiang， and its application is unique. This paper takes the three-level prevention of cardiovascular and cerebrovascular diseases as an example to illustrate. First， professor Chang is characterized by the compatibility of the five meridians in Huxiang， and the theory of “big five managers” and “wide five managers”， the compatibility and restraint of the five elements between meridians， acupoints and Zang-Fu， the control of the five elements and the regulation of the five Zang-Fu， with emphasis on the heart， liver and kidney. With professor Wang Qis theory of nine physical constitution， for prone cardiovascular and cerebrovascular diseases of the constitution of the dialectical point selection. At the same time， professor Chang used moxibustion as the main means of intervention， with seasonal moxibustion， to achieve through the combination of tonic， strengthening the body resistance to eliminate pathogenic factors.

〔Keywords〕 treating pre-disease; moxibustion; the compatibility of the five meridians in Huxiang; cardiovascular disease; tertiary prevention; Chang Xiaorong

常小榮教授，博士研究生导师，国家万人计划教学名师，全国中医药教学名师，湖南省医学学科225领军人才。在治未病领域，常小荣教授极深研几、博采众长，形成了一套独具湖湘特色的治未病理论体系。常教授治未病最具特色的指导思想则是针对心脑血管疾病的防治，根据三级预防的不同阶段，结合人体体质与时令节气特征，融合湖湘五经配伍理论特色，选用一些具有强壮保健、活血祛瘀作用的穴位，运用保健灸法，以扶正祛邪，主要是“扶正”效应。“扶正”即“扶助人体正气”“正气存内，邪不可干”，当人体的正气充足时，抵御疾病的能力就自然上升。反之，人正气不足，则易感受病邪。常教授通过大量研究探讨得出，艾灸主要通过“温补”[1]和“温通”[2]效应，以温达补、温补脾肾，以温促通、气血畅通，通补结合来达到扶助正气。……