八脈交會穴之理論與臨床運用簡介

Introduction to the Theory and Clinical Applications of Eight Confluent Points

八脈八法穴（公孫、內關、臨泣、外關、列缺、照海、後谿和申脈）為臨床上常用的八個穴道，最早見於金元時期竇漢卿所著的《針經指南》，每穴除了有單獨對應的適應症外，明清後也延伸出兩兩配對的方式，將腕踝近的穴道對應於驅幹頭面部，擴大了使用範圍和療效；本文藉由古籍的整理和臨床各家的應用，推論八脈八法穴的理論基礎和作用機轉，並比較各古代典籍在各適應症的差異，最後分析四組穴道在現代疾病的治療範疇及療效；透過以上這些討論，能建立八脈八法穴的理論機轉，並開拓更多的臨床應用。

Eight confluent points (including Gongsun(SP 4), Neiguan(PC 6), Zulinqi(GB 41), Waiguan(TE 5), Lieque(Lu 7), Zhaohai(KI 6), Houxi(SI 3) and Shenmai(BL 62))recorded in the《針經指南》(written by Dou Han Qing) are commonly used clinically. Every point not only has its own indications but also can be used in pairs to broaden their clinical scopes and therapeutic effects. These ways which correspond points located around wrists and ankles to trunk and head are developed in Ming and Ching Dynasty. This article infers Eight confluent points' theory and probable mechanism through ancient data reorganization and doctor's clinical experiences. This article also discuss the difference between indications mentioned by these doctors. Last, the therapeutic applications and effects were also included. By these discussion above, we hope to establish the basal mechanisms of Eight confluent points and enrich the clinical applications. potential for relieving atrophic scars and hyperpigmentation.