“上病下取”考

上病下取法是中医学重要的治疗方法之一，其思想源于《黄帝内经》。通过对《黄帝内经》相关篇目的考证，参照历代注家的注解，可知“上病下取”经历了一个从针灸治疗方法到中医学治则治法的演变过程。针灸学中“上病下取”的治法，也并非针灸治疗的首选方案，而是在“上病上取”治疗之后的备选治疗方案，或配合治疗方案。

Textual research on the method of "treating the diseases in the upper portion by managing the lower portion"

The method of "treating the diseases in the upper portion by managing the lower por-tion" is one of the important therapeutic methods of TCM which originated from the Huangdineijing(Huang-di's Internal Classic). Through textual research on the related articles in Huangdineijing as well as refer-ence to the annotations of past generations, the method of "treating the diseases in the upper portion by managing the lower portion" experienced an evolutional process from the therapeutic method of acupuncture and moxibustion to the therapeutic principle and method of TCM. The method of "needling the lower for the upper" in acupuncture and moxibustion is not the first option in the treatment of acupuncture and moxibus-tion but the alternative or assisted option after the treatment of "treating the diseases in the upper portion by treating the upper portion".