北周建德六年(577年)析臨漳縣置,治所在今河北省魏縣西南舊魏縣。屬魏郡。因境有洹水,故名。唐朝時,隸屬相州,天祐三年(906年)屬魏州[1],《資治通鑑》:五代後梁貞明元年(915年),劉鄩聞晉軍至,選兵萬餘人,自洹水趣魏縣,即此。北宋熙寧六年(1078年)省為鎮。
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