捻转补泻手法要素源流梳理与分析
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摘要
通过梳理古籍中有关捻转补泻手法的要素,整理捻转补泻手法左右转针、性别、受针者左右、受针者身前身后、经络循行方向等要素发展的源流,分析了古代医家对诸多要素的认识。认为转针左右、性别、受针者左右、受针者身前身后等要素不是捻转补泻的技术核心部分。对于现在研究所关注的幅度、频率、时间3个刺激变量,唯有单次捻转完成时间(频率)被高武在《针灸聚英》中所重视,可视为进一步研究的内容。对于依据针刺刺激强度区分补泻,则需增加受针者的感受强度这一因素,并进行更深入的研究。
Reinforcing and reducing needling manipulations are important factors affecting clinical therapeutic effect.In the present paper,the relevant elements of the reinforcing and reducing techniques of acupuncture needle including the left-and right-ward twirling,gender,needling at the left and right,front and back parts of the body,needling along or against the running course of the meridian,and their origin and development recorded in ancient Chinese medical books were collected and sorted out,followed by analysis on the understandings of Chinese ancient medical practitioners about them.Results show that the right-or left-ward twirling of needles,gender,and needling at the right or left part,the front or the back part of the body of patients are not the core components of the reinforcing and reducing techniques.Of the three stimulus parameters of needling,named amplitude,frequency and duration which are frequently researched at present,only the duration of single twirling(frequency)was highly noted in GAO Wu's book Zhenjiu Juying(A Collection of Gems in Acupuncture and Moxibustion).It is worthy of being studied in the further.Regarding the stimulation intensity of acupuncture involving the identification of reinforcing or reducing manipulations,the factors influencing the patients' feelings of needling intensity of acupuncture should be studied at the same time.
Reinforcing and reducing needling manipulations are important factors affecting clinical therapeutic effect.In the present paper,the relevant elements of the reinforcing and reducing techniques of acupuncture needle including the left-and right-ward twirling,gender,needling at the left and right,front and back parts of the body,needling along or against the running course of the meridian,and their origin and development recorded in ancient Chinese medical books were collected and sorted out,followed by analysis on the understandings of Chinese ancient medical practitioners about them.Results show that the right-or left-ward twirling of needles,gender,and needling at the right or left part,the front or the back part of the body of patients are not the core components of the reinforcing and reducing techniques.Of the three stimulus parameters of needling,named amplitude,frequency and duration which are frequently researched at present,only the duration of single twirling(frequency)was highly noted in GAO Wu's book Zhenjiu Juying(A Collection of Gems in Acupuncture and Moxibustion).It is worthy of being studied in the further.Regarding the stimulation intensity of acupuncture involving the identification of reinforcing or reducing manipulations,the factors influencing the patients' feelings of needling intensity of acupuncture should be studied at the same time.
引文
[1]田代华整理.黄帝内经素问[M].北京:人民卫生出版社,2005.
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[9]陈梓欣,王圆圆.“强弱刺激论”与针刺补泻手法的关系[J].中国针灸,2013,33(7):619-621.
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[13]陈会撰,刘瑾补辑,李宁点校.神应经[M].北京:中医古籍出版社,1990.
[14]张义,郭长青.捻转刺法溯源[J].中国针灸,2013,33(7):615-618.
[15]夏有兵,张建斌,张宏如,等.承淡安与澄江针灸学派[N].中国中医药报,2011(10):1-5.
[16]肖敏佳,褚亚宇,柳杨,等.左右利手捻转补泻手法对血虚证模型大鼠RBC、Hb、IRF的影响[J].世界中医药,2014,9(4):482-484.
[17]睢明河,周宇姝,马文珠,等.大小刺激量捻转补泻法对血虚证大鼠红细胞计数的影响[J].针刺研究,2004,29(3):213-216.
[18]石学敏,张存生,刘白雪,等.捻转补泻手法的应用及其量学概念[J].中国医药学报,1987,2(5):16-17.
[19]卞金玲,张春红.石学敏院士针刺手法量学的概念及核心[J].中国针灸,2003,23(5):38-40.
[2]马莳著,田代华主校.黄帝内经灵枢注证发微[M].北京:学苑出版社,2003:10.
[3]王耀帅,陈仁寿.针经三书[M].北京:中国中医药出版社,2010.
[4]贺普仁.中华针灸宝库明卷6针灸集书针灸问对针灸节要[M].北京:北京科学技术出版社,2017.
[5]田代华等整理.灵枢经[M].北京:人民卫生出版社,2005.
[6]高武.针灸聚英[M].北京:中国中医药出版社,2007.
[7]杨继洲.针灸大成[M].北京:中国中医药出版社,1997.
[8]陈思思,王朝阳,刘炜,等.捻转补泻手法历史源流与发展现状//中国针灸学会.2011中国针灸学会年会论文集,北京,2011.
[9]陈梓欣,王圆圆.“强弱刺激论”与针刺补泻手法的关系[J].中国针灸,2013,33(7):619-621.
[10]贺普仁.中华针灸宝库明卷4奇效良方针灸门图注八十一难经琼瑶神书[M].北京:北京科学技术出版社,2017.
[11]贺普仁.中华针灸宝库明卷3勿听子俗解八十一难经针灸大全灵枢经脉翼[M].北京:北京科学技术出版社,2017.
[12]贺普仁.中华针灸宝库明卷12针方六集针灸问答[M].北京:北京科学技术出版社,2017.
[13]陈会撰,刘瑾补辑,李宁点校.神应经[M].北京:中医古籍出版社,1990.
[14]张义,郭长青.捻转刺法溯源[J].中国针灸,2013,33(7):615-618.
[15]夏有兵,张建斌,张宏如,等.承淡安与澄江针灸学派[N].中国中医药报,2011(10):1-5.
[16]肖敏佳,褚亚宇,柳杨,等.左右利手捻转补泻手法对血虚证模型大鼠RBC、Hb、IRF的影响[J].世界中医药,2014,9(4):482-484.
[17]睢明河,周宇姝,马文珠,等.大小刺激量捻转补泻法对血虚证大鼠红细胞计数的影响[J].针刺研究,2004,29(3):213-216.
[18]石学敏,张存生,刘白雪,等.捻转补泻手法的应用及其量学概念[J].中国医药学报,1987,2(5):16-17.
[19]卞金玲,张春红.石学敏院士针刺手法量学的概念及核心[J].中国针灸,2003,23(5):38-40.