论针刺深浅之“刺皮”
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摘要
从《黄帝内经》开始就已有刺皮针法的相关记载,现代刺皮针法更是因其安全有效、患者痛苦少而被更多地运用到临床中。刺皮针法的理论基础包括皮部理论、卫气理论、五脏理论,刺皮针法常用针具有鑱针、鍉针、锋针、毫针,刺皮针法衍生出的针法包括经皮刺激、皮内刺激,刺皮针法的主治范围等方面,阐述刺皮针法的特点并分析所存在的问题,以为今后刺皮针法的临床研究提供理论基础。
The method of acupuncture in the skin has been recorded since Inner Canon of Yellow Emporor,and the modern method of skin acupuncture has been frequently used in clinical practice because of its safety,effectiveness and less pain for patients. The theoretical bases of the skin acupuncture method include the theory of cutaneous region,the theory of Weiqi and the theory of five Zang-organs. The commonly used needles include trowel needle( Chan needle,鑱针),spoon needle( Chi needle,鍉针),blade needle( Feng needle,锋针) and filiform needle( Hao needle,毫针). The derived methods include percutaneous stimulation and intradermal stimulation. This article also expounds the characteristics of the skin acupuncture method and analyzes the existing problems,to provide the theoretical basis for the clinical research of the skin acupuncture method in the future.
The method of acupuncture in the skin has been recorded since Inner Canon of Yellow Emporor,and the modern method of skin acupuncture has been frequently used in clinical practice because of its safety,effectiveness and less pain for patients. The theoretical bases of the skin acupuncture method include the theory of cutaneous region,the theory of Weiqi and the theory of five Zang-organs. The commonly used needles include trowel needle( Chan needle,鑱针),spoon needle( Chi needle,鍉针),blade needle( Feng needle,锋针) and filiform needle( Hao needle,毫针). The derived methods include percutaneous stimulation and intradermal stimulation. This article also expounds the characteristics of the skin acupuncture method and analyzes the existing problems,to provide the theoretical basis for the clinical research of the skin acupuncture method in the future.
引文
[1]郑丽芳,金亚蓓.《黄帝内经》刺皮针法及临床举隅[J].浙江中西医结合杂志,2015,25(5):517-519.
[2]樊海龙,张卫华.皮部刺激疗法治病机理浅探[J].中医临床研究,2012,4(17):44-45.
[3]胡天烨,马睿杰,方剑乔.浅刺与卫气探述[J].浙江中医杂志,2016,51(5):372-373.
[4]冉维正.《内经》皮部理论的研究[D].北京:北京中医药大学,2013.
[5]李艳宁,李智贤.高频超声对正常成人皮肤厚度测量及声像研究[J].中国医学影像技术,2008,24(10):1622-1624.
[6]黄伯灵,袁锦虹.毫针浅刺疗法[M].北京:人民卫生出版社,2009:36.
[7]吴鲁辉.皮下浅刺法的文献研究[D].济南:山东中医药大学,2012.
[8]高慧明,付于.付于主任“皮部浅刺”理论初探[J].中医临床研究,2016,8(19):57-59.
[9]盛燮荪.盛氏针灸[M].北京:人民卫生出版社,2008:220-230.
[10]常英,刘亚彬,何君君.耳穴贴压治疗小儿环枢椎半脱位25例临床观察[J].中国针灸,2006,26(10):710.
[11]李经纬.中医大词典[M].北京:人民卫生出版社,2004:541.
[12]闻慧.揿针疗法的临床应用[J].上海医药,2014,35(22):34-35.
[13]李燕红,尹丹.滚针治疗损容性皮肤病的研究进展[J].中华医学美学美容杂志,2016,22(4):251-252.
[14]陈守强,马艳,武少玮.挑络疗法源流及其理论基础[J].光明中医,2016,31(19):2849-2851.
[15]郑毅,于永慧,方凡夫.腕踝针疗法研究进展[J].河北中医,2014,36(4):631-633.
[16]温木生.试述腹针针刺深度[J].实用中医药杂志,2009,25(6):418-419.
[17]黄强民,庄小强,谭树生.肌筋膜疼痛出发点的诊断与治疗[M].南宁:广西科学技术出版社,2010:193-195.
[18]徐美君,周庆辉.腕踝针创立以来的临床应用及研究进展[J].上海针灸杂志,2015,34(3):277-280.
[19]刘冀东.皮内针治疗不寐30例临床观察[J].实用中医内科杂志,2006,20(6):677.
[20]何旭鹏.头皮针运动疗法与体针治疗中风后遗症疗效对比[J].中外医疗,2006,36(21):166-168.
[21]曹海波,赵芳.针灸治疗皮肤病临床观察[J].针灸临床杂志,2010,26(12):17-18.
[22]胡新耀,李喜忠.腕踝针治疗疼痛及麻木性疾病的疗效观察[J].中国针灸,2004,24(2):99-100.
[23]曾科,周庆辉.腕踝针治疗疼痛的临床应用与研究进展[J].针灸临床杂志,2012,28(9):69-72.
[2]樊海龙,张卫华.皮部刺激疗法治病机理浅探[J].中医临床研究,2012,4(17):44-45.
[3]胡天烨,马睿杰,方剑乔.浅刺与卫气探述[J].浙江中医杂志,2016,51(5):372-373.
[4]冉维正.《内经》皮部理论的研究[D].北京:北京中医药大学,2013.
[5]李艳宁,李智贤.高频超声对正常成人皮肤厚度测量及声像研究[J].中国医学影像技术,2008,24(10):1622-1624.
[6]黄伯灵,袁锦虹.毫针浅刺疗法[M].北京:人民卫生出版社,2009:36.
[7]吴鲁辉.皮下浅刺法的文献研究[D].济南:山东中医药大学,2012.
[8]高慧明,付于.付于主任“皮部浅刺”理论初探[J].中医临床研究,2016,8(19):57-59.
[9]盛燮荪.盛氏针灸[M].北京:人民卫生出版社,2008:220-230.
[10]常英,刘亚彬,何君君.耳穴贴压治疗小儿环枢椎半脱位25例临床观察[J].中国针灸,2006,26(10):710.
[11]李经纬.中医大词典[M].北京:人民卫生出版社,2004:541.
[12]闻慧.揿针疗法的临床应用[J].上海医药,2014,35(22):34-35.
[13]李燕红,尹丹.滚针治疗损容性皮肤病的研究进展[J].中华医学美学美容杂志,2016,22(4):251-252.
[14]陈守强,马艳,武少玮.挑络疗法源流及其理论基础[J].光明中医,2016,31(19):2849-2851.
[15]郑毅,于永慧,方凡夫.腕踝针疗法研究进展[J].河北中医,2014,36(4):631-633.
[16]温木生.试述腹针针刺深度[J].实用中医药杂志,2009,25(6):418-419.
[17]黄强民,庄小强,谭树生.肌筋膜疼痛出发点的诊断与治疗[M].南宁:广西科学技术出版社,2010:193-195.
[18]徐美君,周庆辉.腕踝针创立以来的临床应用及研究进展[J].上海针灸杂志,2015,34(3):277-280.
[19]刘冀东.皮内针治疗不寐30例临床观察[J].实用中医内科杂志,2006,20(6):677.
[20]何旭鹏.头皮针运动疗法与体针治疗中风后遗症疗效对比[J].中外医疗,2006,36(21):166-168.
[21]曹海波,赵芳.针灸治疗皮肤病临床观察[J].针灸临床杂志,2010,26(12):17-18.
[22]胡新耀,李喜忠.腕踝针治疗疼痛及麻木性疾病的疗效观察[J].中国针灸,2004,24(2):99-100.
[23]曾科,周庆辉.腕踝针治疗疼痛的临床应用与研究进展[J].针灸临床杂志,2012,28(9):69-72.