《黄帝内经》浅刺法探析
|
摘要
通过分析《黄帝内经》及中医文献中有关浅刺的论述,认为浅刺法之效应机制与其特殊的针刺部位及细微的针刺刺激量相关。浅刺之位在十二皮部、孙络,刺十二皮部可调卫外,刺孙络可调气血,循经络系统逐层达病所。以浅刺之量,刺激关阖枢部位,调整气机枢纽,沟通阴阳,促使气之出入升降于表里上下,达到阴平阳秘、调和气血、祛邪扶正的作用。
By analyzing the statements of shallow needling recorded in Huangdi's Cannon of Medicine and related traditional Chinese medical literature,we concluded that the clinical efficacy of shallow needling is correlated with the needling position and the mild needling stimulation. Shallow needling position involves cutaneous region and minute collaterals. Needling of twelve cutaneous regions can regulate defensive Qi, and needling of minute collaterals can regulate Qi and blood,which will lead the needling efficacy to the focus along the meridian layer-by-layer. By stimulating the bolt,panel and pivot of the meridians,shallow needling can regulate Qi movement pivot, balance Yin and Yang, and promote the ascending, descending, exiting, and entering of Qi to the exterior,interior,upper,and lower,which contributes to Yin and Yang equilibrium,Qi and blood harmony,and supporting healthy Qi to eliminate pathogens.
By analyzing the statements of shallow needling recorded in Huangdi's Cannon of Medicine and related traditional Chinese medical literature,we concluded that the clinical efficacy of shallow needling is correlated with the needling position and the mild needling stimulation. Shallow needling position involves cutaneous region and minute collaterals. Needling of twelve cutaneous regions can regulate defensive Qi, and needling of minute collaterals can regulate Qi and blood,which will lead the needling efficacy to the focus along the meridian layer-by-layer. By stimulating the bolt,panel and pivot of the meridians,shallow needling can regulate Qi movement pivot, balance Yin and Yang, and promote the ascending, descending, exiting, and entering of Qi to the exterior,interior,upper,and lower,which contributes to Yin and Yang equilibrium,Qi and blood harmony,and supporting healthy Qi to eliminate pathogens.
引文
[1]李宏伟,贾孟辉,黑晓英,等.试论以“浅刺”代“深刺”的新针刺观[J].河北中医,2017,39(2):277.
[2]潘丽佳,陈燕荔,周丹,等.皮内针疗法及其应用[J].河南中医,2015,35(4):888.
[3]范郁山.浅刺针法探微[C].中泰传统医药和天然药物研究学术研讨会,2006:92-94.
[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]成守仁.十二皮部理论在临床的应用研究[J].南京体育学院学报(自然科学版),2008,7(2):18.
[6]吴鲁辉.皮下浅刺法的文献研究[D].济南:山东中医药大学,2012.
[7]雷跃.十二皮部应用机理刍议[J].按摩与康复医学,1996,(5):3.
[8]利芳,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.
[9]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.
[10]吴以岭,袁国强,贾振华,等.脉络学说的学术地位及其应用价值[J].中医杂志,2012,53(1):3.
[11]霍旺,杨明会,李绍旦,等.经络体系之“孙络”刍议[J].中医杂志,2013,54(6):460.
[12]周水平,仝小林,徐远.络病的基本概念与病理特点探析[J].中华中医药学刊,2002,20(6):724.
[13]王朋,杨明会,李绍旦,等.《黄帝内经》“孙络”探微[J].北京中医药,2013,32(2):106.
[14]刘春援,薛小虎,高丹,等.《内经》论络病[J].江西中医药大学学报,2010,22(1):9.
[15]向丽华,张治国,陈彦静,等.对络脉及其气血循行规律再探讨[J].辽宁中医药大学学报, 2012,14(8):118.
[16]张建强.《黄帝内经》针刺调气理论研究[D].沈阳:辽宁中医药大学,2012.
[17]王冰.黄帝内经素问[M].北京:商务印书馆,1954.
[18]戴铭.杨上善《太素》“门——关阖枢”理论初探[J].上海中医药杂志,2000,34(1):19.
[19]滑寿,汪机,冯明清,等.《读素问钞》校注[M].郑州:河南科学技术出版社,2014.
[20]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,2012,17(4):44.
[21]闻慧.揿针疗法的临床应用[J].上海医药,2014,35(22):34.
[2]潘丽佳,陈燕荔,周丹,等.皮内针疗法及其应用[J].河南中医,2015,35(4):888.
[3]范郁山.浅刺针法探微[C].中泰传统医药和天然药物研究学术研讨会,2006:92-94.
[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]成守仁.十二皮部理论在临床的应用研究[J].南京体育学院学报(自然科学版),2008,7(2):18.
[6]吴鲁辉.皮下浅刺法的文献研究[D].济南:山东中医药大学,2012.
[7]雷跃.十二皮部应用机理刍议[J].按摩与康复医学,1996,(5):3.
[8]利芳,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.
[9]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.
[10]吴以岭,袁国强,贾振华,等.脉络学说的学术地位及其应用价值[J].中医杂志,2012,53(1):3.
[11]霍旺,杨明会,李绍旦,等.经络体系之“孙络”刍议[J].中医杂志,2013,54(6):460.
[12]周水平,仝小林,徐远.络病的基本概念与病理特点探析[J].中华中医药学刊,2002,20(6):724.
[13]王朋,杨明会,李绍旦,等.《黄帝内经》“孙络”探微[J].北京中医药,2013,32(2):106.
[14]刘春援,薛小虎,高丹,等.《内经》论络病[J].江西中医药大学学报,2010,22(1):9.
[15]向丽华,张治国,陈彦静,等.对络脉及其气血循行规律再探讨[J].辽宁中医药大学学报, 2012,14(8):118.
[16]张建强.《黄帝内经》针刺调气理论研究[D].沈阳:辽宁中医药大学,2012.
[17]王冰.黄帝内经素问[M].北京:商务印书馆,1954.
[18]戴铭.杨上善《太素》“门——关阖枢”理论初探[J].上海中医药杂志,2000,34(1):19.
[19]滑寿,汪机,冯明清,等.《读素问钞》校注[M].郑州:河南科学技术出版社,2014.
[20]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,2012,17(4):44.
[21]闻慧.揿针疗法的临床应用[J].上海医药,2014,35(22):34.