刍议针刺补泻之要点
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摘要
从理论及临床实际角度探讨针刺补泻要点。针刺补泻客观存在,但不仅流于术式操作。要做到针刺补泻,针前思辨尤为重要,临床需把握患者体质,辨别病证虚实,掌握腧穴穴性并正确配伍,以适宜的刺激量为标准施以补泻操作。针刺补泻的临床操作及相关量学研究需综合考虑各种相关因素。
The main points of acupuncture and moxibustion are discussed theoretically and practically. Reinforcing and reducing manipulations of acupuncture therapy are exist objectively, but it's not just about surgery. In order to do reinforcing and reducing manipulations of acupuncture therapy, it is particularly important to think before needling, it is clinically necessary to grasp the patient's constitution, distinguish the deficiency and reality of disease syndromes, grasp the acupoint nature and correctly match, and apply the appropriate amount of stimulation as the standard for reinforcing and diarrhea. The clinical operation of acupuncture and moxibustion and the correlative quantitative study need to consider various correlative factors comprehensively.
The main points of acupuncture and moxibustion are discussed theoretically and practically. Reinforcing and reducing manipulations of acupuncture therapy are exist objectively, but it's not just about surgery. In order to do reinforcing and reducing manipulations of acupuncture therapy, it is particularly important to think before needling, it is clinically necessary to grasp the patient's constitution, distinguish the deficiency and reality of disease syndromes, grasp the acupoint nature and correctly match, and apply the appropriate amount of stimulation as the standard for reinforcing and diarrhea. The clinical operation of acupuncture and moxibustion and the correlative quantitative study need to consider various correlative factors comprehensively.
引文
[1]张建斌.“徐而疾则实,疾而徐则虚”释义.中国针灸,1995,34(1):47-49
[2]赵京生.试论《内经》中针灸的体质观.中医杂志,1988,2(2):9-11
[3]赵京生.“补泻”与“对症”两类刺法分析.中国针灸,2012,32(9):837-841
[4]钱聚义.浅论《内经》中针刺补泻的量学标准.天津中医学院学报,1998,17(3):7-8
[5]张静莎,马坤,耿连岐,等.腧穴的特异性研究进展.中华中医药杂志,2018,33(11):5045-5048
[6]王军,赵吉平.穴性小窥-从中药的性能看腧穴的性能.针刺研究,2008,33(4):280-283
[7]楼新法,蒋松鹤.穴位的解剖学特征及其分类.中国针灸,2012,32(4):319-323
[8]夏有兵,程洁,穆艳云,等.浅析承淡安先生对针灸量学的探索.针刺研究,2013,38(1):73-77
[9]杨阿根.石学敏针刺补泻手法量学切入点浅析.上海中医药杂志,2011,45(11):32-34
[10]李铁,刘成禹,严兴科,等.不同频率捻转手法针刺足三里穴对胃体表温度影响的研究.针灸临床杂志,2011,27(3):39-41
[11]季淑梅,阎丽.不同针刺手法调节体温效应机制研究概况.中国针灸,2007,27(4):306-308
[12]王丽,王朝阳,支建梅,等.捻转补泻手法对应激性高血压大鼠颈交感神经放电的影响.北京中医药大学学报,2009,32(2):142-144
[13]韩济生.针麻镇痛研究.针刺研究,2016,41(5):377-387
[14]石学敏,张存生,刘白雪,等.捻转补泻手法应用及量学概念.中国医药学报,1987,2(5):16-17
[15]石学敏.针灸学.2版.北京:中国中医药出版社,2007:148
[16]叶德宝.也谈针刺补泻定量化.中国针灸,2001,21(8):495-496
[17]张立志,许能贵,易玮.气至与针感.长春中医药大学学报,2017,33(3):396-398
[18]屠健如.针刺手法与针感关系的研究.上海针灸杂志,2015,34(7):689-692
[19]徐天成,卢东东,韩旭,等.针刺机器人在针刺定量研究中的应用探索.中医杂志,2017,58(9):752-755
[2]赵京生.试论《内经》中针灸的体质观.中医杂志,1988,2(2):9-11
[3]赵京生.“补泻”与“对症”两类刺法分析.中国针灸,2012,32(9):837-841
[4]钱聚义.浅论《内经》中针刺补泻的量学标准.天津中医学院学报,1998,17(3):7-8
[5]张静莎,马坤,耿连岐,等.腧穴的特异性研究进展.中华中医药杂志,2018,33(11):5045-5048
[6]王军,赵吉平.穴性小窥-从中药的性能看腧穴的性能.针刺研究,2008,33(4):280-283
[7]楼新法,蒋松鹤.穴位的解剖学特征及其分类.中国针灸,2012,32(4):319-323
[8]夏有兵,程洁,穆艳云,等.浅析承淡安先生对针灸量学的探索.针刺研究,2013,38(1):73-77
[9]杨阿根.石学敏针刺补泻手法量学切入点浅析.上海中医药杂志,2011,45(11):32-34
[10]李铁,刘成禹,严兴科,等.不同频率捻转手法针刺足三里穴对胃体表温度影响的研究.针灸临床杂志,2011,27(3):39-41
[11]季淑梅,阎丽.不同针刺手法调节体温效应机制研究概况.中国针灸,2007,27(4):306-308
[12]王丽,王朝阳,支建梅,等.捻转补泻手法对应激性高血压大鼠颈交感神经放电的影响.北京中医药大学学报,2009,32(2):142-144
[13]韩济生.针麻镇痛研究.针刺研究,2016,41(5):377-387
[14]石学敏,张存生,刘白雪,等.捻转补泻手法应用及量学概念.中国医药学报,1987,2(5):16-17
[15]石学敏.针灸学.2版.北京:中国中医药出版社,2007:148
[16]叶德宝.也谈针刺补泻定量化.中国针灸,2001,21(8):495-496
[17]张立志,许能贵,易玮.气至与针感.长春中医药大学学报,2017,33(3):396-398
[18]屠健如.针刺手法与针感关系的研究.上海针灸杂志,2015,34(7):689-692
[19]徐天成,卢东东,韩旭,等.针刺机器人在针刺定量研究中的应用探索.中医杂志,2017,58(9):752-755