燔针劫刺探讨
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摘要
"燔针劫刺"是《灵枢·经筋》中记载的治疗经筋病的重要方法,而学界对于"燔针劫刺"一说的解释却众说纷纭,令人莫衷一是。在查阅大量的文献资料的基础上,结合临床实际对其进行研究,认为《灵枢·经筋》中"燔针"当为针具之名,"劫刺"可能为"结刺"之误。"燔针劫刺,以知为数,以痛为腧"其意为:医者在充分了解经筋结构、功能、病候等特点的基础上,以显露(病候)的经筋为准绳推断病位所在,再通过触诊其上的"结""聚"之所寻找出现疼痛或压痛等异常反应的筋结,然后使用"燔针"作为针刺工具对其进行针刺的一种治疗经筋病的方法。
"fan-needle and sudden insertion" is recorded as an important method of treating tendon disease in Miraculous Pivot,but scholars' explanations for "fan-needle and sudden insertion" are divergent. As a result,it is difficult to reach an agreement that which one is right for clinicians. Through a large number of literature researches and studies which are combined with clinical practice,the author concludes that the"fan-needle" in Miraculous Pivot is a name of acupuncture tool and "sudden insertion" maybe changed to"knot insertion". The original text means a doctor,who is familiar with the structure and function of tendons,diseases and syndromes,infers the location of the disease from tendons,takes pain points as acupuncture points and applies burning acupuncture,which can cure tendons disease.
"fan-needle and sudden insertion" is recorded as an important method of treating tendon disease in Miraculous Pivot,but scholars' explanations for "fan-needle and sudden insertion" are divergent. As a result,it is difficult to reach an agreement that which one is right for clinicians. Through a large number of literature researches and studies which are combined with clinical practice,the author concludes that the"fan-needle" in Miraculous Pivot is a name of acupuncture tool and "sudden insertion" maybe changed to"knot insertion". The original text means a doctor,who is familiar with the structure and function of tendons,diseases and syndromes,infers the location of the disease from tendons,takes pain points as acupuncture points and applies burning acupuncture,which can cure tendons disease.
引文
[1]管宏钟,赵宏杰.薛立功教授经筋理论及长圆针疗法概述[J].中国针灸,2006,26(4):297-300.
[2]薛立功.经筋理论的探讨与发挥[J].中国针灸,1997,17(11):698-699.
[3]刘农虞.议“燔针劫刺”[J].中国针灸,2013,33(S1):102-104.
[4]杜思敬.针经摘英集[M].北京:人民卫生出版社影印,1955:2.
[5]杨继洲原著.针灸大成[M].靳贤,补辑重编.黄龙祥,整理.北京:人民卫生出版社,2006:119.
[6]郑梅涧.重楼玉钥[M].鲁兆麟,等,点校.沈阳:辽宁科学技术出版社,1997:15.
[7]张志聪.黄帝内经灵枢集注[M].孙国中,方向红,点校.北京:学苑出版社,2006:152.
[8]吴昆.素问吴注[M].陈婷,隋拥政,校注.//郭君双主编.吴昆医学全书.北京:中国中医药出版社,1999:342.
[9]张介宾.类经[M].//见:李志庸主编.张景岳医学全书.北京:中国中医药出版社,2002:316.
[10]杨慧琳,宁晴,钟延进,等.小议“燔针”[J].湖南中医杂志,2016,32(9):140-141.
[11]景绘涛,陈敏.燔针劫刺的研究现状[J].湖北中医杂志,2013,35(2):69-70.
[12]李金明,傅幸,傅文录.考《灵枢》之燔针[J].河南中医,2016,36(9):1502-1503.
[13]田文.《灵枢》经筋病的治法———燔针劫刺再解[J].中国针灸,2012,32(11):1028.
[14]陈炜吉,陈利芳,周尔园,等.燔针劫刺法治疗中风后肢体痉挛性瘫痪42例临床观察[J].浙江中医杂志,2012,47(11):819-820.
[15]周立武.燔针劫刺治疗肩峰下滑囊炎临床观察[J].上海针灸杂志,2009,28(7):406-407.
[16]杨上善撰注.黄帝内经太素[M].北京:人民卫生出版社影印,1955:83.
[17]马莳.黄帝内经灵枢注证发微[M].田代华,主校.北京:人民卫生出版社,1994:139.
[18]王茵萍.经筋病“以痛为腧”刍议[J].中国针灸,2000,20(6):375-377.
[19]河北医学院.灵枢经校释[M].北京:人民卫生出版社,2011:241-260.
[20]胥荣东,王君.“以知为数”释义[J].上海针灸杂志,2006,25(2):49-50.
[21]符仲华.浮针疗法[M].北京:人民军医出版社,2000:31.
[22]尹萍,郭长青.“以痛为腧”含义演变探析[J].吉林中医药,2009,29(6):467-469.
[23]刁吉亭,董福慧,刘斌.《灵枢·经筋》篇经义初探[J].北京中医药,2010,29(9):675-677.
[24]薛立功.中国经筋学[M].北京:中医古籍出版社,2009:20.
[25]秦伟凯,赵勇,张宽.“以痛为腧”经筋病证痛点机制探讨[J].北京中医药,2011,30(9):675-678.
[26]赵峰,张翔,尹辛成.铍针治疗下肢皮神经卡压综合征的疗效观察[J].北京中医药,2009,28(12):953-954.
[27]李瑞良.中国古代图书流通史[M].上海:上海人民出版社,2000:47.
[28]齐向华.辨证脉学:从“指下难明”到“脉证相应”[M].北京:中国中医药出版社,2012:176-231.
[2]薛立功.经筋理论的探讨与发挥[J].中国针灸,1997,17(11):698-699.
[3]刘农虞.议“燔针劫刺”[J].中国针灸,2013,33(S1):102-104.
[4]杜思敬.针经摘英集[M].北京:人民卫生出版社影印,1955:2.
[5]杨继洲原著.针灸大成[M].靳贤,补辑重编.黄龙祥,整理.北京:人民卫生出版社,2006:119.
[6]郑梅涧.重楼玉钥[M].鲁兆麟,等,点校.沈阳:辽宁科学技术出版社,1997:15.
[7]张志聪.黄帝内经灵枢集注[M].孙国中,方向红,点校.北京:学苑出版社,2006:152.
[8]吴昆.素问吴注[M].陈婷,隋拥政,校注.//郭君双主编.吴昆医学全书.北京:中国中医药出版社,1999:342.
[9]张介宾.类经[M].//见:李志庸主编.张景岳医学全书.北京:中国中医药出版社,2002:316.
[10]杨慧琳,宁晴,钟延进,等.小议“燔针”[J].湖南中医杂志,2016,32(9):140-141.
[11]景绘涛,陈敏.燔针劫刺的研究现状[J].湖北中医杂志,2013,35(2):69-70.
[12]李金明,傅幸,傅文录.考《灵枢》之燔针[J].河南中医,2016,36(9):1502-1503.
[13]田文.《灵枢》经筋病的治法———燔针劫刺再解[J].中国针灸,2012,32(11):1028.
[14]陈炜吉,陈利芳,周尔园,等.燔针劫刺法治疗中风后肢体痉挛性瘫痪42例临床观察[J].浙江中医杂志,2012,47(11):819-820.
[15]周立武.燔针劫刺治疗肩峰下滑囊炎临床观察[J].上海针灸杂志,2009,28(7):406-407.
[16]杨上善撰注.黄帝内经太素[M].北京:人民卫生出版社影印,1955:83.
[17]马莳.黄帝内经灵枢注证发微[M].田代华,主校.北京:人民卫生出版社,1994:139.
[18]王茵萍.经筋病“以痛为腧”刍议[J].中国针灸,2000,20(6):375-377.
[19]河北医学院.灵枢经校释[M].北京:人民卫生出版社,2011:241-260.
[20]胥荣东,王君.“以知为数”释义[J].上海针灸杂志,2006,25(2):49-50.
[21]符仲华.浮针疗法[M].北京:人民军医出版社,2000:31.
[22]尹萍,郭长青.“以痛为腧”含义演变探析[J].吉林中医药,2009,29(6):467-469.
[23]刁吉亭,董福慧,刘斌.《灵枢·经筋》篇经义初探[J].北京中医药,2010,29(9):675-677.
[24]薛立功.中国经筋学[M].北京:中医古籍出版社,2009:20.
[25]秦伟凯,赵勇,张宽.“以痛为腧”经筋病证痛点机制探讨[J].北京中医药,2011,30(9):675-678.
[26]赵峰,张翔,尹辛成.铍针治疗下肢皮神经卡压综合征的疗效观察[J].北京中医药,2009,28(12):953-954.
[27]李瑞良.中国古代图书流通史[M].上海:上海人民出版社,2000:47.
[28]齐向华.辨证脉学:从“指下难明”到“脉证相应”[M].北京:中国中医药出版社,2012:176-231.