摘要
腧穴是人体脏腑经络之气输注出入的特殊部位,既是疾病的反应点,又是针灸防治疾病的刺激点,主要存在"静息"和"敏化"两种状态。临床上,笔者结合多年经验总结,依据腧穴在疾病状态下的力敏效应选取针刺穴位,具体表现为,在对患者进行经络诊察过程中,当应用"循、按、扪、切"等操作手法刺激到人体某一部位时,会即刻引起患者寸口气口九道脉中病变经脉的脉象发生改变,且该脉象的变化可随刺激的停止而消失,继续而重现。该现象恰与《易经》"寂然不动,感而遂通"的观点相对应,此外医源于易,医易本属一家,所以就二者间存在的相似之处,临床可类比应用。本研究结合笔者自身对"寂然不动,感而遂通"的理解,通过经络诊察刺激患者疾病状态下的敏化腧穴,引起寸口气口九道脉中病变经脉脉象发生改变的临床实践方式,选取针刺穴位,收效颇著。因此,本研究提出"依脉定腧"的新型取穴方法,指明引起脉象变化的特殊部位即为患者在疾病状态下的敏化腧穴,是针刺治疗起效的关键穴位。
Acupoints are special parts of the organs and meridians of the human body,which are not only the response points of diseases,but also the stimulated points of acupuncture and moxibustion for the prevention and treatment of diseases.Acupoints have two main states:"rest"and"sensitization".Clinically,based on years of experience,the author selected acupuncture points according to the acupoint’s susceptibility effect under the disease state.the author finds that the pathological meridians of the nine arteries of cunkou qikou in patients will be changed immediately when a certain part of human body stimulated by some manipulations,such as"follow,press,palpation,cut",and the pulse condition would disappear or reappear with the stop or continue of stimulation.This phenomenon is exactly corresponding to the idea of"silence and immobility,feeling and then pass"from the book named YI JING,In addition,YI JING is one of originations of the traditional chinese medicine,and both of them derived from the same cultural family with many similarities,which can be applied in clinical aspects by analogy.Combing with own understanding of silence and immobility,feeling and then pass and practice,it is effective when the author stimulated the sensitized acupoints that can change the pulse condition of diseased meridians of the nine arteries of cunkou qikou,and be choosed by clinical practice named meridian diagnosis of the patients.Then,the writer put forward the new method named"Acupoints judged by Pulse Condition".It is believed that the special points that can cause the changes of pulse condition is the sensitized acupoints of patients,which is the key acupoint to limit the curative effect.
作者
支娜
莫倩
杨硕
杨传经
周雪松
陈浩
司元红
Zhi Na;Mo Qian;Yang Shuo;Yang Chuanjing;Zhou Xuesong;Chen Hao;Si Yuanhong(Guizhou University of Traditional Chinese Medicine,Guiyang,550025,China;The Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine,Guiyang,550001,China)
出处
《世界科学技术-中医药现代化》
CSCD
北大核心
2020年第7期2484-2488,共5页
Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology
基金
国家中医药管理局第四批全国中医(临床、基础)优秀人才研修项目,负责人:杨硕
国家自然科学基金地区科学基金项目(81560798):基于JAK/STATs通路探索不同层次穴位埋线治疗单纯性肥胖的作用机制,负责人:杨硕
贵州省发展和改革委员会课题(黔发改规划(2018)1115号):针刺、ICB矫形鞋垫结合康复训练治疗中风病足内翻的临床研究,负责人:杨硕
关键词
腧穴
静息态
敏化态
感而遂通
Acupoints
The resting state
The sensitive state
Feeling and then pass
作者简介
通讯作者:杨硕,硕士研究生导师,教授,主要研究方向:针刺结合经方治疗脊柱相关疾病及神经系统疾病的临床研究。
