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三刺法干预功能性便秘发微

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通过古今医论结合,剖析三刺源流及发展,可见三刺受浅层施针手法"一针仅刺同一经脉、同一腧穴三层"的禁锢,使之运用范围局限且难以推广施用.抛开先入为主的思想禁锢,在保留三刺完整性的前提下,重三刺之理而忘其形,进而得"多针分刺多条经脉、不同腧穴三层"的三刺新义.并结合临床所见及宫毅所识,发现常有"便难"者针刺治疗便秘远超中药内服,且鉴于三刺适应症广泛以及内在意义深远,所以挖掘三刺法诊疗便秘疾病显得尤为重要.进而依"三刺与便秘"为基,"探三刺施治之机"为宗,分述"一刺神志、二刺病机、三刺病所""一刺兼症、二刺主症、三刺防变"两大理念,为进一步挖掘三刺广泛刺法深意以及更好地临床施治便秘注入新鲜认知.
Exploration of the three-needling method in the intervention in functional constipation
When analyzing the origin and progression of the three-needling method by investigating both the ancient and modern medical theories,it can be seen that the therapy is confined by the shallow needling technique of"acupuncture only applied to the same meridian and only to the same acupoint in three layers",which limits its application and makes it difficult to promote its use.This study aims to break away from the preconceived idea,to retain the integrity of the three-needling technique,to absorb its theoretical principle while to ignore its unreasonable operational stipulations,coming up with its new interpretation of"multiple needles applied on multiple meridians and different acupoints in three layers at the same time".What's more,in his clinical practice,Professor Gong Yi observes that acupuncture is more effective than oral administration of traditional Chinese medicine in the treatment of constipation.Thereby,it is particularly important to explore the diagnosis and treatment of constipation using the three-needling method given its wide indications and profound implications.Based on the relationship between the three-needling method and constipation,this paper highlights exploring its mechanisms in the treatment of constipation,expounding on the two concepts of"one needling targeting consciousness,one needling targeting pathogenesis,and one needling targeting specific affected location"and"one needling targeting secondary symptoms,one needling targeting primary symptom,and one needling targeting transmission".In this way,the paper is expected to further explore the method and its clinical application in the treatment of constipation.

three-needling methodfunctional constipationregulating the mindlayered acupunctureemotion

余佼林、周愉、曹江松、宫毅

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云南中医药大学第一临床医学院,昆明 650000

文山壮族苗族自治州中医医院,云南 文山 663000

云南省中医医院,昆明 650000

三刺法 功能性便秘 调神 分层针刺 情志

云南省科技厅-云南中医药大学联合专项青年项目云南省中医肛肠临床医学分中心建设项目(文山州中医医院)

202101AZ070001-121

2024

吉林中医药
长春中医药大学

吉林中医药

CSTPCD
影响因子:0.843
ISSN:1003-5699
年,卷(期):2024.44(10)