首页|从五体病位辨证探讨《黄帝内经》针刺治痹的刺法及针具选用

从五体病位辨证探讨《黄帝内经》针刺治痹的刺法及针具选用

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《黄帝内经》治疗痹病以针刺疗法为主,针刺治疗时在针刺深浅和角度、行针手法、用针的数量以及针具选择等方面各有区别.通过梳理文献并分析指出《黄帝内经》以"皮、脉、肉、筋、骨"五体病位辨证为纲领辨治痹病,指导针至病位所在病变层次,并根据病情轻重、邪气特点等因素进行具体刺法、针具的选择.对痹病治疗的17种刺法,根据所适用五体病位不同,进行分类归纳.在针具选用上,毫针微通调气,在痹病的治疗中多可选用;锋针决血行气,善治脉痹;员利针和火针善治筋痹,其中火针又善治因寒所致的筋痹;长针因针身长,对干部位较深的痹病有其优势.刺法和针具应当配合选用.五体病位辨证论治是针刺治痹的独特辨治体系,值得传承应用.
The Puncturing Methods and Selection of Needling Instrument for Treating Bi(痹)by Acupuncture in The Inner Canon of Yellow Emperor(《黄帝内经》)from the Perspective of Syndrome Differentiation of Five-body Constituents Disease Location
The treatment of bi(痹)disease in The Inner Canon of Yellow Emperor(《黄帝内经》)is mainly based on acupuncture therapy.There are differences in needling depth,angle,needling techniques,number of needles and the selection of needle instruments.By reviewing literature,it is found that in The Inner Canon of Yellow Emperor,five body constituents(skin,vessel,flesh,sinew,bone)disease location differentiation is taken as the principle for the diagnosis and treatment of bi disease,guiding the needle to the lesion level where the disease is located,and according to the severity of the disease,the characteristics of pathological qi and other factors,the choice of specific acupuncture method and needles are made.This paper summarized and grouped the 17 kinds of acupuncture methods for the treatment of bi disease according to the different five body consitutuents disease location.For needle instru-ments,filiform needles which can softly unblock and regulate qi are often used in the treatment of bi disease.Lance needles are good at treating vessel bi with the function of clearing blood and moving qi.Round-sharp needles and fire needles are applicable for sinew bi,among which fire needles are especially good at that induced by cold.Long needles have advantages for deep-seated bi disease due to their long needle body.The puncturing method should be in accordance with the needle instruments.The five body instituents disease location differentiation and treatment is a unique system of acupuncture in the treatment of bi disease,which is worthy of more inheritance and application.

bi(痹)diseaseacupunctureneedlingdisease location of five body constituentsneedling instru-mentThe Inner Canon of Yellow Emperor(《黄帝内经》)

王子怡、王少松、刘银霞、岑盼临、李焕芹

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北京中医药大学临床医学院,北京市朝阳区北三环东路11号,100029

首都医科大学附属北京中医医院

首都医科大学附属北京天坛医院

痹病 针刺 刺法 五体病位 针具 《黄帝内经》

2024

中医杂志
中华中医药学会 中国中医科学院

中医杂志

CSTPCD北大核心
影响因子:1.464
ISSN:1001-1668
年,卷(期):2024.65(23)