提插、捻转类针刺手法物理参数分类及其特征  

Classification and Characters of Physical Parameters of Lifting-thrusting and Twirling Manipulations of Acupuncture

作　　者：刘堂义[1] 杨华元[1] 蒯乐[1] 高明[1] 

机构地区：[1]上海中医药大学针灸推拿学院中医工程研究室,上海201203

出　　处：《针刺研究》2010年第1期61-66,共6页Acupuncture Research

基　　金：上海市自然科学基金(No.05ZR14114)

摘　　要：应用"针刺手法信息分析系统"对针灸医籍中记载的一些补泻针刺手法进行模拟和数据分析,结果发现:无论提插类手法还是捻转类手法,补法与泻法在波形图和数据结果中都呈现出特异性差别,这种差别主要体现在波形上升段(t1)与下降段(t2)的持续时间上,即t1和t2值的大小决定针刺手法的补泻特征;而决定针刺手法刺激量的参数可能与波幅s、频率f、周期t有关;波形平台段t3t、4及各种参数的方差值则可反映针刺手法操作的稳定性。同时,通过对医籍中记载的针刺手法进行模拟,也发现:由于经典文献中记载的针刺手法操作过程过于简单,对某些传统手法,我们已经无法重现,这正说明了针刺手法操作客观化的必要性。By using ＂Acupuncture Manipulation Information Analyzing System＂, the traditional reinforcing and reducing manipulations of acupuncture described in classical Chinese medical books were imitated and their parameters analyzed. It was found that in the oscillogram, the differences between the reinforcing and reducing manipulations （rapid-slow reinforcing-reducing skill, lifting-thrusting reinforcing-reducing skill） are the bigger duration of descending branch （t1） and smaller duration of ascending branch （t2） for the former, and shorter t1 and longer t2 for the later, due to slow insertion and rapid withdrawal of the acupuncture needle for the reinforcing, and rapid insertion and slow withdrawal of needle for the reducing. While for twirling reinforcing, t1-t2 for predominantly-leftward twirling, and for twirling reducing, t1〉t2 for predominantly-rightward twirling were found. In addition, it is supposed that those parameters as the amplitude （s）, frequency （f） and duration of one cycle （t） of the escillogram may be related to acupuncture stimulating quantity, while t3 （duration of the plateau segment）, t4 （duration of the horizontal plane segment） and their variance may be associated with the stability of the acupuncture manipulation. Due to the limited literal recordation, some other traditional acupuncture manipulations can not simulate indeed, because we don＇t know how to perform those kinds of acupuncture manipulation. This just reflects the importance of objectivity of acupuncture manipulations.

关 键 词：针刺手法 物理参数 分类 

分 类 号：R245-33[医药卫生—针灸推拿学]