《黄帝内经》“气至”的阐释对现今针灸临床的启示  

Explication of “Qi-zhi” in Huangdi′s Internal Classics to Inspire Clinical Practice of Acupuncture

作　　者：刘迈兰[1] 陈钢[2] 梁繁荣[1] 

机构地区：[1]成都中医药大学针灸推拿学院,四川成都610075 [2]成都中医药大学学术期刊中心,四川成都610075

出　　处：《成都中医药大学学报》2012年第1期68-70,共3页Journal of Chengdu University of Traditional Chinese Medicine

基　　金：国家自然基金重点项目(No.30930112/C190301);国家重点基础研究发展计划项目(NO.2012CB518500)

摘　　要：目的:针对当前针灸临床实践中,往往将得气与针感等同,认为针感与疗效呈正相关。然而针感与得气、疗效之间关系尚无定论。方法:依据《黄帝内经》中"气至"的阐释,即通过针刺补泻、治神或静留针而使人体恢复到"气机调畅"的状态,"气至"与否的判断标准为针刺前后脉象的变化。结果:现今针灸临床:针感不等同于"气至";针感强,疗效未必好;针灸诊治前后宜诊脉,脉诊对于针灸处方施治、判断疗效具有十分重要的意义;留针期间,不一定行针。结论:针灸临床科研中假针的设计原则,需要重新考虑。Objectice：＂De-qi＂ is usually considered the same meaning as needle sensation which has a positive correlation with efficacy in current clinical practice of acupuncture.However,what is the fact among needle sensation,De-qi and efficacy？ Methods：According to the explication of ＂Qi-zhi＂ in Huangd′s Internal Classics Di Nei Jing,＂Qi-zhi＂ means human recover to a harmonious state by the reinforcing and reducing manipulation,regulating mood or retaining the needle without any manipulation;＂Qi-zhi＂ or not depends on the change of pulse before and after acupuncture treatment.Results：These illuminate clinical practice of acupuncture at present that needle sensation is quite different from ＂Qi-zhi＂,needle sensation may not form a positive correlation with effectiveness,pulse diagnosis should be taken before and after acupuncturing,which is significant to acupuncture treatment,manipulating the needles may not be necessary during the retaining period of needles.Conclusion：The design principle of sham acupuncture in acupuncture study should be reconsidered.

关 键 词：《黄帝内经》 针感 气至 针灸临床 

分 类 号：R233[医药卫生—中医学] R245.3