论干针疗法是针灸学的一部分  

Discussion on “dry needling” being part of acupuncture

作　　者：彭增福[1] 许能贵[2] 卞兆祥[1] 李灿辉 陆卫东[4] 黄涛[5] 王少白 

机构地区：[1]香港浸会大学中医药学院 [2]广州中医药大学 [3]加拿大汉博理工学院中医部 [4]哈佛大学医学院达纳法伯癌症研究所 [5]中国中医科学院针灸研究所 [6]国际靳三针学会,美国纽约10019

出　　处：《中国针灸》2017年第6期663-667,共5页Chinese Acupuncture & Moxibustion

基　　金：国家科技支撑计划"基层医疗机构中西医适宜技术集成与规范研究":2013 BAI 05 B 09;国家科技基础性工作专项重大项目"中医药名词规范化研究":2012 FY 130100

摘　　要：笔者认为凡是将针刺入皮肤,以防治疾病为目的治疗方法都属于针灸学中的针刺方法。经络腧穴理论虽然是传统针刺的重要理论基础,但在其发展过程中,现代医学的解剖、生理等,已经是现代针灸学的重要组成部分,而干针则只限于激痛点理论。针刺部位方面,传统针刺以穴位为主,但涉及皮肤、肌肉、肌腱、血管与神经等多个层次,而干针主要集中于肌肉。从针刺方法上看,传统针刺疗法的针刺工具有长短粗细之别,针刺方法也非常丰富,既有传统手法,也有借助于现代科技研究成果的电针疗法等,而干针针具单一、手法简单。正因为如此,传统针刺的适应证更广,而干针主要用于肌筋膜疼痛及其相关病症。从知识结构来看,传统针灸医师不仅需要学习中医知识,还需要学习西医基础,而目前干针从业者的培训有不足之处。基于以上理由,我们认为,干针只是针灸学中针刺疗法的一部分,是传统针灸现代发展的一种表现。We think that all the methods of puncturing into the skin to prevent and treat diseases are belong to acupuncture science. In spite of its basic theory of meridian and acupoint, anatomy and physiology have been important parts of modern acupuncture science. ＂Dry needling＂, however, is limited to trigger point theory. As for the positions,acupuncture is applied mainly at acupoints, involving in skin, muscles, tendons, vessels and nerves; while ＂dry needling＂is used mostly at muscles. The needles of acupuncture are in various lengths and diameters and its manipulations are abundant, including the traditional skills and the achievements of modern science and technology research, such as electroacupuncture. It is different from the ＂dry needling＂ with the single tool and manipulation. Thus, acupuncture is suitable for a large range of syndromes, but ＂dry needling＂ is mainly for fascia muscularis pain and other related disorders. The acupuncturists need to embrace Chinese and western medicine, which is more rigorous than the training for ＂dry needling＂ practitioners. Based on the above reasons, we consider ＂dry needling＂ as part of acupuncture science, and it is a method during the modern development of traditional acupuncture.

关 键 词：针灸 干针 关系 针刺 激痛点 

分 类 号：R245[医药卫生—针灸推拿学]