捻转补泻手法要素源流梳理与分析  

Analysis on the origin and development of elements of reinforcing and reducing needling techniques

作　　者：张赛男 王欣君[1] 张建斌[1] 顾媛媛[1] ZHANG Sai-nan;WANG Xin-jun;ZHANG Jian-bin;GU Yuan-yuan(The Second Clinical School of Medicine, Nanjing University of Chinese Medicine,Nanjing 210023, China)

机构地区：[1]南京中医药大学第二临床医学院

出　　处：《针刺研究》2019年第6期454-458,共5页Acupuncture Research

基　　金：国家社会科学基金(No.2018VJX065);江苏省大学生创新训练计划课题(No.201810315059Y);南京中医药大学高等教育改革课题(No.NZYZYXPPJG2017-07、NZYZYXPPJG2017-08)

摘　　要：通过梳理古籍中有关捻转补泻手法的要素,整理捻转补泻手法左右转针、性别、受针者左右、受针者身前身后、经络循行方向等要素发展的源流,分析了古代医家对诸多要素的认识。认为转针左右、性别、受针者左右、受针者身前身后等要素不是捻转补泻的技术核心部分。对于现在研究所关注的幅度、频率、时间3个刺激变量,唯有单次捻转完成时间(频率)被高武在《针灸聚英》中所重视,可视为进一步研究的内容。对于依据针刺刺激强度区分补泻,则需增加受针者的感受强度这一因素,并进行更深入的研究。Reinforcing and reducing needling manipulations are important factors affecting clinical therapeutic effect.In the present paper,the relevant elements of the reinforcing and reducing techniques of acupuncture needle including the left-and right-ward twirling,gender,needling at the left and right,front and back parts of the body,needling along or against the running course of the meridian,and their origin and development recorded in ancient Chinese medical books were collected and sorted out,followed by analysis on the understandings of Chinese ancient medical practitioners about them.Results show that the right-or left-ward twirling of needles,gender,and needling at the right or left part,the front or the back part of the body of patients are not the core components of the reinforcing and reducing techniques.Of the three stimulus parameters of needling,named amplitude,frequency and duration which are frequently researched at present,only the duration of single twirling(frequency)was highly noted in GAO Wu’s book Zhenjiu Juying(A Collection of Gems in Acupuncture and Moxibustion).It is worthy of being studied in the further.Regarding the stimulation intensity of acupuncture involving the identification of reinforcing or reducing manipulations,the factors influencing the patients’ feelings of needling intensity of acupuncture should be studied at the same time.

关 键 词：针刺疗法 捻转补泻 针法操作 

分 类 号：R245.3[医药卫生—针灸推拿学]