押手在针灸取穴中的关键操作及重要作用  

Key operation and importance of pressing hand in acupuncture point selection

作　　者：廉金玉 陈波[1,2,3,4] 郭义 陈泽林[1,2,3] LIAN Jinyu;CHEN Bo;GUO Yi;CHEN Zelin(Research Center of Experimental Acupuncture Science,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;School of Acupuncture&Moxibustion and Tuina,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300381,China;Tianjin Binhai New Area Hospital of TCM,Fourth Teaching Hospital of Tianjin University of TCM,Tianjin 300451,China)

机构地区：[1]天津中医药大学实验针灸学研究中心,天津301617 [2]天津中医药大学针灸推拿学院,天津301617 [3]国家中医针灸临床研究中心,天津300381 [4]天津市滨海新区中医医院,天津中医药大学第四附属医院,天津300451

出　　处：《中华中医药杂志》2024年第1期103-106,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点研发计划(No.2019YFC1712200,No.2019YFC1712204);国家自然科学基金青年科学基金项目(No.82004467);国家自然科学基金面上项目(No.81573882);天津中医药大学教育教学改革研究一般课题(No.2020JY029);第五届中国科协青年人才托举工程项目(No.2019-2021ZGZJXHQNRC001)。

摘　　要：《难经》载:“知为针者信其左,不知为针者信其右”,古人将是否重视“左手”作为“知针者”的判断标准,文章重点探讨押手在取穴过程中的重要作用,笔者根据经典文献溯源、临床经验总结,结合国内外研究进展,提出取穴可分为号穴、揣穴、扣穴3个过程,号穴:诊察穴象,指导选穴;揣穴:摸骨循筋,精准定穴;扣穴:固定穴位,协助导气。押手在穴位诊断、穴位选取以及穴位针刺等环节中均发挥了重要作用,是提高针刺疗效的重要环节。The phrase‘those who know how to use the needle believe in the left hand,those who do not know how to use the needle believe in the right hand’put forward in the book Nanjing.The pressing hand,also known as the left hand,is crucial to the operation of acupuncture.This paper focused on the pressing hand’s crucial role in choosing acupuncture acupoints.We propose that the three processes of Hao xue,Chuai xue,and Kou xue can be used to selecting acupuncture acupoints.The Hao xue helps to identify the acupuncture point and direct the choice of acupuncture points.The Chuai xue helps to properly identify the acupuncture points by feeling the bones and following the tendons.The Kou xue helps to fix the acupuncture points and direct the qi.One of the key elements impacting acupuncture’s effectiveness is the pressing hand,which is crucial in the diagnosis of acupuncture sites,the choice of acupuncture points,and the needling of acupuncture points.

关 键 词：押手 取穴 号穴 揣穴 扣穴 

分 类 号：R245[医药卫生—针灸推拿学]