杨丹红教授运用通经刺络针法治疗痛证经验撷要  

Professor YANG Danhong’s Experience in Treating Pain through the Meridian Acupuncture Method

作　　者：赵欣怡 汤雨珍 杨丹红[2] ZHAO Xinyi;TANG Yu-zhen;YANG Danhong(The Third Clinical Medical School of Zhejiang Chinese Medical University,Hangzhou(310053),China;The Third Affiliated Hospital of Zhejiang Chincal Medicine University)

机构地区：[1]浙江中医药大学第三临床医学院,杭州310053 [2]浙江中医药大学附属第三医院

出　　处：《浙江中医药大学学报》2023年第12期1476-1478,1484,共4页Journal of Zhejiang Chinese Medical University

摘　　要：[目的]总结杨丹红教授运用通经刺络针法治疗痛证的临床经验。[方法]通过跟师学习,查阅古籍及现代文献研究,并基于痛证的发病机制,总结杨师通经刺络针法的理论依据及其治疗痛证的应用前景,并举临床医案两则加以佐证。[结果]痛证病机有“不通则痛”“不荣则痛”,主要为气机运行不畅,故杨师认为治疗痛证旨在条畅周身气机。杨师基于《内经》“根结”“根溜注入”理论,根据自身临床经验,结合络刺法,提出了通经刺络针法。其针法强调辨经论治,取病位所过经脉之首尾穴,快速捻转,得气为要,出针后行井穴刺络放血。文中所附两则医案之痛证,皆为经脉气机不畅所致,故治疗取其所过经脉之首尾穴行通经刺络针法,使气血得行,痛证即愈。[结论]杨师临床治疗痛证时注重辨经论治,注重首尾配穴及井穴的应用,配合刺络放血疗法,达到加强周身气机运行,调理气血之用,临床疗效较好,值得推广应用。[Objective]To summarize Professor YANG Danhong’s clinical experience in the treatment of pain.[Methods]Through learning from teacher,reviewing ancient books and modern literature research,based on the pathogenesis of pain,the theoretical basis of Professor YANG’s meridian acupuncture method and its application prospect for the treatment of pain were discussed.Two clinical medical cases were cited to support.[Results]The mechanism of pain is“obstruction leads to pain”and“malnutrition leads to pain”,mainly because the Qi mechanism does not run smoothly.Professor YANG believes that the treatment should be aimed at smoothing the Qi mechanism.Based on the theory of“Gen-Jie”and“Genliu Zhuru”in Huangdi Neijing,the meridian acupuncture method named“the meridian acupuncture method”are proposed for pain.It is also treated according to Professor YANG’s own clinical experience and combining with the piercing method.The acupuncture method,which emphasizes the theory of the treatment based on the channel’s differentiation of pain,takes the head and tail points of the meridians passed by the disease position.After quickly twisting and getting Qi,and the well points are blooded.The two medical cases attached were caused by obstruction of Qi mechanism.The treatment took the first and last points of the meridians through the meridian acupuncture method,so that Qi and blood could be carried out and the pain was cured.[Conclusion]Professor YANG pays attention to the theory of the treatment based on the channel’s differentiation of pain,and emphasizes the combination of the first and last points and the well points.Cooperated with the pricking collaterals therapy to strengthen the circulation of Qi and regulating Qi and blood,the effect was quite good,which was worthy of clinical promotion.

关 键 词：痛证 通经刺络针法 根结 根溜注入 刺络法 名医经验 杨丹红 

分 类 号：R245[医药卫生—针灸推拿学]