《黄帝内经》“燔针”与“焠刺”探析  

Exploration of“Burnt Needle”and“Red-hot Needling”in the Inner Canon of Yellow Emperor(《黄帝内经》)

作　　者：刘旭斌 刘爽[2] 姜敏[3] 俞裕天 LIU Xubin;LIU Shuang;JIANG Min;YU Yutian(The First Medical Centre,Chinese PLA General Hospital,Beijing,100039;Huoguosi TCM Hospital Affiliated to Beijing University of Chinese Medicine;Beijing Shijitan Hospital,Capital Medical University)

机构地区：[1]中国人民解放军总医院第一医学中心,北京市海淀区100039 [2]北京中医药大学附属护国寺中医医院 [3]首都医科大学附属北京世纪坛医院

出　　处：《中医杂志》2024年第6期557-560,共4页Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(82104980);国家中医药管理局基本中医药循证能力建设项目(2019XZZX-JB004);北京市属医院科研培育计划(PZ2022005);首都医科大学附属北京世纪坛医院院青年基金(2021-q01)。

摘　　要：“燔针”与“焠刺”出自《黄帝内经》,二者并不等同,后世将其作为火针同义词,有失偏颇。以《黄帝内经》原文为据,诠释其义:燔针意为烧针使其热,系泛指;燔针劫刺更明晰的表达应为“劫刺,热则无用燔针,寒则燔针,宜先劫刺而后燔针”;焠刺是指先烧针而后刺,有特指。同时厘清燔针、焠刺、焠针、烧针、温针、火针之源流及区别,指出以燔针与焠刺为代表的诊治体系可为针、灸联合之轨范。“Burnt needle”and“red-hot needling”are both mentioned in the Inner Canon of Yellow Emperor(《黄帝内经》),although they possess distinct characteristics and are not identical.Subsequent generations have erroneously employed them as interchangeable with“fire needles”,which is an incorrect designation.This article mostly relies on the original text of the Inner Canon of Yellow Emperor and provides an interpretation of their significances as follows:“burnt needle”is a broad phrase referring to needles that have been intentionally burned in order to heat them;the term“burnt needle and rapid needling”can be more accurately described as“the act of rapidly puncturing with a nee⁃dle,without burning the needle if the disease exhibits hot characteristics,but requiring burning if the disease exhibits cold characteristics,and it is appropriate to puncture rapidly before burning the needle”.“Red-hot needling”refers to the process of first burning the needle and then puncturing with it,which is specific.This paper clarified the ori⁃gins and differences among burnt needles,red-hot needling,red-hot needle,burning needle,warm needles and fire needle,pointing out the doctrinal diagnostic and therapeutic system based on“burnt Needle”and“red-hot needling”,can be a track for the integration of acupuncture and moxibustion.

关 键 词：燔针 焠刺 劫刺 火针 

分 类 号：R245[医药卫生—针灸推拿学]