《黄帝内经》“刺有留离”视域下的针刺留针时-效辨析与精准治疗  

Discernment and precision treatment of acupuncture retention time based on the perspective of‘Ci You Liu Li'in Huangdi Neijing

作　　者：李旭豪 王兴鑫 董甜甜 杨继国[1] LI Xuhao;WANG Xingxin;DONG Tiantian;YANG Jiguo(Acumox and Tuina College,Shandong University of Traditional Chinese Medicine,Jinan 250355,China;External Treatment Centre of TCM,Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China)

机构地区：[1]山东中医药大学针灸推拿学院,济南250355 [2]山东中医药大学附属医院中医外治中心,济南250014

出　　处：《中华中医药杂志》2024年第5期2382-2385,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点研发计划项目(No.2022YFC3500403);国家自然科学基金项目(No.82174491)。

摘　　要：留针时间是影响针刺治疗效果的关键因素,但目前针刺临床工作者对留针时间缺乏量化,往往具有盲从性和随意性。《黄帝内经》对于留针与否、留针久暂有独到的观点。为明确针刺留针目的,理清留针意义,进一步发掘《黄帝内经》中的针刺文化内涵,文章从《黄帝内经》“刺有留离”角度出发,寻求其留针理论,探讨其留针依据,辨析其针刺留针的时-效关系及其对针刺精准医学的启示与指导。本研究可以为提升针刺临床治疗的精准性提供一定的理论参考。Acupuncture retention time is a key factor affecting the therapeutic effect of acupuncture,but the current acupuncture clinicians lack quantification of needle retention time,which is often blind and arbitrary.Huangdi Neijing has a unique point of view on whether to leave needles or not,and whether to leave needles for a long time.In order to clarify the purpose and significance of needle retention,and to further explore the cultural connotation of acupuncture in Huangdi Neijing,we start from the perspective of‘Ci You Liu Li'in Huangdi Neijing,seek its theory of needle retention,explore the basis of needle retention,and discern the time-effect relationship and its effect on the duration of needle retention in acupuncture.The present study can help to improve the clinical practice of acupuncture.This study can provide some theoretical references for improving the precision of acupuncture clinical treatment.

关 键 词：留针时长 时-效关系 刺有留离 《黄帝内经》 精准治疗 

分 类 号：R245[医药卫生—针灸推拿学]