试述“刺之要,气至而有效”的内涵  

An Analysis of Connotation of‘The Key to Acupuncture Lies in the Arrival of Qi For It to Be Effective’

作　　者：赵季宇 苑功名 李佩云 王新梦 公一囡 徐媛[1,2,3] 郭永明 ZHAO Jiyu;YUAN Gongming;LI Peiyun;WANG Xinmeng;GONG Yinan;XU Yuan;GUO Yongming(Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;Tianjin Key Laboratory of Modern Chinese Medicine Theory Innovation and Transformation,Tianjin 301617,China;National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 301617,China)

机构地区：[1]天津中医药大学,天津301617 [2]天津市现代中医理论创新转化重点实验室,天津301617 [3]国家针灸临床医学研究中心,天津301617

出　　处：《针灸临床杂志》2025年第3期1-5,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：国家自然科学基金面上项目,编号:82274649;国家自然科学基金青年项目,编号:82205279、82004473。

摘　　要：随着当前对针刺研究的深入,如何对针刺疗法的疗效做出正确的评价十分重要。《黄帝内经》中记载“刺之要,气至而有效”,故气至是针刺取效的关键。将得气和针感笼统地等同于“气至”是对原文本义的曲解,九针之“气至”应该从脉诊和经络诊察两方面来进行评判方为《黄帝内经》之本义。本研究从“气至而有效”涵义考释、针刺疗法的疗效评价体系及基于“气至”的针刺运用现状三方面试述“刺之要,气至而有效”的内涵。With the deepening of the current research on acupuncture,it is crucial to accurately evaluate the efficacy of acupuncture therapy.The Yellow Emperor's Inner Canon states,‘The key to acupuncture lies in the arrival of Qi for it to be effective’,emphasizing that the arrival of Qi is essential for the therapeutic effects of acupuncture.Equating Deqi and needle sensation simplistically with the arrival of Qi misinterprets the original meaning of the text.The‘the arrival of Qi’in the context of nine needles should be assessed in terms of pulse diagnosis and meridian examination,aligning with the fundamental principles of the Yellow Emperor's Inner Canon.This study explores‘effectiveness achieved when Qi arrives’by discussing its interpretation,the evaluation system of acupuncture efficacy,and the current application of acupuncture based on the concept of‘arrival of Qi’.

关 键 词：针刺 九针 气至而有效 得气 脉诊 

分 类 号：R245-0[医药卫生—针灸推拿学]