| 杨威廉,蒋栩敏,陈萌,等.基于《黄帝内经》探讨针刺出针之“机”[J].浙江中医药大学学报,2025,49(1):81-84. |
| 基于《黄帝内经》探讨针刺出针之“机” |
| The “Occasion” of Needle Withdrawal in Acupuncture Based on Huangdi Neijing |
| DOI：10.16466/j.issn1005-5509.2025.01.014 |
| 中文关键词: 出针 时机 《黄帝内经》 候气 针刺手法 针刺补泻 针灸文献 |
| 英文关键词: needle withdrawal occasion Huangdi Neijing Qi-awaiting acupuncture manipulation acupuncture reinforcement-reduction literatures of acupuncture |
| 基金项目: |
|
| 摘要点击次数: 18 |
| 全文下载次数: 11 |
| 中文摘要: |
| [目的] 整理《黄帝内经》及相关中医古籍中关于出针操作的记载，总结出针操作的规律，浅析出针操作需遵守的时机。[方法] 通过对中医古籍的整理分析，从邪气谷气、气血虚实、阴阳寒热、呼吸吐纳四个角度探讨出针操作的规律，并归纳总结。[结果] 出针前需诊察患者病情体质，根据脉象判断正邪盛衰、气血虚实，根据望诊、切诊判断寒热阴阳，根据闻诊听呼吸吐纳以确定出针的适宜时机，并通过正确的出针方法补虚泻实。[结论] 《黄帝内经》十分重视出针操作的时机，当邪去正安、阴平阳秘之时方可出针，骤然出针则会造成气血运行紊乱或余邪蕴于体内等不良后果，对针灸临床有一定参考价值。 |
| 英文摘要: |
| [Objective] To collate the records of needle withdrawal techniques from Huangdi Neijing and related ancient Chinese medical texts， summarize the principles of these techniques， and analyze the occasion of needle withdrawal. [Methods] By organizing and analyzing ancient Chinese medical texts， the discussion and summary focus on pathogenic Qi and grain Qi， the deficiency and excess of Qi and blood， Yin and Yang， cold and heat， breathing and exhalation. [Results] Before needle withdrawal， it is necessary to diagnose the patient’s condition and constitution. This involves determining the balance of pathogenic and healthy Qi and the deficiency and excess of Qi and blood through pulse diagnosis， assessing cold and heat， Yin and Yang through observation and palpation， and determining the appropriate occasion for needle withdrawal by listening to the patient’s breathing. Proper needle withdrawal methods can tonify deficiency and reduce excess. [Conclusion] Huangdi Neijing places great emphasis on the occasion of needle withdrawal. It states that needles should only be withdrawn when the pathogenic factors have been removed and the body is in a state of harmony， with Yin and Yang in balance. Sudden needle withdrawal may cause disruptions in the circulation of Qi and blood or result in the retention of remaining pathogenic factors in the body， which can lead to adverse consequences. This concept holds certain reference value for contemporary clinical acupuncture practice. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |