文章摘要
诸忠良,甘霖,赵逸彬,等.从“知为针者,信其左”再探针刺“押手”的应用[J].浙江中医药大学学报,2021,(2):190-192.
从“知为针者,信其左”再探针刺“押手”的应用
Discussion of the Application of Pressing Hand from the Words “One Who Knows the Acupuncture Believes the Importance of the Pressing Hand”
投稿时间:2020-06-13  
DOI:10.16466/j.issn1005-5509.2021.02.017
中文关键词: 押手  针刺手法  腧穴定位  穴位诊断  穴位敏化  得气  理论探讨
英文关键词: pressing hand  acupuncture manipulation  acupoint location  diagnosis of acupoints  acupoint sensitization  bring about the desired sensation  theoretic exploration
基金项目:浙江省中医药重点学科项目(2017-XK-A18);林咸明名医工作室项目(浙卫发[2018]69号)
作者单位E-mail
诸忠良 浙江中医药大学附属第三临床医学院 杭州 310053  
甘霖 浙江中医药大学附属第三临床医学院 杭州 310053  
赵逸彬 浙江中医药大学附属第三临床医学院 杭州 310053  
林咸明 浙江中医药大学附属第三临床医学院 杭州 310053 linxianming66@126.com 
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中文摘要:
      [目的]促使医者重视“押手”的操作技能训练,更全面掌握针刺手法基本功,提升针灸临床治疗的层次和水平。[方法]通过对古籍、近5年期刊文献和近现代书籍的学习,对“押手”在按穴触诊诊断、揣穴精准定位、辅助针刺得气等方面的意义以及临床应用现状进行分析,总结“押手”在按穴触诊诊断、揣穴精准定位、辅助针刺得气等方面的临床价值。[结果]《难经》“知为针者,信其左”特别强调“押手”在针刺治疗中的作用,而目前临床所指的针刺手法则多注重“刺手”的操作手法,往往忽视“押手”在针刺过程中的作用及相关的技能训练。笔者发现“押手”在针刺治疗过程能够参与探穴触诊,协助疾病诊断,并且具有特殊的定位功能,更有利于发挥针灸的治疗效应,而且能够在针刺时发挥促进得气、控制气感的作用,并能参与补泻操作以提高针刺疗效。[结论]在针刺过程中应更加重视“押手”的作用,尤其是“押手”在按穴触诊、揣穴定位、调控针刺得气等方面的操作及应用,以便更有利地发挥针刺的疗效。
英文摘要:
      [Objective]To promote medical practitioners to pay attention to the operation training skills of “pressing hand”, master the basic skills of acupuncture, and improve the skill of acupuncture clinical treatment.[Methods]Through studying ancient books, modern books and periodical literature in the past five years, the significance and clinical application status of “pressing hand” in the diagnosis by palpation, precise positioning of the acupuncture points, assisting acupuncture to bring about the desired sensation, etc. were analyzed, and the clinical value of “pressing hand” in the diagnosis of palpation according to acupoints, precise positioning of acupuncture points, assisting acupuncture to bring about the desired sensation, etc. were summarized.[Results]The words in ancient book“Nan Jing”“one who knows the acupuncture believes the importance of the pressing hand” especially emphasized the role of “pressing hand” in acupuncture treatment, and the current clinical acupuncture technique focused on the operation method of “acupuncture”, often overlooks the role and skill training of “pressing hand” in the process of acupuncture. The“pressing hand” can help acupuncture point palpation during acupuncture treatment, assist in disease diagnosis, provide special positioning functions, promote the arrival of the desired sensation and control Qi sensation, it can also participate in reinforcing and reducing manipulation to improve the therapeutic effect of acupuncture. [Conclusion]Clinical doctors should pay more attention to the role of “pressing hand” for its function of acupuncture point palpation during acupuncture treatment, assisting in disease diagnosis, providing special positioning functions, and promoting the arrival of the desired sensation, in order to exert the therapeutic effect of acupuncture.
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