摘要
通过查阅古代主要针灸文献及建国后高等中医院校教材对捻转补泻的描述,分析从古至今关于捻转补泻手法操作手法的演变。发现教材从刚开始就重视“轻转为补,重转为泻”,1985年将“左转为补,右转为泻”加入并两者共存,至2012年最近的一版教材完全舍弃“轻转为补,重转为泻”。笔者认为捻转补泻操作手法的不确定源于对捻转补泻的原理的理解不足。故本文通过探究每种捻转补泻方法的教材描述、古代文献描述、现代理论分析及实验探究,理论结合实际探究每种操作手法的合理性,认为捻转补泻应以刺激量大小区分补泻,以“针下得气后,捻转角度小,用力轻,频率慢,操作时间短为补法;捻转角度大,用力重,频率快,操作时间长者为泻法”为指导。
By the examination of the description about twisting reinforcing and reducing manipulation on main ancient acupuncture literatures and the textbooks for colleges and universities of traditional Chinese medicine after the founding of the People's Republic of China,this paper analyzed the evolution of this manipulation from ancient times to present. It was found that the textbooks have attached importance to “twirling light to complement,and twirling heavy to diarrhea” from the very beginning. In 1985,“turn left to complement,turn right to diarrhea” was added and combined with “twirling light to complement,twirling heavy to diarrhea”. Until the latest edition of the textbook in 2012,it completely abandoned “twirling light to complement,twirling heavy to diarrhea”. The author believed that the uncertainty of twirling reinforcing and reducing manipulation stemed from the lack of understanding of the principle. Therefore,by exploring the textbook description,ancient literature description,modern theoretical analysis and experimental exploration of each method of twirling reinforcing and reducing manipulation,by combining the theory with practice,and it was believed that twirling reinforcing and reducing manipulation should be differentiated according to the amount of stimulation. The methods should be described as follows;“After the needle gets breath,twirling by small twist angle,light force,slow frequency and short operation time,are the reiniforcing method,while twirling with big angle,heavy force,fast frequency,and long operation time is the reducing method”.
作者
何晓茜
唐雪青
刘旭峰
陈虹屹
刘佳男
睢明河
HE Xiaoqian;TANG Xueqing;LIU Xufeng(Beijing University of Chinese Medicine,Beijing 100029,China)
出处
《环球中医药》
CAS
2019年第7期1028-1032,共5页
Global Traditional Chinese Medicine
基金
教育部立项课题(103203)
北京中医药大学吕亚芳基金
关键词
针刺手法
捻转
补泻
刺激量
Acupuncture manipulation
Twisting manipulation
Reinforcing and reducing
Stimulation volume
