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时间:2020-06-04
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1、中国针灸2014年1月第34卷第1期ChineseAcupuncture&Moxibustion,Jan.2014,Vo1.34No.1文章编号:0255—2930(2014)01—0049—04中图分类号:R245.1文献标志码:A捻转补泻之我见沈特立(上海电力医院针灸推拿科,上海200050)[摘要]探讨捻转补泻手法的实质,为补泻手法的临床应用提供理论指导。通过回顾针刺捻转补泻手法历史文献,从古籍记载注文探究,分析现存的几种观点如与经脉循行方向结合,细分左右、男女、手足;刺激量大小,操作时间长短;捻转手法属于螺旋运动等,发现捻转补泻的关键是决定三维运动的持
2、针手型,捻转细分左右、男女、手足等,就同时忽略了捻转手法必然带有提插动作的立体效应。认为捻转补泻的实质不离《灵枢·九针十二原》“徐而疾则实,疾而徐则虚”的提插补泻原则。以此原则为指导,将捻转补泻手法应用于临床中,才能避免手法操作流于形式而陷入虚无飘渺的玄学。[关键词]针刺手法;捻转;提插;补泻Discussionontwirlingreinforcing-reducingmethodSHENTe—li(DepartmentofAcupuncture—MoxibustionandTuina,ShanghaiElectricPowerHospital,Shangh
3、ai200050,China)ABSTRACTTheessenceoftwirlingreinforcing—reducingmethodisdiscussedtOprovidetheoreticalguidanceforclinicalapplicationofreinforcing—reducingmethod.Throughretrospectiononhistoricalliteratureoftwirlingrein—forcing—reducingmethod,recordsandexplanatorynotesarethoroughlyexplo
4、red.Severalexistingopinionsareana—lyzedandexplainedforinstancetwirlingmethodhasconnectionwithcirculationdirectionofchannels;twirlingmethodissubdividedintorightandleft,maleandfemale,handandfoot;twrilingmethodisrelatedtOquantityofstimulusandoperationtime;twrilingmethodbelongstospiralm
5、otionandSOon.Asaresult,itisfoundthatthekeyoftwirlingreinforcing—-reducingmethodisthepostureofneedle—。holdinghandthatdefinesthree—。dimensionalmotion.Iftwirlingmethodissubdividedintorightandleft,maleandfemale,handandfootandSOon,stericeffectsoflifting—thrustingmovementthatcomealongwith
6、twirlingmethodcouldbeignoredatthesametime.Itisconsideredthattheessenceoftwirlingreinforcing—-reducingmethodisclosetotheprincipleofliftingthrustingrein—_forcing—reducingmethod,enrichingeffectwithslowinsertionandfastwithdrawalofneedlewhilereducingeffectwithfastinsertionandslowwithdraw
7、al,whichisrecordedinMiraculousPivot:NineneedleandTwelveYuan.Withthisprincipleasguide。manipulationcouldbeavoidedtobecomeamereformalityandillusorymetaphysicsduringclinicalapplicationoftwirlingreinforcing—reducingmethod.KEYWORDSacupuncturemanipulation;twirlingmanipulation;liftingandthr
8、ustingmanipulation;
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