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1、论针灸“皮脉肉筋骨”层次论治方法中国针灸2005年6月第25卷第6期文章编号:0255—2930(2OO5)06—0433—03中图分类号:R2450文献标识码:C论针灸"皮脉肉筋骨"层次论治方法赵百孝(北京中医药大学针灸学院,北京100029)[擅要]目的:论述"皮脉肉筋骨"层次论治这一《内经》时期的针灸核心论治方法及其临床价值.方法:系统发掘《内经》中有关层次论治的文献,引述与层次论治有关的九钟,刺法等内容并i晰分析,归纳争总结.结果:本文阐明了"皮脉肉筋骨"层次论治的原理争治疗方法,认为"皮脉肉筋骨."层次论治方法
2、是古代针灸疗法的核心理论之一.经络学说与层次论治是针灸治疗中不可缺少的两个方面,只有两者有机结合,针灸才能真正做到有的放矢,提高疗效.同时认为屡次论治方法还有待结合临床进一步发掘和梳理并系统展现.螭论:"皮脉肉筋骨箩层次论治对重新认识《内经》的针灸价值和重新建立独立于方药之外的针灸诊查,辨证,论治体系,丰富针灸疗法,提高疗效,扩大针灸治疗范围等都具有重要的意义.[主曩词]针灸学;经络学说;《内经》一Onacnpunctureandmoxibustiontreatmentbasedonthelayers畦skin,vess
3、el,muscle,tendeaamibone0ZHAOBai-xiao(CollegeofAcupuncture&Moxibustion.BeijingUnive鹋itofTCM,B~iing100029,China)^翔龋}1日R^cTOb~emveToexpoundthetherapeuticmethodbased0nthelayersof娃【in'vessel,muscle,tendonandbone"anditsclinicalvalues.MethodsSystematicallyexplorethe
4、~teraturerelativetotreatmentsbasedonthelayersinTheYellowEmpero~'sInternalClassic,cite,analyzeandsummarizecontentsofninetypesof战蝇andneedlingmethods,etc.frelativetotreatmentsbasedonthelayers.磨商瓣妇eprincipleandtherapeuticmethodsbasedonthelayersof"skin,vessel,muscle,t
5、endonandbone"areexpoundedanditisholdthatthistherapeuticmethodisoneofkeytheoriesofancientacupunctureandmoxibustiontherapy.ThetheoryofchannelsandcollateralsandtreatmentbasedonthelayersaretWOimportantaspectsmacupunc~ureandmoxibustiontreatment.Ci~abination0fthetwoasp
6、ectscanincreasetherapeuticeffectofacupunctul"eandmoxibustion.o嘶cl1
7、鼍i舳Thetreatmentbasedonlayersofskin,vessel,muscle,tendonandbone"isofimportantsignificanceforrecognitionofacupuncturev甚1一uesinTheYellowEmperor'sInternalClassic,anewestablishmeritofdiagnosisandexamin
8、ationIsyndromedi/feren-tiation,treatmentsystemofacupunctureandmoxibustionindependentof—drugpreacription,enrichingacupuncture叠l谴moxibustiontherapy,increasingtherapeuticeffectofacupunctureandmoxibustion,andextendingtherangeofacupunctureandmoxibustiontreatmentKEYWOR
9、DSAcupunctureScience;MeridianTheory;TheYddowEmperor,s/nterna/一中医学认为人体是按一定的层次结构组成的有机体.阴阳,表里,营卫,脏腑以及皮,脉,肉,筋,骨等无不贯穿着层次的理念.其中"皮脉肉筋骨"是《内经》最基本,最具体的层次结构.正如《灵枢?经脉》所云:"