探析“凡刺之法,必先本于神”在针灸临床中的指导意义

Clinical significance of the statement “the use of all needling methods must be based on shen” as guidance for acupuncture practice

《灵枢·本神》篇言:"凡刺之法,必先本于神",提示"本于神"在针刺治疗过程中发挥着核心主导地位,强调针刺"治神"是针灸取效的前提与关键,这一思想应贯穿针刺临床的始终。通过阅览古代医家的文献,分析、考释后,总结得出:针刺之际,医者要摄护充养自身神气,以聚精会神的状态去调治病者的精神状态;病者需安神定志、养护内在神气,以应针刺治神之疗效。二者协调同步,共促得神取气,最终达到"形神同调"的目的。本文以治神之理、治神之法及治神之用的视角探析针灸"本于神"在针灸临床中的指导意义,从审神、调神、守神、安神等方面依次展开论述,以期为提高针刺疗效提供参考价值。

The line"all needling methods must be based on shen(spirit or vitality)originates from the chapter entitled Ben Shen in Lingshu(Miraculous Pivot).This statement indicates that basis of shen plays vital role in acupuncture therapy.Treating the shen of the patients is the perquisite key to the effectiveness of acupuncture treatment and this thought should be maintained in the acupuncture clinical practice.By reviewing,analyzing and interpreting all relevant literature by ancient practitioners,this paper offers a summary of the meaning of this statement.During acupuncture therapy,acupuncturists should maintain their own shen and treat patients in an intensive focused state.Meanwhile,patients should also calm down and nurse their internal shen to properly respond to acupuncture intervention and achieve desired effectiveness.These two aspects need to be coordinated to arrive at the goal of treating both physique and mind.From the perspective of rationale,methods and techniques of treating shen,this paper elaborates on how to apply acupuncture on the basis of treating shen by giving details on how to evaluate,regulate,maintain and calm shen,Serving reference to the improvement of acupuncture effectiveness.