深刺曲骨及其临床应用

CLINICAL APPLICATION OF DEEP NEEDLING ON ACUPOINT QUGU

取3～4寸毫针一根,用舒张进针法,先垂直刺入皮肤、皮下组织,然后倾斜针体,以与腹壁成45°～60°角缓缓进针。当针尖通过腹壁各层进入耻骨后膀胱前间隙时,针下应该有一种落空感,如无落空感不可贸然深刺。落空感后继续缓缓进针,一般深达3寸左右时,针下可遇到比较明显的阻力。此为确定深刺深度的标准。手法一般使用缓慢、轻柔、小幅度的提插捻转法,禁止使用快速、粗暴、大幅度的提插手法。临床上,该法用于治男性病、妇科病、泌尿系疾病取得满意效果,尤其对阳痿、痛经、前列腺炎、前列腺增生及泌尿系结石的治疗,效果更为理想。

This artical presents and illustrates the method of deep needling Qugu(Ren 2)and its clinical applications.Compared with routine method,some special procedures are required:1.Praperation prior to needling.The patient is asked to pass his urine,and the operator must carefully sterilize the point—area.2.Manipulation of the deep needling.a 3～4cun long filiform needle is used.Firstly it is inserted into the skin and subcutaneous tissues perpendicularly,then obliquely at an angle of 45～60 forward slowly.Usually an feeling of emptiness is got when the tip of the needle goes into the space bewteen the symphysis pubis and the bladder.If not,the inserting should be stopped.After that,the needle can be further inserted slowly.In most cases an obvious resistance presents when the tip of the needle reaches 3 tun below,which is a mark of the depth of deep needling,3.method for getting Qi.a thrusting and rotating with slow and soft manipulation and small amplitnde is used,quick and violent thrusting and rotating method with big amplitude is forbidden. Clinically,satisfactory effects can be achieved by application of this method in the treatments of andropathy,gynecological diseases and diseases of the urinary system,especially impotence,dysmenorrhea,prostatitis, hypertrophy of the prostate gland and urolithasis.Different from the routine needling method,the new one brings stronger needling sensation and is more effective,and causes no sidc—effects as long as is performcd properly.