论针灸“皮脉肉筋骨”层次论治方法

On acupuncture and moxibustion treatment based on the layers of “skin, vessel, muscle, tendon and bone”

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针、刺法等内容并进行分析、归纳和总结。结果:本文阐明了“皮脉肉筋骨”层次论治的原理和治疗方法,认为“皮脉肉筋骨”层次论治方法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。同时认为层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。结论:“皮脉肉筋骨”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。

Objective To expound the therapeutic method based on the layers of ＂skin, vessel, muscle, tendon and bone＂ and its clinical values. Methods Systematically explore the literature relative to treatments based on the layers in The Yellow Emperor＇s Internal Classic, cite, analyze and summarize contents of nine types of needling and needling methods, etc. , relative to treatments based on the layers. Results The principle and therapeutic methods based on the layers of ＂skin, vessel, muscle, tendon and bone＂ are expounded and it is hold that this therapeutic method is one of key theories of ancient acupuncture and moxibustion therapy. The theory of channels and collaterals and treatment based on the layers are two important aspects in acupuncture and moxibustion treatment. Combination of the two aspects can increase therapeutic effect of acupuncture and moxibustion. Conctusion The treatment based on layers of ＂skin, vessel, muscle, tendon and bone＂ is of important significance for recognition of acupuncture values in The Yellow Emperor＇s Internal Classic, a new establishment of diagnosis and examination, syndrome differentiation, treatment system of acupuncture and moxibustion independent of drug prescription, enriching acupuncture and moxibustion therapy, increasing therapeutic effect of acupuncture and moxibustion, and extending the range of acupuncture and moxibustion treatment.