基于针刺手法仪参数图形探讨捻转补泻法

Study on twirling reinforcing-reducing manipulation based on the parameter figure of the acupuncture manipulation apparatus

探索针刺捻转补泻的操作方法及其补泻原理,以期规范捻转补泻法的操作从而提高针灸疗效。笔者在我院中医工程教研室自行研制的针刺手法测定仪上分别施行"大指努出为主"的捻转补法和"大指收入为主"的捻转泻法,并实时记录这些手法的参数和图形。在所记录的捻转手法图形中同时显示出提插手法曲线,其曲线的频率与捻转几乎同步,但幅度远小于捻转,并且捻转补法图形中的提插曲线水平基线逐渐下行,而捻转泻法图形中的提插曲线水平基线则逐渐上行。这些现象提示捻转补泻手法含有轻微的提插手法,且捻转补法伴有下插之力,捻转泻法则伴有上提之力。表明捻转补泻法的作用原理与提插补泻法类似。

Explore the acupuncture manipulation and principle of twirling reinforcing-reducing to standardize manipulation of twirling reinforcing-reducing, so as to increase the therapeutic effect of acupuncture. The authors performed the manipulation of twirling reinforcing-reducing on the acupuncture manipulation apparatus in which were developed in the department of TCM engineering by rotating with the thumb forward as twirling-reinforcing method and the thumb backward as twirling-reducing method, respectively, and recorded these manipulation parameters and figures in real-time mode. At the same time, the lifting thrusting manipulation curves could be exhibited in the twir- ling manipulation figures, with frequency synchronization between the two manipulation figures, the amplitude of the former being smaller than the latter, and the baseline of the lifting-thrusting manipulation curves in twirling- reinforcing manipulation figures being a gradual sinking and a gradual ascending in twirling-reducing manipulation figures. These findings indicate that twirling reinforcing-reducing manipulation includes slight lifting-thrusting manipulation, and twirling-reinforcing manipulation is accompanied by lifting force and twirling- reducing manipulation accompanied by thrusting force. The principle of twirling reinforcing-reducing manipulation is similar to that of lifting-thrusting reinforcing-reducing manipulation.