恢刺法临床应用特点文献分析

Analysis on literature about clinical application characteristics of Hui needling method

目的分析总结恢刺法的临床应用特点。方法分别以《中华医典》和中国知网(CNKI)为数据库,检索古代文献、现代文献中运用恢刺法治疗疾病的内容,对恢刺法临床应用的相关情况进行总结。结果共纳入古代文献12篇、现代文献31篇。古代文献中恢刺法的临床应用以筋痹为主要适应症,从受损肌腱旁斜刺进针,进针后,提插行针并调整针灸针,再将针提至皮下,配合关节屈伸活动,以舒解筋部拘挛。现代文献中恢刺法的临床应用以治疗关节及其周围软组织局部的劳损性病变为主;选穴以阿是穴为主,有时配合局部取穴及循经取穴;选用直刺进针法者较多,多数使用平补平泻或泻法,最短留针时间为10min,最长留针时间为2h;常用的配合治疗手段有其他种类刺法、灸法、拔罐法、腧穴特种治疗技术及其他方法,如推拿、梅花针、头皮针。结论恢刺法现代临床应用基本沿袭了古代恢刺法的应用特点,恢刺法的操作技法得到了较好的传承,后人在前辈的基础上扩大了其适应症,临床应用效果较好。

Objective To analyze and sum up the clinical application characteristics of Hui needling method. Methods The content about Hui needling method in ancient and modem literature was retrieved from the databases of Enclopaedia of Traditional Chinese Medical Works and CNKI. The clinical application of Hui needling method was summed up. Results There were totally 12 ancient literature and 31 modem literature included. In ancient literature, the main indication of Hui needling method was impediment of sinew, and the needle was inserted obliquely into the side of injured tendon, lifted, thrust and judged, and then lifted to subcutaneous part to relieve sinew spasm cooperated by joint flexion. In modem literature, the clinical application of Hui needling method is to treat train lesions in joints and soft tissue around joints. The acupoints are mainly ouch points and some times local acupoints and those along meridians are selected. The manipulation is perpendicular insertion and neutral supplementation and draining method or draining method are used. The shortest needle retention time is 10 minutes and the longest is 2 hours. Other cooperation therapies are commonly applied including other needling methods, moxibustion method, cupping method, acupoint special therapy and other therapies such as tuina, plum-blossom needle and scalp acupuncture. Conclusion The clinical application of Hui needling method in modem time inherits the characteristics of ancient method, while its indications have been expanded and better effects are achieved.