陈日新教授论灸感

Professor CHEN Rixin's views on moxibustion sensation

热敏灸感是人体在疾病状态下施灸某一穴位时,被灸者产生远部和深部的热感,甚至热至病所,而非局部与表面的热感。陈日新教授在临床实践中系统研究了热敏灸感现象及其临床规律,阐明了不同的热敏灸感携带着机体不同的生理病理信息,可以反映病情,在临床施灸过程中应重视热敏信息的采集;根据具体的热敏灸感类型、热感强度可以指导临床灸疗选穴与准确定位;根据热敏灸感的产生与消失,可以指导灸疗确立个体化充足灸量,以"热敏灸感消失为度"作为充足灸疗时间,突破了灸疗临床以每穴固定施灸时间的观念,为临床充分发挥灸疗疗效提供了量学标准;提出判断灸疗适应证的标准,即凡是出现热敏灸感的病症就是灸疗的最佳适应证。深入全面认识热敏灸感的产生、变化规律,有利于指导灸疗的规范操作与灸疗疗效的提高。

The sensation of heat-sensitive moxibustion（HSM）refers to the heat feeling at distal and deep part of the body when a patient is treated with moxibustion under unhealthy status,which may even transmits to the disease sites,instead of heat feeling at local and superficial part of the body.Professor CHEN Rixin has systematically studied the HSM sensation and its clinical laws through clinical practice;he points out different HSM sensations contain different physiological and pathological information of the human body,which could reflex the severity of diseases,so the collection of HSM information should be emphasized;the type and intensity of HSM sensation could guide the clinical acupoint selection and precise localization.The appearance and disappearance of HSM sensation could be applied to establish individual amount of moxibustion,and disappearance of HSM sensation is an appropriate signal for sufficient moxibustion time,which break through the concept of fixed time at each acupoint,and provide measurement standard to make full use of moxibustion.The criteria of indications for moxibustion is proposed,indicating the disease in which HSM sensations appear is the optimal indication.The deep and comprehensive understanding on the generation and change of HSM sensation could improve the standardization of HSM standard technique and its efficacy.