合谷穴的“倒马针法”机制浅析及临床应用举隅

Analysis on mechanism of acupuncture with three needles at Hegu(LI 4) and its clinical application

合谷穴的"倒马针法"不同于传统的齐刺法,笔者在董氏"灵骨""大白"穴同刺用于温阳补气的基础上,沿着手阳明大肠经的循行揣穴,运用"灵骨"、合谷、"大白"3穴合用直刺的"倒马针法",直通三焦,整体协调脏腑功能以强化临床疗效。笔者认为合谷穴的部位在示指桡侧面上,穴位随着机体的功能状态而动态变化,董氏奇穴"灵骨""大白"穴只是病理状态下,合谷穴在第二掌骨桡侧的移动点。《四总穴歌》中记载:"面口合谷收",揭示了合谷穴与头面五官部位之间的密切联系。此针法用于治疗面肌痉挛等面口疾病较单纯针刺合谷穴疗效显著,并有较好的远期治疗效果。

＂Inverted horse acupuncture＂（acupuncture with three needles）at Hegu（LI 4）is different fromtriple needling,a traditional needling method.Based on DONG＇s warming yangand tonifying qi by simultaneous acupuncture at Linggu（Extra）and Dabai（Extra）,we palpate points along the large intestine meridian of handyangming,and Linggu（Extra）,Hegu（LI 4）,and Dabai（Extra）are pricked perpendicularly to smooth triple energizer directly.Thus,functions of zangfuorgans are holistically adjusted and clinical effect is better.We believe that Hegu（LI 4）is located on the radialis side of the forefinger,and changeable according to the body function states.While Linggu（Extra）and Dabai（Extra）,two radialis points of the second metacarpal,are related to Hegu（LI 4）when it is moving pathologically.According to Sizongxuege（a verse about the four general acupoints）,Hegu（LI 4）is effective for face and mouth diseases,which reveals the close relationship between the acupoint and head and face.Acupuncture with three needles achieves better long-term effect than simple acupuncture at Hegu（LI 4）for face and mouth diseases,including mimetic convulsion.