试论子午流注针刺法中的针向迎随补泻法

Discussion on the Direction of Ziwuliuzhu Acupuncture in Reinforcing and Reducing Method

在针灸学中,针向迎随补泻手法是根据十二经脉气血流注的顺逆而定。针尖与经脉循行方向相同则为补法;针尖与经脉循行方向相反则为泻法,并且与十二经脉的气血流注次序有关。手三阳经补法的针尖指向心脏,泻法反之;足三阳经补法的针尖应指向四肢末端,泻法反之;手三阴经脉补法的针尖应指向四肢末端,泻法反之;足三阴经补法的针尖应指向心脏,泻法反之。笔者通过研究发现:子午流注针刺法分为纳甲法、养子时刻取穴法和纳子法三种,前两种属于阳,是根据卫气的运行情况而产生的,在治疗时应取卫气来治疗,针刺宜浅不宜深,在针向迎随补泻时,补法的针尖是指向心脏,泻法的针尖则指向四肢末端,故与上述方法迥异。后一种属于阴,是根据营气的运行情况而产生的,即在治疗时应该取营气来治疗,除针刺时宜深不宜浅外,其余与传统方法大致相同。

In acupuncture,directional supplementation and draining method is based on the twelve meridians flow of Qi and blood,and the same direction of the needle tip and the meridian as the reinforcing method;versa,as the reducing method,and related to the order of the flow of Qi and blood in the twelve meridians.When reinforcing three Yang meridians of Hand and three Yin meridians of Foot,needle should be inserted to direction of heart.In reducing treatment,needle should be pointed to four extremities.While reinforcing Hand three Yin meridians and three Yang meridians of Foot,needle should be inserted to direction of four extremities.In reducing treatment,needle should be pointed to the heart direction.Ziwuliuzhu acupuncture therapy（point selection by midday-midnight flowing of Qi-blood point） is consist by Nazi method（earthly branch-prescription of point selection）,nourishing-Zi time point-open and Najia method（heavenly stem-prescription of point selection）.The former two have the nature of Yang,and were generated in the running of defending Qi.When reinforcing,needle should be insert to direction of heart.In reducing treatment,neddle should be pointed to four extremities.Najia method has the nature of Yin,which generates in the running of nourishing Qi.In the treatment nourishing Qi should be taken and needle insertion need be deep instead of shallow.