温故知新——试谈“在筋守筋”

Learning the new by restudying the old: discussion on “consolidating tendons when tendons involved in disorders”

为更好理解和运用"在筋守筋"这一针灸治则,笔者通过阐述经文之义,从"病有浮沉,刺有浅深"这一角度探讨了"在筋守筋"的必要性,并结合临床体会提出3点认识,论述如何更好地"在筋守筋"。治疗筋病时首先应当准确识别筋病,其次阿是穴和远端经穴相结合的治疗方法更能提高疗效,此外还可灵活结合现代解剖学内容来辅助选穴和定穴。充实了"在筋守筋"这一治则的内涵,为临床治疗骨关节、软组织系统疾患拓宽了思路。

In order to better understand and implement the treating principle of acupuncture as ＂consolidating tendons when tendons involved in disorders＂, the author explored the necessity of this principle in view of ＂the depth of disorder and depth of needle insertion＂ through explaining the meanings of it in the classic literature. In combination with the clinical experience, three recognitions were proposed. When treating tendon disorder, the correct recognition of disease is very important. The coordination of ashi points and the distal points enhances the therapeutic effects. Besides, the modern anatomic knowledge is assisted to the selection of acupoints. The study results enrich the connotation of this treating principle, explore the approach to the clinical treatment of the disorders of bones, joints and soft tissues and improve the therapeutic effects.