试论艾灸得气

On the deqi in moxibustion

探讨《内经》"得气"概念的原始内涵以指导艾灸的临床应用。通过溯源《内经》"得气"概念原始定义的有关条文与结合临床热敏现象及规律的临床研究成果,分析艾灸得气的特征与激发方法。提出了《内经》"得气"概念原始内涵的新观点,即"得气"是指针刺时产生的一种与疗效有关的、舒适的心-身感应,而不仅指针刺时的一种躯体感应。在此基础上,论述了艾灸热敏腧穴能够激发《内经》原始定义的"得气",介绍了艾灸激发"得气"的方法及艾灸得气条目的筛选与初步评价,说明艾灸得气是指一组心-身-效的综合感应。

The original connotation of deqi in Neijing(Internal Classic) was explored to provide the reference for the clinical application of moxibustion. The relevant items of the original definition of deqi in Internal Classic were traced aligning with the achievements in the clinical researches on the heat-sensitive phenomena and its rule, and thus, the characteristics of deqi in moxibustion and its inducing approaches were analyzed. A new viewpoint of the connotation of deqi in Internal Classic was put forward. It is believed that deqi is not only a somatic response to acupuncture, but also a kind of comfortable mental-physical reaction related to curative effect. On this basis, it was discussed that moxibustion on heat-sensitive acupoints could induce deqi which conforms to the original definition described in Internal Classic. Additionally, the method of moxibustion for stimulating deqi, the screening of the items on deqi in moxibustion as well as the preliminary evaluation were introduced in the paper. It is suggested that the deqi in moxibustion is the comprehensive responses of the mental-physical-curative effect.