干针之争及学术思考

The debate on the clinical application of dry-needling and the academic thinking

近年来在美国为主的西方国家中出现了围绕理疗师等非针灸师能否使用干针治疗肌筋膜痛症的激烈论争,即"干针之争",干针之争既是饭碗之争和法律之争,某种意义上也是学术之争。干针之争中出现的干针独立倾向及其代表的西方医学针灸学的兴起,给传统针灸理论体系带来了冲击和挑战。通过回顾干针之争的各自观点及蕴含的潜在学术挑战,结合针灸国际化发展中出现的质疑和问题,对针灸学概念定义和针灸学理论体系进行了思考。

Recently,in the United States and other western countries an intense debate around whether or not the nonacupuncturists including the physiotherapists and the chiropractors could use dry-needling technique to treat myofascial pain syndrome.The debate is not only a controversy around the business interest and legal right,but also an academic dispute on the acupuncture theory in some extent.Both the tendency for dry-needling to be independent from traditional acupuncture and the initiation of western medical acupuncture strongly challenge the theoretical system of traditional acupuncture originated from China.Via reviewing the fact of the debate,the different points of view from two sides and the potential academic challenge occurred in the internationalization of acupuncture,a new reconsideration on the definition of acupuncture and an idea to reconstruct a new science-based theory of acupuncture were discussed.