古代针刺补泻手法再认识

Recognition of Ancient Reinforcing-reducing Manipulations of Acupuncture Therapy

捻转补泻在二维平面上为迎随的一种演变,在三维层面与提插手法不可分割。提插补泻与徐疾补泻并非矛盾,只是手法作用时机以及所处层面不同。提插补泻与徐疾补泻这两种手法作用的时机以及所处穴位的层面不同,所表达的含义也不同。徐疾补泻往往作用于进针出针的过程中,不需要有得气的先决条件,涉及层面贯穿穴位内外。"徐而疾则实"。徐入是为了慢慢引阳气入内,疾出是防正气随针外泻。提插补泻则是在针刺入穴位之后以得气为基础进行的,"紧感"即是针刺得气的一种感应。提插补泻所处层面为穴位内的进退,重插从卫取气,追阳内交,欲激发人体正气,轻提可防止正气耗散;重提从荣置气,引阴外出,引正气外出抗邪,轻插为防止邪气入内。

Reinforcing-reducing method by twirling is an evolution of following in two-dimensional plane,which is inseparable from lifting-thrusting reinforcing-reducing method in three-dimensional plane. There is no contradiction between lifting-thrusting reinforcing-reducing method and slow-rapid reinforcing-reducing method,but their timing of manipulationis and the level at which they place are different. The timing and the level of acupoints of the two kinds of manipulations of lifting-thrusting reinforcing-reducing method and slow-rapid reinforcing-reducing method are different,and the meanings expressed are different. Slow-rapid reinforcingreducing method often acts on the process of needle in and needle out. It does not need the preconditions of qi gain,involving the level running through the acupoints. " Slow and rapid are excess". The purpose of slowly thrusting is to slowly introduce yang qi into the body,and quickly lifting is to prevent vital qi from flowing out with the needle. Lifting-thrusting reinforcing-reducing method is based on getting qi after acupuncture into acupoints. " Tightness" is an induction of getting qi through acupuncture. The level of lifting-thrusting reinforcing-reducing method is the advance and retreat in the acupoints,with the emphasis on taking qi from Wei and chasing the yang for internal exchange. In order to stimulate the vital qi of human body,the light lifting can prevent the dissipation of the vital qi;it should be emphasized that qi should be gotten from Rong,yin qi should be introduced out of the body,vital qi should be introduced out of the body to resist pathogenic qi,and light insertion should be done to prevent pathogenic qi from entering.