摘要
[目的]通过阐述杨文辉教授(以下简称杨老)三才单式针法的学术思想,促进三才单式针法的传承和发展。[方法]以"三才"的理论为依据,总结杨老三才单式针法的学术思想,并通过列举庄子齐教授运用三才单式针法结合飞经走气治疗痛症的临床验案,体现庄师对杨老的三才针法临床运用的继承与创新。[结果]三才单式针法是杨老多年临床经验的凝聚,其特点是通过辨证虚实,选取穴位层次中天、人、地其中一部,再进行相应的补泻手法。庄师认为痛症的病机多为本虚标实,以气血不足为本,瘀血阻滞为标,临证时将三才单式针法与飞经走气相结合,依据证的虚实进行针对性补泻,同时减轻飞经走气的刺激量。所举验案辨为气虚血瘀证,治法以行气活血、补益气血为主,庄师既继承杨老三才单式针法的特色,又发挥飞经走气治疗痛症的优势,获得了满意的疗效。[结论]庄师将杨老三才单式针法与飞经走气相结合,治疗痛症思路独到、疗效显著,值得临床学习借鉴。
[Objective]To introduce the academic thoughts of three elements single acupuncture method of Professor YANG Wenhui,and promote the inheritance and development of three elements single acupuncture method.[Methods]Based on the theory of the"Three Elements",Professor YANG’s academic thoughts of the three elements single acupuncture method was summarized.The inheritance and innovation of Professor YANG’s clinical application of three elements single acupuncture method was illustrated through presenting aclinical case of pain treated by Professor ZHUANG Ziqi.[Results]The three elements single acupuncture method is summarized by Professor YANG according to his clinical experience,which has the characteristic of determining acupuncture depth of heaven,man,earth and applying corresponding manipulation of reinforcement and reduction according to syndromes.Professor ZHUANG believes that the pathogenesis of pain is mainly based on deficiency in origin and excess in superficiality,the root of which is the insufficiency of Qi and blood,the manifestation of which is the obstruction of blood stasis.Professor ZHUANG combines three elements single acupuncture method with moving Qi throughout the meridians in clinical,adopts manipulation of reinforcement and reduction according to the deficiency and excess of the syndrome,and reduces the stimulation of moving Qi throughout the meridians.The case was identified as syndrome of Qi deficiency and blood stasis,and was treated with invigorating the circulation of Qi and blood along with tonifying Qi and nourishing blood.The specific targeted reinforcement and reduction characteristics of three elements single acupuncture method were adopted combined with invigorating the circulation of Qi through moving Qi throughout the meridians.Professor ZHUANG who learns from Professor YANG,inherits the characteristics of Professor YANG’s academic thoughts,and combines three elements single acupuncture method with manipulation of moving Qi throughout the meridians in the treatment of pain to make full use of the advantages of moving Qi throughout the meridians,which can gain satisfactory therapeutic effect.[Conclusion]In the treatment of pain,Professor ZHUANG combines three elements single acupuncture method of Professor YANG with the manipulation of moving Qi throughout the meridians,and has achieved remarkable clinical effect.Such unique idea is well worth learning and clinical application.
作者
陈明珠
赵红艳
庄子齐
CHEN Mingzhu;ZHAO Hongyan;ZHUANG Ziqi(The First Cliniccd Medical College of Guangzhou University of Chinese Medicine,Guangzhou 510405,China;The First Affiliated Hospital of Guangzhou University of Chinese Medicine)
出处
《浙江中医药大学学报》
CAS
2020年第5期472-475,479,共5页
Journal of Zhejiang Chinese Medical University
基金
杨文辉广东省名中医传承工作室建设项目(粤中医办函[2019]5号)。
关键词
痛症
三才单式针法
飞经走气
针灸
医案
杨文辉
名医传承
pain
three elements single acupuncture method
moving Qi throughout the meridians
acupuncture
medical cases
YANG Wenhui
inheritance of traditional Chinese medicine experts