高镇五教授“速迟刺法”经验撷菁

Professor GAO Zhen-wu’s experience in "quick and slow needling technique" of acupuncture

基于高镇五教授对《灵枢·九针十二原》"刺之微,在速迟"的理论阐述与临床应用,对其创立的"速迟刺法"的3个核心要素进行归纳总结:针刺即刻得气之速迟提示机体邪正盛衰以指导补泻手法选择;行针调节气机阶段以进出针速迟、行针速迟、留针久暂调控得气速迟;针后气机转归阶段详审行针前后气机速迟之变以察补泻之效。高氏"速迟刺法"理念贯穿针刺过程始终,并以得气速迟为补泻效应核心,简化针刺补泻手法操作,更切合临床。

On the base of the theory on "the subtlety of acupuncture relying on the quick or slow needle insertion by the timing" recorded in the Chapter One of Lingshu(Miraculous Pivot) and the clinical application, professor GAO Zhen-wu created three core factors of "quick and slow needling technique" of acupuncture and summarized in the paper. The speed of deqi after needle insertion indicates the rising and falling of vital qi and pathogen in the body, which guides the selection of corresponding reinforcing or reducing needling techniques. At the stage of needle manipulation and the regulation of qi activity,the quick or slow insertion and withdrawal of needle and needle manipulation, as well as the duration of needle retaining may control the speed of qi arrival. At the stage of the change in qi transformation after needling, the speed of qi activity should be observed carefully before and after needling so as to determine the effect of reinforcing and reducing technique of acupuncture.Gao ’s idea on "quick and slow needling technique" of acupuncture runs through the whole process of acupuncture. It takes the speed of deqi as the core of reinforcing or reducing effect of acupuncture. This technique of acupuncture simplifies the operation of reinforcing and reducing procedure and is more applicable in clinical practice.