石学敏院士治疗高血压病捻转补泻手法浅析

Theoretic analysis on twirling acupuncture manipulation for reinforcing and reducing in treatment of hypertension by academician SHI Xue-min

阐述石学敏院士对高血压病的认识、捻转补泻手法在高血压病治疗中的具体应用,并探讨石学敏院士提出的捻转补泻手法第一、第二定义的理论依据。认为气海失司、肝脾失和是高血压病的病因,提出"活血散风,疏肝健脾"治疗原则,取穴以人迎为主穴,合谷、太冲、曲池、足三里为辅穴,采用捻转补泻手法。明确实现捻转补泻手法的四大要素,即作用力的方向、作用力的大小、捻转手法操作时间、两次针刺间隔时间。有效推进了针刺治疗高血压病的规范化进程。

The paper explains academician SHI Xue-min’s understanding on hypertension and the concrete application of twirling acupuncture technique for reinforcing and reducing in treatment of hypertension, and explores the theoretic basis of the first and second definitions of twirling acupuncture technique for reinforcing and reducing proposed by the academician SHI Xue-min. It is believed that the dysfunction of the sea of qi and the disharmony of the liver and spleen are the etiologies of hypertension, thus, the treatment principles are suggested as "activating blood circulation, dispersing wind, smoothing liver qi and strengthening spleen functions". Renying(ST 9) is selected as the main acupoint, while Hegu(LI 4), Taichong(LR 3), Quchi(LI 11) and Zusanli(ST 36) are used as the adjuvant acupoints. The twirling acupuncture technique is applied to achieve reinforcing or reducing. Four elements are determined to the successful application of this needling technique, i.e. direction of exertion, strength of exertion, manipulation duration of twirling needle, and the interval duration between two treatments of acupuncture. Eventually, the specification on acupuncture treatment for hypertension can be effectively promoted.