张家维浮刺埋线治疗痛证经验撷要

ZHANG Jia-wei’s clinical experience in pain syndrome with superficial needling and catgut embedding

全国名老中医药专家张家维教授认为痛证多因气血不通、局部失养所致,治法当以“通”“荣”止痛。张老在治疗上提倡以病所为中心,针刺主选阿是穴,取浮刺埋线之法,通过粗针透刺和皮下埋线的相互结合,达到增强疗效和延长时效的作用。进针后从皮部调气、导气,针尖朝向病所,行“青龙摆尾”之技,从而奏疏通经络、调和气血之功。此法浮刺透穴,手法巧妙而疗效持久,临床上可用于治疗多种痛证,如带状疱疹后遗神经痛、肩袖损伤等,均屡获佳效。

Professor ZHANG Jia-wei,a national famous TCM expert,considered that the pain syndrome is mostly caused by the obstruction of qi and blood and partial malnutrition.On the base of‘Tong’and‘Rong’analgesic theory,professor ZHANG advocated taking the disease as the center,Ashi as the main point for acupuncture,and superficial needling and catgut embedding as the method.Through the combination of thick needle penetration and subcutaneous embedding thread,the effect can be enhanced and the time can be prolonged.After entering the needle,qi is regulated and guided from the skin,and the tip of the needle is pointed toward the disease,and the technique of‘qinglong swinging the tail’is performed to dredge the meridians and harmonize qi and blood.This therapy floats and penetrates the acupoints,which is ingenious and has a lasting effect.Clinically,it can be used to treat a variety of pain syndromes,and has good effect repeatedly,such as post-herpetic neuralgia,rotator cuff injury.