试论针灸辨敏施术新模式

Discussion of novel mode of acupuncture and moxibustion based on identifying the acupoint sensitization

通过现代辨敏施灸临床研究范例,梳理历代古籍文献对针刺穴位“辨敏”的记载,结合目前教科书对针刺揣穴定位的要求,提出了辨敏施针新概念。基于穴位敏化是针刺与艾灸发挥作用的共性始动环节,提出在常规辨证选穴的基础上,针刺与艾灸都必须重视穴位状态,选取敏化穴位,辨敏施术,才能提高临床疗效的新观点,从而建立一个符合现代针灸临床自身特点的针刺与艾灸统一的辨敏施术诊治新模式。

On the base of the paradigms of clinical studies on modern moxibustion by identifying the acupoint sensitization,the records of ancient literature in successive dynasties were collected on"identifying the sensitization"of acupoints in acupuncture.In association with acupoint detection of acupuncture recorded in current textbooks,a novel concept,"exerting acupuncture by identifying the acupoint sensitization"is proposed.Acupoint sensitization is the common initial link of effect achieved by both acupuncture and moxibustion.Hence,on the basis of the routine acupoint selection by differentiating syndrome,the state of acupoint must be considerably emphasized in either acupuncture or moxibustion.The clinical curative effect may be improved by selecting the sensitized points and identifying sensitization.This novel mode of diagnosis and treatment focuses on identifying acupoint sensitization by unifying acupuncture with moxibustion and in coincidence with the modern clinical characteristics of either acupuncture or moxibustion.