“至骨”针法应用特点及现代研究进展

Application characteristics and modern research progress of"bone-approaching"acupuncture

探讨“至骨”针法的刺法演变、作用靶点及起效机制。早在《黄帝内经》中就有短刺、输刺等针刺“至骨”法的具体操作。骨膜是针刺“至骨”法镇痛和醒脑调神最有效的刺激靶点。“至骨”针法不仅治疗骨痹作用突出,对疼痛性、脑源性、情志性疾病亦效应独特。针尖“至骨”法、飞针“至骨”法、针体“至骨”法的系统总结和改良,是对《黄帝内经》刺骨法的继承发展和有益补充,对拓宽针灸临床应用范围具有重要意义。

The paper explores the evolution of"bone-approaching"acupuncture,its effect target and mechanism.The concrete operation procedure of"bone-approaching"method is recorded originally in Huangdi Neijing(Inner Canon of Yellow Emperor)as short needling and Shu needling(referring to the category of the five needling technique).The periosteum is the most effective stimulation target of"bone-approaching"acupuncture for analgesia,regaining consciousness and regulating spirit.The"bone-approaching"acupuncture is not only prominently effective on bone bi syndrome,but also has the unique effect on painful,encephalogenic and emotional diseases.The paper summarizes and improves"bone-approaching"acupuncture,i.e."touching bone surface"with needle tip by slow insertion,"touching bone surface"without pain by swift insertion and"touching bone"with needle body by oblique insertion.It contributes to the inheritance,development and supplementation to the bone needling techniques in Huangdi Neijing and is significant for broadening the clinical application range of acupuncture.