从“理、法、方、穴、术”层面探讨郑氏针法在风湿类疾病中的诊疗特色

To explore the diagnosis and treatment characteristics of ZHENG’s acupuncture manipulation in rheumatic diseases from its“principle,rule,prescription,acupoint and operation”

郑氏针法学术流派认为风湿类疾病属肢体经络系疾病,病位多在筋骨关节,发病多由于正虚卫外不固,风寒湿热之邪乘虚侵害人体。特从痹病的病因病机、治则治法、处方选穴等方面对郑氏针法学术流派的理、法、方、穴、术一体化独特诊疗方案进行深层次分析,总结其治疗风湿类疾病的临床特色(即全面分析为纲领,辨证论治为关键;补虚培元为核心,舒筋利节为主线;通经活络为基调,家传秘方定腧穴;多法揣穴求精准,穴少力专少痛苦;手法细腻重操作,守气为核调气机),从而为临床治疗风湿类疾病提供更多指导。

According to ZHENG’s academic school of acupuncture manipulation,rheumatic diseases are considered belonging to the meridian system diseases of the limbs,the disease is mostly located in the muscles,bones,and joints.The main causes of incidence are attributed to weakened body resistance and invasion by wind,cold,and damp heat.This paper provides a detailed analysis of ZHENG’s unique treatment approach including the principle,rule,prescription,acupoint and operation for arthralgia disease from etiology,pathogenesis,treatment principles,methods,prescriptions,and point selection.It also summarizes the clinical characteristics in treating rheumatic diseases(emphasizing comprehensive analysis and syndrome differentiation;focusing on reinforcing deficiency as the core principle and regulating tendons as the main strategy;highlighting channel activation and using secret family recipes for acupoint selection;employing multiple methods for accurate acupoint positioning,few acupoints with significant efficiency for less pain;emphasizing delicate yet effective operations,and regulation of functional activities by keeping needle sensation).This aims to offer guidance for clinical treatment of rheumatic diseases.