Wang Li-ping, Zhang Bei
The Affiliated Huguosi Hospital of Chinese Medicine, Beijing 100035, China.
Zhen Ci Yan Jiu. 2010 Jun;35(3):236-40.
In the present paper, the authors make a summary about the development of acupuncture needles in Chinese ancient times recorded in the literature, and have a discussion on the effect of the thickness of acupuncture needles on clinical therapeutic efficacy in accordance with modern medical theories, the development of its clinical application and by combining their own experience in acupuncture practice. They conclude that the thickness of the abdominal needle is a negligible factor influencing the therapeutic efficacy of the reinforcing-reducing manipulations. In the treatment of deficiency pattern disorders, a thinner acupuncture needle is suitable, while for excess syndrome, a thicker acupuncture needle is recommended. In the light of the patient' s constitution and different state of clinical conditions, a flexible application of the acupuncture needle with different diameters is highly recommended in clinical practice. In this way, the clinical therapeutic effect would be improved much.
在本文中，作者对文献记载的中国古代针灸针具的发展进行了总结，并依据现代医学理论、其临床应用的发展情况以及结合自身针灸实践经验，对针灸针具的粗细对临床治疗效果的影响进行了探讨。他们得出结论，腹针针具的粗细是影响补泻手法治疗效果的一个可忽略不计的因素。在治疗虚证病症时，宜选用较细的针灸针，而对于实证，则推荐使用较粗的针灸针。鉴于患者的体质和不同的临床病情状态，在临床实践中强烈建议灵活应用不同直径的针灸针。这样，临床治疗效果将得到很大提高。
