Shen Te-Li
Zhongguo Zhen Jiu. 2014 Jan;34(1):49-52.
The essence of twirling reinforcing-reducing method is discussed to provide theoretical guidance for clinical application of reinforcing-reducing method. Through retrospection on historical literature of twirling reinforcing-reducing method, records and explanatory notes are thoroughly explored. Several existing opinions are analyzed and explained for instance twirling method has connection with circulation direction of channels; twirling method is subdivided into right and left, male and female, hand and foot; twriling method is related to quantity of stimulus and operation time; twriling method belongs to spiral motion and so on. As a result, it is found that the key of twirling reinforcing-reducing method is the posture of needle-holding hand that defines three-dimensional motion. If twirling method is subdivided into right and left, male and female, hand and foot and so on, steric effects of lifting-thrusting movement that come along with twirling method could be ignored at the same time. It is that the essence of twirling reinforcing-reducing method is close to the principle of lifting-thrusting reinforcing-reducing method, enriching effect with slow insertion and fast withdrawal of needle while reducing effect with fast insertion and slow withdrawal, which is recorded in Miraculous Pivot: Nine needle and Twelve Yuan. With this principle as guide, manipulation could be avoided to become a mere formality and illusory metaphysics during clinical application of twirling reinforcing-reducing method.
探讨捻转补泻手法的本质，为补泻手法的临床应用提供理论指导。通过回顾捻转补泻手法的历史文献，深入探究其记载及注释。分析并阐释了几种现存观点，例如捻转手法与经络循行方向有关；捻转手法分为左右、男女、手足；捻转手法与刺激量及操作时间有关；捻转手法属于螺旋运动等。结果发现，捻转补泻手法的关键在于持针手的姿势，其决定了三维运动。若将捻转手法分为左右、男女、手足等，同时会忽略捻转手法伴随的提插运动的空间效应。即捻转补泻手法的本质与提插补泻手法的原理相近，如《灵枢·九针十二原》记载，补法是进针慢、出针快以增强针感，泻法是进针快、出针慢以减弱针感。以这一原理为指导，可避免捻转补泻手法在临床应用中流于形式和虚幻的玄学。
