Li Li-Jun
Zhongguo Zhen Jiu. 2014 Jan;34(1):73-6.
Experiences of needling techniques of Professor LI Ya- fang is introduced in this article. Gentle and superficial insertion is adopted by Professor LI in clinic. Emphases are put on the qi regulation function, needling sensation to the affected region and insertion with both hands, especially the function of the left hand as pressing hand. The gentle and superficial insertion should be done as the follows: hold the needle with the right hand, press gently along the running course of meridians with the left hand to promote qi circulation, hard pressing should be applied at acupoints to disperse the local qi and blood, insert the needle gently and quickly into the subcutaneous region with the right hand, and stop the insertion when patient has the needling sensation. While the fast needling is characterized with shallow insertion and swift manipulation: the left hand of the manipulator should press first along the running course of the meridian, and fix the local skin, hold the needle with the right hand and insert the needle quickly into the acupoint. Withdrawal of the needle should be done immediately after the reinforcing and reducing manipulations. Professor LI is accomplished in qi regulation. It is held by him that regulating qi circulation is essence of acupuncture, letting the patient get the needling sensation is the most important task of needling. Lifting, thrusting and rotation manipulations should be applied to do reinforcing or reducing. The tissue around the tip of the needle should not be too contracted or too relaxed, and the resistance should not be too strong or too weak. The feeling of the insertion hand of the practitioner should not be too smooth or too hesitant. Needle should be inserted into the skin quickly at the moment of hard pressing by the left hand. And then, slow rotation and gentle lifting and thrusting can be applied to promote the needling sensation like electric current pass through and to reach the affected region along the running course of meridians.
本文介绍了李亚芳教授的针刺技术经验。李教授临床采用轻浅进针法。注重调气功能、针感向患部传导以及双手进针，尤其强调左手作为押手的作用。轻浅进针法操作如下：右手持针，左手沿经络循行路线轻轻按压以行气，在穴位处用力按压以散局部气血，右手将针快速轻缓刺入皮下，当患者有针感时即停止进针。而速刺法的特点是进针浅且操作迅速：施术者左手先沿经络循行路线按压并固定局部皮肤，右手持针快速刺入穴位。补泻手法操作完毕后应立即出针。李教授擅长调气。他认为，调气是针刺的精髓，让患者得气是针刺的首要任务。应运用提插、捻转手法进行补泻。针尖端周围组织既不能过于收缩也不能过于松弛，阻力既不能过大也不能过小。施术者进针时手感既不能过于顺畅也不能过于迟疑。左手用力按压的瞬间右手应快速刺入皮肤。然后，缓慢捻转并轻轻提插以促使针感如电流通过并沿经络循行路线传导至患部。
