Huang Long-Xiang
Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700, China.
Zhongguo Zhen Jiu. 2023 Aug 12;43(8):855-67. doi: 10.13703/j.0255-2930.20230316-k0002.
It has the important enlightenment and reference significance for the inheritance and innovation of (sinew/fascia) diseases and its theoretic basis, (muscle region of meridian) doctrine by sorting out the origin of the acupuncture techniques for diseases and exploring the root of its rise and fall. Using context analysis, overall investigation and practice test, the paper elaborates the basic concepts, e.g. needling techniques for , , (muscular contracture) and (knotted tendon), and doctrine. In particular, the three key concepts, i.e. (heating after needling), (feelings from patients and acupuncture operators) and (the worst painful sites of muscle spasm) are deeply investigated. These three concepts, involved in the treatment of disorders, treatment principles and methods, are of a great controversy in the current academic circle. The author clarified the category of needling for disease and main needling techniques, investigated specially the origin of and (repeated needling directly on the foci), and explored the evolution of the needling methods that had been controversial or neglected for a long time, i.e. (technique for inducing heat inside for cold obstruction), , (inserting the needles around the foci), (intramuscular needling) and (deep puncturing to the peritoneum or on front- points). Finally, from the relationship between and (meridian), and the differences between dry needling and acupuncture technique for diseases, the author explored the crucial problems and countermeasures urgently required in the future development of doctrine so as to provide the references for the theoretical innovation of acupuncture- moxibustion science.
通过梳理经筋病针刺技术的源流,探寻其兴衰根源,对经筋病及其理论基础——经筋学说的传承与创新具有重要的启示和借鉴意义。本文运用语境分析、全面考察和实践检验等方法,阐述了经筋病、筋结、筋挛、转筋等病症的针刺技术及经筋学说的基本概念。尤其对“烧针劫刺”“针感”“筋惕肉瞤”这三个关键概念进行了深入研究。这三个概念涉及经筋病症的治疗、治疗原则和方法,在当前学术界存在较大争议。作者厘清了经筋病针刺的类别及主要针刺技术,专题考察了“解结”“解结针”(直接在病灶上反复针刺)的源流,探讨了长期以来存在争议或被忽视的针刺方法的演变,如“治寒以热”法、恢刺、围刺、合谷刺、关刺等。最后,从经筋与经络的关系以及经筋病干针与针刺技术的差异等方面,探讨了经筋学说未来发展亟待解决的关键问题及对策,为针灸学理论创新提供参考。