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1.
患者“守神”是针刺补泻中的一个重要环节,指出“得气”是产生疗效的基础。患者的“针感”是针刺补泻产生作用的关键,患者的体质强弱、阴阳气血盛衰之不同,针感也不同,治疗时应“因人而宜”。认为针刺补泻不应拘泥于手法操作的“表演”,而应以患者是否产生了补泻效应、临床是否取得疗效为准则。  相似文献   

2.
患者“守神”是针刺补泻中的一个重要环节,指出“得气”是产生疗效的基础。患者的“针感”是针刺补泻产生作用的关键,患者的体质强弱、阴阳气血盛衰之不同,针感也不同,治疗时应“因人而宜”。认为针刺补泻不应抱泥于手法操作的“表演”,而应以患者是否产生了补泻效应、临床是否取得疗效为准则。  相似文献   

3.
笔者运用传统针刺补泻手法“烧山火”,治疗痹症、痛症取得了较好的效果,进一步印证了针刺补泻手法的临床价值。  相似文献   

4.
经络教学体会   总被引:2,自引:0,他引:2  
经络在中医学特别是在针灸学中占有相当重要的地位。掌握经络特别是十二经脉的循行对学习针灸及临床实践有重要指导作用。十二经脉的循行路线复杂 ,学生往往感到无所适从 ,掌握难度大。笔者从多年临床教学实践中 ,将其规律加以总结 ,运用于教学 ,收到了良好效果。掌握这些规律 ,对十二经脉循行大体上可做到心中有数 ,在此基础上 ,掌握其具体循行将比较容易。1 十二经脉循行走向——阴升阳降经脉循行走向即“脉行之逆顺”是针刺迎随补泻的基础 ,针刺迎随补泻贯穿针刺治疗全过程。因此 ,掌握经脉循行走向对针刺补泻有重要意义。陆瘦燕先生认…  相似文献   

5.
“从卫取气”“从荣置气”针刺补泻理论首见于《难经·七十八难》。“从卫取气”“从荣置气”的理论实为针刺补泻的方法,目的在于调阴阳、调营卫、调气血及促使得气。其手法核心一是分层操作,体现深浅补泻理论;二是随呼吸进出针刺,达到补泻目的;三是依据营卫流注方向随卫逆营行针,体现营卫补泻内涵;四是注重针刺力度的轻重,达到补气、取气血而泻的目的。  相似文献   

6.
针刺补泻手法存在与否历来是针灸界争论的焦点。近来拜读张桐卿同志三作:“针刺补泻有否”①;“浅论针刺补泻”②;“微针旨在调气”之后③,受益非浅。但对张氏仅强调“气至有效”的重要性,却否认针刺补泻手法存在的观点不敢苟同。为此提出几点商榷意见。  相似文献   

7.
"人迎寸口脉法"是在对比人迎与寸口脉的基础上,判断病变经脉的阴阳虚实,以指导针刺选穴,于阴经选取一个穴位、阳经选取两个穴位,共三穴进行补泻针刺的一种古脉法。"角穴"则是在辨证论治基础上联合应用三个穴位结合补泻手法进行针刺,以治疗某种疾病。作者从人迎和寸口脉的定位及意义、"人迎寸口脉法"与阴阳盛衰、"人迎寸口脉法"与阴阳补泻三方面阐述其与"角穴"理论的内在关系,并扎根于《内经》,依据"子母补泻取穴法"指导临床选穴。  相似文献   

8.
从“以人治人”的针法思想、选穴法、进针法、导气法、补泻法、出针法、脏气法时时间针法、移光定位时间针法以及埋线、火针法等方面对周楣声教授针法治疗经验进行总结分析,认为修身治神、针刺补泻是针刺治疗的关键;从周楣声临床经验进行总结分析,佐证了周楣声针法经验在临床推广应用的可行性,为今后梅花针灸学派针法的研究奠定了基础。  相似文献   

9.
浅谈“烧山火”、“透天凉”针剌的手法问题宋丽娟(附属医院针灸科)关键词烧山大,透天凉,针剌手法“烧山火”与“透天凉”针刺手法是在单式针刺补泻手法的基础上发展而成的一种较高级的复式针刺补泻手法,古今针灸医家广泛应用于临床,成效显著。笔者根据有关资料并结...  相似文献   

10.
针刺补泻手法量化之浅析   总被引:2,自引:1,他引:1  
针刺补泻手法历代医家论述甚多 ,现代教科书也有较详细的记载 ,但在临床运用时 ,却较难以重复出如其所述之效验 ,这种情况较为普遍 ,但也不能就此否定前贤的经验 ,目前临床沿用的各种补泻手法 ,是否“补法”都达到了“补虚”的治疗目的 ;“泻法”也都达到了“泻实”的目的尚难充分判定。因此 ,针刺补泻手法的量化 ,已日趋成为现在亟待研究解决的问题 ,结合自己多年的临床实践 ,就此问题愿与同道一起探讨研究 ,以达抛砖引玉之效。1 .祖国医学沿用的补泻手法古医籍记载的针刺技术 ,两千年来一直发挥其独特的作用 ,针刺手法丰富多彩 ,常用补泻…  相似文献   

11.
孙思邈,自号孙真人,唐初著名医学家,总结唐以前临床经验和医学理论,著《备急千金要方》及《千金翼方》二书。孙氏学识渊博,品德高尚,其学术思想是多方面的,如重视医德与医术相结合,将医为仁术的精神具体化;重视对药学和方剂学的研究,被后世誉为药王;研究伤寒的观点和方法对后世启发颇多;提倡食治与养性、养老等。此外,孙思邈在针灸学研究方面亦十分突出,他保存了唐以前重要的针灸文献史料,并首绘彩色《明堂经图》;明确指寸取穴法,勘定穴位,发展经穴理论;完善针灸治疗大法,重视针灸预防与治疗作用;临证重视诊脉刺灸,治疗疾病针、灸、药并重,对后世针灸学的发展具有重要贡献,今以《备急千金要方》及《千金翼方》二书中的针灸内容为据,探讨孙思邈在针灸学方面的主要学术贡献。  相似文献   

12.
目的:根据中医辨证,观察在实证、虚证患者中,针刺对预防含顺铂方案化疗相关恶心呕吐(chemotherapy-induced nausea and vomiting,CINV)的疗效。方法:共171例晚期癌症患者入组,均采用含顺铂方案联合化疗。其中实证87例,虚证84例。在实证患者中,试验组44例,对照组43例;在虚证患者中,试验组42例,对照组42例。所有试验组患者在顺铂前30 min应用托烷司琼5 mg静脉滴注,同时配合针刺足三里、内关、中脘及其他穴位;所有对照组患者仅在顺铂前30min应用托烷司琼5mg静脉滴注。比较各证型患者恶心呕吐的发生率、呕吐的严重程度及持续时间。结果:在实证患者中,试验组与对照组轻中度(Ⅰ-Ⅱ度)恶心呕吐的发生率分别为54.54%和74.42%(P0.05),且重度(Ⅲ-Ⅳ度)恶心呕吐发生率分别为15.91%和25.58%(P0.05);在虚证患者中,试验组和对照组轻中度恶心呕吐的发生率分别为54.76%和64.29%(P0.05)。在实证患者中,试验组和对照组发生轻中度呕吐和重度呕吐的情况比较,差异有统计学意义(P0.05);在虚证患者中,试验组和对照组仅在轻中度呕吐的发生率上存在差异,而重度呕吐的发生率则无统计学意义。实证患者中,试验组恶心呕吐的持续时间为(3.88±0.83)d,显著短于对照组(4.31±0.96)d,两组比较,差异有统计学意义(P0.05);而在虚证患者中,试验组恶心呕吐的持续时间为(4.82±0.93)d,对照组为(5.03±1.05)d,两组比较,差异无统计学意义(P0.05);且两个试验组中,实证患者的持续时间均短于虚证患者。结论:中医辨证针刺可以降低实证患者含顺铂方案化疗后CINV的发生率,降低呕吐的严重程度并缩短持续时间。  相似文献   

13.
耳针、体针、耳体针结合治疗单纯性肥胖病临床疗效比较   总被引:21,自引:0,他引:21  
目的:观察耳针、体针、耳体针结合单纯性肥胖病的疗效。方法:将195例单纯性肥胖病人分为耳针组,体针组,耳体针结合组分别施治,并视不同证型施以相应补泻手法。结果:体针组与耳体针结合组疗效明显优于耳针组,体针组证型与疗效无明显关系,而耳针组胃肠实热型疗效高于脾虚湿阻型,肾气不足型和肝郁气滞型。结论:耳体针结合治疗单纯性肥胖疗效较好。  相似文献   

14.
Background  Severe acetabular bone deficiency is a major challenge in acetabular revision surgery. Most cases require reconstruction of the acetabulum with bone grafting and a reinforcement device. The purpose of this study was to evaluate the results of this procedure for severe acetabular bone deficiency in acetabular revision surgery.
Methods  This study involved 12 patients (2 males and 10 females) with severe acetabular bone defects who underwent implantation of a reinforcement device (ring or cage) and bone grafting between February 2003 and October 2008. Using the Paprosky classification, 2 cases were Paprosky IIC, 6 were IIIA, and 4 were IIIB. The mean age at the time of surgery was 63.0 years (range, 46–78 years). During revision surgery, a reinforcement ring was implanted in 6 patients, and a cage in 6 patients. The clinical and radiographic results were evaluated retrospectively. The mean duration of follow-up was 37 months (range, 9–71 months).
Results  The average Harris Hip Score improved from 35.2 preoperatively to 82.9 at the time of the final follow-up visit. The results were excellent in 8 hips (66.7%), good in 2 (16.7%), and fair in 2 (16.7%). Osteolysis was found in 1 case, but did not worsen. Three patients had yellow wound effusion, with healing after administration of dressing changes, debridement, and antibiotics. Dislocation occurred in a 62-year-old woman. Closed reduction was performed, and dislocation did not recur. There was no evidence of intraoperative acetabular fracture, nerve injury, ectopic ossification, aseptic loosening, or infection.
Conclusion  Reconstruction with a reinforcement device and bone grafting is an effective approach to the treatment of acetabular bone deficiency in acetabular revision surgery, given proper indications and technique.
  相似文献   

15.
提插与捻转是两种不同的操作形式,而在调气与补泻中有着相同的作用,但是两种手法产生的效果却有差异。在调气中提插所产生的刺激量较大,故调气效果较捻转好。在补泻中两种手法的针刺效果也不同,提插补泻与捻转补泻对皮肤温度影响不一致,两种补泻手法治疗疾病的性质也有差异。在临床应用中要注意结合病情和针刺部位,合理应用。  相似文献   

16.
[目的]总结分析刘颖教授针刺治疗慢性便秘的学术思想及临床经验。[方法]通过跟随刘颖教授临诊,收集刘颖教授临床针刺治疗慢性便秘的病例,对刘颖教授治疗慢性便秘的辨治方法、取穴思路的独特之处加以归纳总结,并列举验案一则以佐证。[结果]刘颖教授认为慢性便秘的病因病机主要是热结、气滞、寒凝、气血亏虚四方面,涉及经脉主要有胃经、脾经、肝经、膀胱经和任、督、阴跷与带脉,辨证时通过大便、兼症及舌脉情况辨虚实寒热及病变经脉,治疗上将患者按虚实分类,重视从带脉进行调节,强调疏调带脉经气;辨证选穴并配合大肠、胃或小肠的下合穴、募穴,以调畅腑气、补虚泻实;刺法以泻法或平补平泻为主。所举验案中患者诊断为便秘,辨为气秘证,治疗上以调节带脉为主,使其约束功能正常,联用大肠之下合穴及募穴以通降腑气,配太冲、气海、三阴交穴疏肝行气健脾,疗效良好。[结论]刘颖教授针刺治疗慢性便秘,辨证准确、选穴精当、思路清晰、疗效确切,值得进一步深入学习和推广应用。  相似文献   

17.
OBJECTIVE:To probe the effects of acupuncture reinforcing and reducing methods on the human body.METHODS:Studied acupuncture reinforcing and reducing actions in the ancient literature,based on modern clinical and experimental studies,in combination with experience of acupuncture teaching and clinical treatment.RESULTS:The key to the generation of reinforcing and reducing actions is not the acupuncture reinforcing and reducing methods themselves,but instead the functional state of the patient during the acupuncture.When reinforcing and reducing methods act on the human body,a reinforcing-reducing effect is produced through regulation of Qi,indicating that the production of the reinforcing-reducing effect requires a certain condition.Specifically,acupuncture does not produce the reinforcing-reducing effect under all conditions,but can produce a reinforcing effect in patients with deficiency syndrome and a reducing effect in patients with excess syndrome.CONCLUSION:Reinforcing and reducing methods each have therapeutic effects on both deficiency syndrome and excess syndrome,but a reinforcing method should be selected first for deficiency syndrome and a reducing method should be selected first for excess syndrome.  相似文献   

18.
Objective: To investigate the effects and safety of catgut embedding on alleviating insomnia. Methods: Totally 510 patients with insomnia were divided into 5 Chinese medicine (CM) syndrome types: Xin (Heart) and Pi (Spleen) deficiency, yin deficiency with excess fire, Xin and gut qi deficiency, Wei (Stomach) disorder, and qi and blood deficiency, respectively. These 5 types of patients were randomly assigned to a catgut embedding group, an acupuncture group or a medication group (30 cases in Xin and Pi deficiency type, Wei disorder type, Xin and gut qi deficiency type, respectively; 40 cases in yin deficiency with excess fire type and qi and blood deficiency type, respectively). In the catgut embedding group, patients were treated by implanting catgut into acupoints once every 10 days for a total of 30 days. In the acupuncture group, patients were treated with acupuncture once per day over 30 days (excluding weekends); and patients in the medication group took 1 mg Eurodin Tablet orally every night for 30 days. Pittsburgh Sleep Quality Index (PSQI) was evaluated before treatment, on 30 and 60 days after the first treatment, respectively. The International Unified Sleep Efficiency Value (IUSEV) was measured at 30 and 60 days. The safety was evaluated after treatment and adverse events were analyzed. Results: The objective PSQI scores including subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbance, daytime dysfunction, and total scores at 30 days were significantly improved compared with pre-treatment in the catgut embedding and acupuncture groups (P<0.01 or P<0.05). At 30 days, the PSQI scores in catgut embedding group were superior to the medication group in the patients with each type of insomnia, with the exception of sleep duration (P<0.01 or P<0.05). At 60 days, significant differences were found between the catgut embedding group and the medication group (P<0.01 for all indices). The IUSEV scores in the catgut embedding group were significantly higher than the acupuncture group at 60 days, and the scores in acupuncture group were higher than the medication group at 30 days (P<0.05 for all types). No severe adverse events were found in this study. Conclusions: Acupoint catgut embedding and acupuncture were more effective than medication in alleviating insomnia syndrome in different Chinese medicine syndrome type. However, the sustained effects of acupoint catgut embedding were superior to acupuncture.  相似文献   

19.
周晓莉  鲍圣涌  王华 《医学综述》2007,13(23):1852-1854
目的观察"双固一通"针法对绝经后骨质疏松症(PMO)患者的治疗作用及其对骨密度(BMD)、雌二醇(E2)、白细胞介素6(IL-6)、的调节作用,探讨其作用机制。方法45例PMO患者随机分为"双固一通"治疗组(简称双固一通组)、常规针刺治疗组(简称针刺组)和中成药组,每组15例,观察各组疗效、症状积分、及治疗前后骨密度、血E2、IL-6。结果双固一通组、针刺组、中成药组的显效率分别为80%,33.3%,20%;三组均可改善症状积分、提高血中E2水平、降低IL-6水平、增加骨密度,双固一通组与中成药组比较无显著性差异(P>0.05),与针刺组比较:E2有显著差异(P<0.05)、IL-6有非常显著差异(P<0.01)。结论"双固一通"针法可以提高绝经后妇女血中E2水平、降低IL-6含量、提高骨密度,,改善临床症状,提高生存质量,具有较好的临床推广价值。  相似文献   

20.
太极拳与中医的阴阳虚实   总被引:4,自引:1,他引:3  
太极拳之阴阳虚实与中医的阴阳虚实均源于《内经》的阴阳这一哲学概念。欲将太极拳演练至炉火纯青,必遵中医之阴阳虚实论。  相似文献   

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