杨兆钢教授芒针经验浅识

杨兆钢教授临证时强调“疏弹趋动,技巧术行”是芒针的基本针刺手法和治疗原则,并以此创立了独特的弯刺针法,在辨证取穴“少而精”的原则下,开创性地提出了疏通枢纽,三脘配穴等治疗疑难杂症的特色选穴,配穴方法：他继承传统针灸理论,结合现代医学研究,对喑痱,前列腺疾病的针灸治疗开辟了新的思路,并著书立说,为后学者奠定了坚实的芒针理论基础。     

基于析因设计不同选穴法对比针刺治疗肩周炎临床观察

目的:观察局远配穴、近部选穴、远部选穴及选取非穴法对肩周炎疗临床疗效的影响。方法:根据随机对照的原则,将所有纳入肩周炎患者分为A组(局远配穴组)、B组(局部选穴组)、C组(远部选穴组)及D组(非穴组),分别予针刺治疗,同时配合患者活动肩部,先针远部腧穴,再针刺局部腧穴,留针20 min。结果:局远配穴、近部选穴、远部选穴及选取非穴法对肩周炎均有一定的治疗作用。局远配穴组疗效明显优于其他3组,P0.05;近部穴位组与远部选穴组疗效无明显差异,P0.05;非穴对照组较其他3组疗效差,P0.05。结论:局远配穴、近部选穴、远部选穴及非穴对肩周炎均有疗效,针刺局远配穴在缓解肩周炎患者肩部疼痛及改善肩关节功能活动度方面较单纯近针刺部选穴或远部选穴法有更好的疗效,且远期疗效稳定。     

体针配合耳穴贴压法治疗顽固呃逆21例

目的：观察体针配合耳穴贴压法治疗顽固性呃逆的临床疗效。方法：体针选穴以内关、足三里、攒竹、合谷、膻中为主,并根据辨证选取不同配穴;耳针选穴膈、胃、耳中、交感、皮质下、神门为主穴,同样并根据辨证选取不同配穴。结果：21例痊愈率为85．71％,总有效率为100％。结论：体针配合耳穴贴压法治疗顽固性呃逆疗效较好。     

针灸治疗哮喘临床选穴规律研究

目的:探讨临床针灸治疗哮喘的选穴规律。方法:检索CNKI和VIP数据库,检索词为"哮喘"分别与"针灸""针刺""艾灸""电针""腹针""眼针""三棱针""芒针""皮肤针""皮内针""耳穴或耳针""头针""腕踝针""浮针""火针""敷贴""埋线""腧穴注射或水针""磁疗""拔罐""刮痧"等针灸方法进行组合检索。结果:针灸治疗哮喘应用频次最多的为膀胱经穴位,以五脏俞穴为主,其中肺俞、肾俞、脾俞应用频次较多。结论:目前临床上针灸治疗哮喘所选取的穴位以肺俞、定喘、大椎最为常见,经络主要集中在膀胱经、任脉和经外奇穴上。     

杨兆钢芒针疗法临床运用心得

杨兆钢教授是天津中医药大学第一附属医院主任医师,著名芒针专家,从医40余年,潜心研究针灸技法,著书10余部;总结出"高位取穴,三脘配穴""疏通枢纽,通任调气"等芒针基本刺法和配穴原则;治疗神经系统、消化系统、泌尿系统等疾病疗效确切.他在继承传统芒针刺法的基础上开拓创新,补充进耳穴点刺和毫针浅刺等辅助用穴法,使针刺治疗过程更加安全,且见效快,疗效可靠.     

针刺治疗颈椎病的特色配穴法研究概述

颈椎病是临床常见病和多发病,也是针灸治疗的临床优势病种之一。针灸治疗颈椎病方法多样,各有特色,本文主要从辨证配穴、局部配穴和特殊配穴三个方面梳理总结了针刺治疗颈椎病的特色针法。辨证配穴针法主要包括醒神通督配穴针法、通督养神配穴针法、心肾同调配穴针法;局部配穴针法主要包括颈三针、颈五针、颈六针、项八针及颈十针;特殊配穴针法主要包括颈腰同治针法、平衡针法、腹针法等。以期为临床针灸治疗颈椎病提供了选穴指导和参考。     

杨兆钢芒针选穴经验

著名芒针专家、研究生导师杨兆钢教授 ,现任中国针灸临床研究中心芒针科主任 ,从事芒针研究30余年 ,在长期的临床和教学中积累了丰富的理论和实践经验。杨师在选穴用穴上少而精 ,而且不断创新 ,赋予穴位以新的内容。本人有幸随师学习 ,现就杨师芒针选穴上的部分经验介绍如下。1　重用任脉　调整三焦任脉起于胞中 ,行于胸腹 ,是十四经中距离内脏器官最近的一条经脉。根据其邻近的重要脏器的局部特点 ,采用不同的针刺方向 ,通过该穴兼而刺激了邻近的有关腧穴 ,直接或间接地影响有关组织器官的功能。因此 ,深刺任脉穴 ,不仅能治疗任脉所主病变 …     

针灸穴位疗法治疗荨麻疹的概况

近些年来，随着针灸理论和实践水平的不断提高，荨麻疹的针灸穴位疗法广泛应用于临床，临床报道屡见不鲜，现就近几年荨麻疹的针灸穴位疗法介绍并分析如下：１．体针疗法：体针是传统中医针灸疗法中最常应用的方法。彭老［１］认为治疗荨麻须寻找过敏原，进行病因治疗、对症治疗。取穴：曲地、血海、复溜、大椎、臂　、后溪、委中，每次选２～３穴；配穴：见风发者风门；见湿发者阴陵泉；瘙痒甚者止痒穴（三角肌后缘中点）；腹痛者天枢；因食物过敏而发者灸筑宾；因寄生虫而发者百虫窝；反复发作者，在荨麻疹穴（耳舟区，肘点与肩点联线内上…     

穴位埋线辨证治疗慢性支气管炎疗效观察

目的:观察穴位埋线辨证选穴对慢性支气管炎的临床疗效。方法:将58例慢性支气管炎患者采用穴位埋线辨证选穴结合临床症状配穴法进行治疗后观察疗效。结果:显效70%,有效28%,无效2%,总有效率98%。结论:穴位埋线辨证选穴治疗慢性支气管炎疗效较为满意,值得临床推广应用。     

针灸治疗腹泻临床选穴规律及治法分析

目的：通过查阅针灸治疗腹泻文献,探索其用穴和治疗方法的规律。方法：以针灸、针刺、电针、灸法、穴位贴敷、腹泻、泄泻为主题词在中国知网、维普、万方上检索近11年来针灸治疗腹泻临床文献,进行分析。结果：检索到相关文献共计112篇,符合要求的文献50篇。经分析天枢、足三里应用频次最高,配穴以大肠的募穴天枢与大肠的背俞穴大肠俞所组成的俞募配穴,胃经合穴足三里与大肠募穴天枢所组成的合募配穴,大肠的募穴天枢,大肠的背俞穴大肠俞,胃经的合穴足三里所组成的合募俞配穴最为常见,治疗方法以温针灸、灸法、电针疗法最为常见。结论：温针灸和灸法是治疗腹泻的常用和有效方法;俞募配穴、合募配穴、合募俞配穴为治疗腹泻的常见配穴方法;天枢、足三里是治疗腹泻出现频次最高的穴位,可作为针灸治疗腹泻基础方,并随症选穴。     

Characteristics and key to manipulation of fire needle

To explore the characteristics and key to manipulation and of traditional fire needle in China. Fire needle refers to a therapy with red-hot needle inserting into the skin. Special requirements are proposed in terms of selected acupoints, to burn needle body, fire needle manipulation, needle withdrawal disposal and other aspects. The therapy is characterized by “paying equal attention to needling and scorching, and laying emphasis on warming and unblocking”, “rapid needle insertion and withdrawal with coherent manipulations”, and “performing needling based on pattern differentiation”. In the process of applying red-hot needling with fire needles, normalized and unified manipulations, accurate point selection and safe stimulus should be emphasized, and the performer should be dedicated and scrupulous, and keep the manipulations coherent in order to achieve the “stable, accurate and rapid” effect. The popularization and application of red-hot needling with fire needles in TCM clinical practice can further enrich the acupuncture therapy, so that this ancient and traditional needling method can give play to its role renewedly.     

芒针临床应用特点探讨

通过检索“芒针”临床研究文献,分析总结其临床应用特点。芒针的临床主要适应症是前列腺疾病、腰椎间盘突出症、中风及其后遗症、胃下垂、肩周炎、三叉神经痛。芒针在以上各疾病中的常用穴各异,不同穴位有不同针刺深度,各疾病治疗频次以每日1次常见,不同疾病的疗程各不相同。使用芒针前需严格消毒,进针时要掌握针尖方向和针身刺入深度,行针勿用力过猛,出针应顺势缓慢,在胸背部、小腹部使用芒针时要防止刺伤脏器。     

王树春经分针刺法的临床应用

本文概述了王树春经分针刺法的临床运用及针法特点。本针法取穴原则为人体寸寸是穴 ,不遵循传统的取穴原则及方式 ,适应于全科疾病 ,疗效较好     

Treatment of painful heels with acupuncture in 32 cases

Points Fengfu (GV 16), Fengchi (GB 20) and Anmian were selected as main acupoints to treat painful heels and the total effective rate of 96.9% was got. The technique of lifting needle was the key to the therapy. Author: Ye Ming-zhu(1947-), male, associated chiefphysician Translator: Chen Han-ping     

神灯下电梅花针叩刺结合穴位埋线治疗白癜风58例

目的:寻找提高治疗白癜风疗效的方法.方法:将116例患者随机分为治疗组和对照组各58例,治疗组在神灯照射下用特制的电梅花针叩刺患处并配合穴位埋线治疗,对照组外搽适确得霜.观察其近期疗效和远期疗效.结果:治疗组近期有效率为98.3%,对照组有效率为74.1%,经统计学处理,P<0.05,两者间差异有显著性意义.结论:神灯下电梅花针叩刺结合穴位埋线治疗白癜风疗效较好,且无明显副作用.     

针灸疗法促进腹部术后胃肠功能恢复研究

针灸疗法促进腹部术后胃肠功能恢复时多取足阳明胃经、手阳明大肠经及手太阳小肠经经穴为主,可双侧取穴,亦可单侧取穴交替施以疗法。温针灸的应用屡见不鲜,得到公认,行针补泻手法则是大同小异。温针灸疗法对腹部术后胃肠功能恢复疗效显著,操作方便,刺激小。应根据患者身体情况适时进行治疗。TDP灯照射、中药外敷、足浴等综合疗法与针灸配合也可取得较好疗效。     

PHANTOM-BASED EDUCATION PROGRAM FOR ACUPUNCTURE MANIPULATION

Objective: There are three components of acupuncture manipulation, namely, stimulation degree, biomechanical force, and needle grasp sensation.Due to a lack of adequate measurement tool, it has been difficult to measure all the three components quantitatively, and this deficiency has made it difficult to develop acupuncture manipulation training program for novice students.Methods: In experiment 1, we developed and validated the phantom acupoints with biomechanical forces similar to those of human acupoints.In experiment 2, we investigated whether or not phantom acupoint would be useful to students for practicing acupuncture manipulation.We measured the biomechanical force and needle grasp sensation of six human acupoints(LI4, LI11, LR3, ST36, ST25, and BL25) in 16 participants when stimulated with the needle rotation.Based on biomechanical data from human acupoints, we developed phantom acupoints that generated similar biomechanical forces using agarose gel and tested the validity.After that, phantom acupoints were used in phantom-based education program of manipulation training for students and we evaluated their manipulation techniques on the human body before and after the training.Results: The biomechanical forces of human acupoints differed significantly when similar degrees of manipulation were applied.In the phantom, the biomechanical force was dose-dependently greater in higher-concentration phantom acupoints.Experts could not discriminate between human and phantom acupoints, suggesting that the validity of the phantom acupoints.Application of phantom acupoints in training significantly improved the students' manipulation techniques on the human body through training with the phantom acupoint.Conclusion: We quantified biomechanical force at six acupoints in the participants, and developed phantom acupoints with biomechanical forces similar to those of the human acupoints.Application of force-validated phantom acupoints based onhuman data will be a helpful tool for training and will contribute to a more comprehensive understanding of the characteristics of acupuncture manipulation.     

芒针治疗腰椎间盘突出症临床观察

目的:对比芒针与口服西药治疗腰椎间盘突出症的临床疗效.方法:144例患者随机分为治疗组(采用芒针针刺腰俞、秩边、环跳等穴)与对照组(口服芬必得).结果:治疗组愈显率为80.8%,总有效率为94.9%;对照组愈显率为19.7%,总有效率为87.9%.治疗组疗效优于对照组(P<0.005).结论:芒针疗法能消除或减轻腰椎间盘突出症的症状、体征.     

基于数据挖掘缪刺法的临床应用研究＊

目的 基于古今医案云平台（V2.2.1）挖掘缪刺法的临床应用规律及特点，为临床提供参考。方法 计算机搜索中国知识资源总库（CNKI）、维普网、中国学术期刊数据库（万方数据）收录的2000年1月-2020年1月缪刺法临床相关文献。采用Excel表格建立数据库并录入古今医案云平台（V2.2.1），总结缪刺法的疾病分类、行针手法、腧穴选取及优势病种的分析等方面的应用特点及规律。结果 缪刺法疾病分类以神经系统疾病最为常见，其次为运动系统类疾病和其他类疾病；行针手法中以针刺泻法频次最多；腧穴应用中以肘膝关节以下频次最多；优势病种见于面肌痉挛、肱骨外上髁炎。结论 运用古今医案云平台（V2.2.1）分析数据，以图表文字相结合展示缪刺法腧穴选取，优势病种，行针手法的临床应用规律及特点，可指导临床实践应用，但请结合临床具体情况临证加减。