缪刺巨刺法临床应用

缪刺巨刺法源于《内经》。《素问·缪刺论》曰：“夫邪客于皮毛,入舍于孙络,留而不去,闭塞不通,不得入于经,流溢于大络,而生奇病也。夫邪客大络者,左注右,右注左,上下左右与经相干,而布于四末,其气无常处,不入经俞,命曰缪刺。”又曰：“邪客于手少阳之络,令人喉痹,舌卷,口干,心烦,臂外廉痛,手不及头、刺手小指次指抓甲上……左取右,右取左”,“邪客于足太阳之络,令人头项肩痛,刺足小指爪甲上与肉交者……左取右,右取左”。“有痛而经不病者,缪刺之。”“邪客于经,左盛则右病,右盛则左病,亦有移易者,左痛未已而…     

"合谷刺"刺法考

合谷刺是《内经》五节刺中的刺法。《灵枢·官针》曰 :“凡刺有五 ,以应五脏……四曰合谷刺 ,合谷刺者 ,左右鸡足 ,针于分肉间 ,以取肌痹 ,此脾之应也”。全国中医药大学五版、六版统编教材《针法灸法学》就合谷刺的刺法释曰 :这种刺法是在肌肉比较丰厚处 ,当进针后 ,退至浅层又依次再向两旁斜刺 ,形如鸡爪的分叉 ,“肉之大会为谷” ,故称合谷刺。反观历代医家的论述 ,不难发现 ,合谷刺针法之谓 ,或曰一针多向刺法 ,或曰多针刺法 ,孰是孰非 ,无一定说。笔者今椐《内经》以来有关合谷刺的文献考证辨析 ,不揣简陋 ,以求正于同道。一针多向刺说…     

刺瘫六法

介绍了针刺治疗各种瘫痪，分别采用不同的取穴和刺法；有阴阳配刺法，两极取穴法，局刺与巨刺结合法，以上带下刺法，补经泻络法，一气呵成法，并对各法具体应用做了说明。     

捻转刺法溯源

通过复习历代文献,追溯捻转手法的发展历史,分析在各个历史时期捻转刺法的操作方法,总结捻转手法的演变经过.结果发现民国以前的捻转刺法以单向捻转为主,民国时期受到日本针刺手法的影响,逐渐演变为往复捻转,之后往复捻转成为捻转手法的主流.与往复捻转相比,单向捻转具有更强的刺激作用和软组织松解作用,能够用于治疗多种疾病.     

苍耳子去刺法

中药配方用苍耳子,根据药典规定:清炒后须去刺。按传统的石臼中捣、掩、压碾等去刺法,即费劳力,又费时间。我们采用粉碎机去刺法,取到了良好的效果,效率也成倍增加。方法:先把粉碎机内的筛取出,苍耳子清炒后入粉碎机漏斗,稍微开大进料口(视子不被打破,去刺干净为度)。去刺后过筛即可。     

交经刺法

<正>取穴:阳池(对侧),阳谷(对侧)。功能:活血行气,通络止痛,调筋复位。主治:外踝扭伤。手法:针刺手法以提插、捻转泻法为主,留针30min,间歇行针2~3次,促进经气运行。扭伤24h后,可配合局部的艾灸。方解:急慢性扭伤一般导致局部络伤血溢,经络痹阻不通而造成患处疼痛和功能障碍。根据"手足同名经经气相接"的理论,采用巨刺法,取穴对侧阳池、阳谷,同时进行局部功     

短刺法配合齐刺法治疗骨质增生的体会

短刺法和齐刺法都出源于《内经》,流传至今已有两千余年的历史。近二年来,我们运用短刺法和齐刺法治脚拇指、跟骨、腰椎等不同部位的骨质增生六例,疗效颇佳,现将体会简述于下: 《灵枢·官针》:“短刺者,刺骨痹,稍摇而深之,至针骨所,以上下摩骨也。”即:在进针时要稍稍摇针,逐渐向深部刺     

针灸焠刺法和络刺法的临床应用

针灸的刺法,有着悠久的历史,《灵枢》、《素问》、《针灸甲乙经》等专著都有记载。古人很重视,后人也广泛的应用和发展。刺法得当效果颇为显著。临床应用中,有焠刺、络刺、缪刺、巨刺、毛刺、远道刺、豹文刺、半刺、关刺、扬刺等十种刺法,现就近年来临床应用报道较多的焠刺和络刺简要综述如下:     

标本刺法说

检索古代中医文献,从针刺审察卫气的角度,探讨经脉标本理论。结果发现：标本与卫气于十二经脉之上的聚散有关,针刺要求审察卫气,追寻卫气所在;疾病可使卫气移徙于标本之间,故针刺有取本、取标、标本兼施等不同。先病后病是取标取本的关键环节,据此可以执简御繁,应付复杂症情。针刺过程中,医生从标引本,引导病人正气发挥作用。     

毫针刺法一得

<正> 关于针刺手法,古今医家颇多著述,门派林立,争芳竞妍。愚受内、难经启迪独多:一曰刺法因病而设的思想,二曰调气治神的主张,三曰发人深省的技法,四曰中庸之学的哲理。     

运用泻南补北结合快针通督刺法治疗腰椎间盘突出症6l例

目的：观察“泻南补北”结合快针通督刺法治疗腰椎间盘突出症的临床疗效。方法：对符合条件的61例腰椎间盘突出症患者施以“泻南补北”结合快针通督刺法治疗,隔日1次,lO次为1疗程,3个疗程后评估临床疗效。结果：与治疗前比较,腰腿痛、连续步行时间、直腿抬高试验等症状和体征改善显著,治愈28例,有效25例,无效8例,总有效率为86．9％。结论：本法疗效显著、操作规范、安全性好,为针刺治疗腰间盘突出提供了新的方法。     

经筋排刺法结合皮肤针对脑卒中后上肢偏瘫患者痉挛状态的影响:多中心随机对照研究

ObjectiveTo explore the effect of meridian sinew row needling combined with dermal needling on spasticity of post-stroke patients with upper limb hemiparalysis.MethodsFour hundred and eighty-eight cases of post-stroke patients with upper limb spasticity were randomly divided into two groups at the ratio of 1: 1, the group of meridian sinew row needling combined with dermal needling (group A, 244 cases) and western medication group (group B, 244 cases). Coupled with rehabilitation, the patients in the group A were given meridian sinew row needling combined with dermal needling where five shu points were specifically selected, and three yang meridians of the hand were treated with acupuncture with muscle region, and three yin meridians of the hand were treated with dermal needles; the patients in the group B was treated with conventional western medication with piracetam injection and cerebroprotein hydrolysate included. Clinical efficacy was evaluated among patients in the two groups after three weeks of continuous treatment, and upper limb spasticity and motor functions were observed through modified Asworth Scale and Fugl-Meyer Assessment Scale (FMA) before and after treatment.ResultsFor Asworth Scale, group A was significantly superior to group B (3.04 ± 1.29 vs 3.88 ± 1.54, P<0.05); for FMA scale, group A was also significantly superior to group B (48.67 ± 15.64 vs 42.96 ± 14.72, P<0.05); mitigations of motor status of upper limb joints in group A, such as remission of shoulder adduction (90.5%), pronation of forearm (70.7%), elbow joint flexion (73.1%), wrist joint flexion (80.9%) and finger flexion (88.1%), were superior to those of group B (70.0%, 60.0%, 61.9%, 57.4%, 63.2%, all P<0.05).ConclusionsGood clinical efficacy of the treatment with combined with dermal needling on spasticity of post-stroke patients with upper limb hemiparalysis is achieved.     

经筋刺法针刺治疗顽固性面瘫疗效观察

ObjectiveTo observe the differences in the therapeutic effect on refractory facial paralysis between meridian sinew needling therapy and routine penetrating needling therapy.MethodsA total of 46 patients with refractory facial paralysis were randomly divided into a meridian sinew needling group and a routine penetrating needling group, 23 cases in each one. The same acupoints were selected in the two groups. Besides using routine acupuncture technique, a part of acupoints were stimulated with the meridian sinew needling technique in the meridian sinew needling group. In the routine penetrating needling group, a part of acupoints were stimulated with the routine penetrating needling technique. In both of the groups, the needles were retained for 30 min and the treatment was given once every two days, 10 treatments made one course. A total of 3 courses of treatment were required at the interval of 2 days. The score and grade of facial nerve function were recorded before and after treatment in the patients of the two groups. The clinical therapeutic effect was evaluated.ResultsAfter treatment, the scores of facial nerve function were significantly improved compared with that before treatment in the patients of the two groups (both P < 0.05). The difference value of the score of facial nerve function before and after treatment in the meridian sinew needling group was higher than that in the routine penetrating needling group, indicating a statistical significance (P < 0.05). The grades of facial nerve function after treatment were different significantly as compared with those before treatment in the patients of the two groups (both P < 0.05). However, the difference was not significant between the two groups after treatment (P > 0.05). After treatment, the total effective rate in the meridian sinew needling group was 100%, which was higher than 91.3% in the routine penetrating needling group, while without statistical significant difference (P > 0.05).ConclusionMeridian sinew needling therapy of acupuncture greatly improves facial nerve function as compared with routine penetrating needling therapy. It would be an potential effective acupuncture technique for refractory facial paralysis.     

针刺配合放血、耳针治疗腰椎间盘突出症的临床观察

目的：探讨针刺配合放血、耳针治疗腰椎间盘突出症的临床疗效和治疗机理。方法：将180例患者随机分为两组,治疗组和对照组,每组90例,治疗组采用针刺配合放血、耳针治疗,体穴取L3～L5夹脊为主;放血穴位取L3～L5棘突下、委中或阳陵泉、阿是穴;耳穴取耳尖、内分泌、肾上腺、腰椎等。对照组采用单纯针刺治疗,与治疗组中针刺疗法相同。连续治疗2个疗程进行疗效对比,并观察两组治疗前后症状积分的变化。结果：治疗组总有效率94．44％,对照组为80％,差别有统计学意义（P＜0．05）,治疗后两组临床症状积分比较差异有统计学意义（P＜0．05）。结论：针刺配合放血、耳针对腰椎间盘突出症的临床疗效优于单纯针刺疗法。     

Treatment of 96 cases of prolapse of lumbar intervertebral disc of posterior protrusion type by the comprehensive therapy

选择腰椎间盘突出症后凸型患者96例,随机分为观察组50例和对照组46例,观察组采用针刺牵引推拿综合治疗,对照组仅用针刺治疗,对患者治疗后进行疗效评定.治疗组和对照组治疗后的疗效有显著差异(P＜0.05).综合治疗腰椎间盘突出症后凸型疗效确切,方法简便,具有一定的临床指导意义.     

扶阳通经疗法治疗腰椎间盘突出症的临床研究

目的观察扶阳通经疗法治疗腰椎间盘突出症的临床疗效。方法将100例腰椎间盘突出症患者随机分为2组,每组50例,治疗组予扶阳通经疗法,对照组予普通针刺加电针,每日1次,10天为一个疗程,分别治疗前后进行疗效判定。结果两组患者治疗后VAS评分(u=14.142.58,P0.01)、愈显率和治愈率(χ~2=6.063.84,P0.05,χ~2=10.676.63,P0.01)均有统计学意义。结论扶阳通经疗法治疗腰椎间盘突出症能改善临床症状及体征,提高有效率和痊愈率,值得推广。     

浮针治疗腰椎间盘突出症疗效观察

目的观察浮针治疗腰椎间盘突出症的临床疗效。方法将80例腰椎间盘突出症患者随机分成治疗组和对照组,每组40例。治疗组采用浮针治疗,对照组采用毫针针刺治疗,2个疗程后进行疗效评价。结果治疗组总有效率为97.5%,对照组为85.0%,两组比较差异具有统计学意义（P〈0.01）。结论浮针是一种治疗腰椎间盘突出症的有效方法。     

循经点穴手法结合激光综合治疗腰椎间盘突出症临床疗效观察

[目的]评价循经点穴手法结合激光综合治疗腰椎间盘突出症临床疗效及复发率。[方法]将400例腰椎间盘突出症患者采用随机数字表法随机分为两组,每组各200例,试验组采用循经点穴推拿手法结合激光治疗,对照组采用传统推拿手法治疗,10 d为1个疗程,共治疗3个疗程,并于治疗前、治疗中每10 d及试验结束后6个月分别对两组进行腰椎活动度及下腰痛评分量表(JOA)的比较,30 d后评价临床疗效,并于治疗结束6个月后观察腰椎间盘突出症复发率。[结果]试验组临床疗效总有效率为93.8%,治愈显效率为88.5%,对照组总有效率为75.8%,治愈显效率为70.0%,两组比较,试验组均优于对照组(P0.05),两组治疗期间均未发现明显不良反应。两组治疗结束后及6个月随访情况显示,腰椎活动度较治疗前显著改善,JOA比治疗前显著上升,且试验组均优于对照组(P0.05)。[结论]循经点穴推拿手法结合激光综合治疗方案在腰椎间盘突出症方面,与传统推拿手法相比,可明显提高临床疗效,增加腰椎活动性,疗效稳定,复发率低。     

针刺治疗腰椎间盘突出症疗效观察

目的:观察针刺治疗腰椎间盘突出症的疗效。方法:治疗组75例用电针夹脊穴辅以针刺局部循经取穴治疗,对照组45例用传统的循经取穴针刺治疗。结果治疗组与对照组有效率分别为98·7%、95·6%,两组比较无显著性差异(P>0.05);两组临床治愈率分别为42·7%、11·1%,比较有极显著性差异(P<0·01)。结论:夹脊穴电针辅以局部循经取穴针刺治疗腰椎间盘突出症疗效较好。     

Treatment of 60 Cases of Prolapse of Lumbar Intervertebral Disc by Electroacupuncture

目的观察电针治疗腰椎间盘突出症的临床疗效.方法运用电针辨证施治治疗腰椎间盘突出症患者60例,并临床随访6个月.结果近期显效40例,好转13例,总有效率为88.3%;远期疗效其中显效45例,好转10例,总有效率为91.7%.结论电针治疗腰椎间盘突出症近远期疗效好,疗效稳定,且方法安全有效,无毒副作用.