浅析“依脉定腧”取穴法的临床应用＊

腧穴是人体脏腑经络之气输注出入的特殊部位,既是疾病的反应点,又是针灸防治疾病的刺激点,其主要存在“静息”和“敏化”两种状态。在临床上,本课题组依据腧穴在疾病状态下的力敏效应来选取针刺穴位,经过多年临床观察发现,对患者进行经络诊察的过程中,应用“循、按、扪、切”等操作手法刺激到人体某一个部位时,会即刻引起患者寸口气口九道脉中的病变经脉脉象发生改变,且该脉象的变化可随刺激的停止而消失,继续而重现。本课题组根据《易经》中“寂然不动,感而遂通”的理论观点,再加上理论上医源于易,医易本属一家,所以就二者间存在的相似之处,临床可类比应用。本研究结合自身对该理论观点的理解,通过临床经络诊察刺激患者在疾病状态下的敏化腧穴,引起寸口气口九道脉中病变经脉脉象发生改变的临床实践方式,选取针刺穴位,收效颇著。因此,本研究提出了“依脉定腧”的新型取穴方法,指明了引起脉象变化的特殊部位即为患者在生病状态下的敏化腧穴,是针刺治疗起效的关键穴位。

A Brief Analysis of the Clinical Application of Acupoints Select Method Named

Acupoints are special parts of the organs and meridians of the human body, which are not only the response points of diseases, but also the stimulated points of acupuncture and moxibustion for the prevention and treatment of diseases. Acupoints have two main states: "rest" and "sensitization". The author clinically selected acupoints according to the force - sensitive effect of acupoints in disease states. After years of clinical observation, during the process of meridian diagnosis, the author finds that the pathological meridians of the nine arteries of cunkou qikou in patients will be changed immediately when a certain part of human body stimulated by some manipulations, such as "follow, press, palpation, cut", and the pulse condition would disappear or reappear with the stop or continue of stimulation. Therefore, the author was inspired by the theoretical view of "silence and immobility, feeling and then pass" from the book named YI JING, In addition, YI JING is one of originations of the traditional chinese medicine, and both of them derived from the same cultural family with many similarities, which can be applied in clinical aspects by analogy. Combing with own understanding of this view and practice, it is effective when the author stimulated the sensitized acupoints that can change the pulse condition of diseased meridians of the nine arteries of cunkou qikou, and be choosed by clinical practice named meridian diagnosis of the patients. Then, the writer put forward the new method named "Acupoints judged by Pulse Condition". It is believed that the special points that can cause the changes of pulse condition is the sensitized acupoints of patients, which is the key acupoint to limit the curative effect.