得气、得气的应用与操作

得气是针刺疗法取效的关键。本文就得气的意义及如何辨气、如何得气做了初步探讨。得气是术者与患者在针刺过程中对针刺的具体感应。“气之至也,如鱼吞钩饵之浮沉;气未至也,如闲处幽堂之深邃”。辨气要分辨正气(谷气)、邪气,辨虚实、寒热。操作手法是以杨继洲的十四法为纲,简要述之,如循法之催气、按法之行气、盘法之和气。同时对迎随补泻亦做了阐释,从进针之法、行针之法、出针之法,都对如何“得气”做了初步阐述。

Deqi and application and manipulation of Deqi

Deqi is the key for therapeutic effect of acupuncture therapy. In the present paper, the significance of Deqi, and how to differentiate qi and how to induce Deqi are preliminarily studied. Deqi is concrete response of acupuncturist and the patient during acupuncture. Arrival of qi is like bobbing on water when the fish swallows the fishhook; no arrival of qi is like the deep valley with shallow sensation. For differentiation of qi, the vital-qi (essence derived from food), pathogenic factor, deficiency and excess, cold and heat need to be differentiated. For manipulation, the 14 methods of Yang Ji-zhou are used as guiding principle. In brief, massage along channel induces qi, on-the-point pressing promotes flow of qi, circling method regulates qi. And reinforcing and reducing by puncturing along and against the direction of channels respectively are explained, and how to induce Deqi is preliminarily expounded from methods of inserting the needle, manipulating the needle and withdrawing the needle.