“知为针者信其左”的古代文献证据及临床意义

中医古代文献记载一直重视押手的重要作用,押手在针刺过程中的作用是刺手不可取代的。押手揣摸、按压手法有助于腧穴的准确定位;弹努手法能激发经气、促使得气;爪切手法可以最大限度地避免或减轻进针时的疼痛;循摄和按压手法的配合应用能诱导气至病所。本文着重介绍押手的作用,目的在于提示临床医生重视押手在针刺过程中的运用。

Evidence of "who knows acupuncture believes the importance of the pressing hand" in ancient literatures and its clinical significance

According to the records in ancient Chinese literatures such as Lingshu (Miraculous Pivot), Nanjing (The Yellow Emperor's Canon of 81 Difficult Issues), Jinzhen fu (Odes to Golden Needles) and Zhenjiu Dacheng (Compendium of Acupuncture and Moxibustion), the importance of pressing hand has been always stressed. The role of the pressing hand can irreplaceable by the puncturing hand. The touching and pressing with the pressing hand assist on the accurate location of acupoint. The plucking technique may invigorate meridian qi and promote the arrival of qi. Inserting the needle against the finger nail of the pressing hand avoids or alleviates pain to the largest extent. Detecting along meridian and pressing technique main induce qi getting to the affected area. This paper introduces the importance of pressing hand, aiming to suggest the clinical physicians pay more attentions to the effect of the pressing hand in acupuncture practice.