[1]赵季宇,苑功名,公一囡,等.针刺疗法中顾护正气思想探究[J].陕西中医,2025,46(2):229-232.[doi:DOI:10.3969/j.issn.1000-7369.2025.02.017]
 ZHAO Jiyu,YUAN Gongming,GONG Yinan,et al.Exploration on the thought of protecting Zhengqi in acupuncture therapy[J].,2025,46(2):229-232.[doi:DOI:10.3969/j.issn.1000-7369.2025.02.017]
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针刺疗法中顾护正气思想探究
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年2期
页码:
229-232
栏目:
学术探讨
出版日期:
2025-02-05

文章信息/Info

Title:
Exploration on the thought of protecting Zhengqi in acupuncture therapy
作者:
赵季宇苑功名公一囡徐 媛郭永明
(天津中医药大学,天津301617)
Author(s):
ZHAO JiyuYUAN GongmingGONG YinanXU YuanGUO Yongming
(Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)
关键词:
针刺 顾护正气 治则 辨气 守神 调气
Keywords:
Acupuncture Protecting Zhengqi Therapeutical principle Identifying qi Maintaining the focus Regulating qi
分类号:
R 245
DOI:
DOI:10.3969/j.issn.1000-7369.2025.02.017
文献标志码:
A
摘要:
中医学中顾护正气的思想来源于《黄帝内经》。针刺疗法作为中医外治法的代表,是通过调动和激发人体自身气机来达到防治疾病的目的,运用不当亦会导致气机损伤,因此在运用时同样需要注意顾护正气。本文从针刺疗法的治疗原则、适用禁忌和具体操作三个方面论述顾护正气在针刺疗法中的体现。针刺的治疗原则强调了其在调气和补虚泻实时顾护正气的重要性,而从针刺禁忌来举例说明针刺不规范亦能导致伤及正气。在针刺操作中的全过程(包括从针刺前辨气、针刺守神、针刺手法调气、针刺留针及出针和针后调养等环节)都体现了针刺顾护正气及防止伤及正气的思想。现代研究虽无报道针刺是否会“伤正”,但针刺以“调气”为治疗手段,在运用时更要时刻谨记顾护正气。
Abstract:
The concept of protecting Zhengqi in traditional medicine originates from the Huangdi Neijing.Acupuncture therapy,as a representative of external treatment in traditional Chinese medicine,aims to prevent and treat diseases by activating and regulating the body's innate qi.Improper use of acupuncture can also lead to damage of the qi,so it's also necessary to pay attention to protecting qi when using it.In this paper,we discuss the embodiment of nursing Zhengqi in acupuncture therapy from three aspects:treatment principles,applicable contraindications,and specific operations.We emphasize the importance of protecting Zhengqi in acupuncture.From the perspective of acupuncture contraindications,it is illustrated that non-standard acupuncture can also cause damage to Zhengqi.The concept of protecting and preventing damage to qi was evident throughout the entire process of acupuncture operation.This included identifying qi before acupuncture,maintaining the focus during acupuncture,regulating qi through acupuncture manipulation,keeping the needle in place,removing the needle,and post-acupuncture recovery.Although modern research has not reported any evidence of acupuncture causing harm to the body,it is based on the concept of “regulating qi” as a treatment method.It is important to consider the preservation of qi when utilizing acupuncture.

参考文献/References:

[1] 范天田,王建芳,蔺福辉,等.“中医经典”概念、源流及分类研究[J].中医杂志,2023,64(16):1621-1626.
[2] 王敏,邹艳春,臧海涛.《黄帝内经》顾护正气思想在疾病治疗中的指导作用[J].中医药学报,2012,40(2):131-132.
[3] 张弛,杨帆.《伤寒论》纠偏求平思想探析[J].中国中医药现代远程教育,2021,19(13):66-68.
[4] 张曼,杜元灏.杜元灏论针灸疗法理论与诊疗规律[J].陕西中医,2022,43(10):1449-1451.
[5] 佚名.黄帝内经?素问[M].广州:广东科技出版社,2022:27.
[6] 贺娟.甄别与还原——论《黄帝内经》两种不同的医学体系[J].北京中医药大学学报,2024,47(1):30-36.
[7] 韩诚,张俊龙,郭蕾,等.气一元论及其对中医学的影响[J].中医杂志,2017,58(20):1711-1715.
[8] 佚名.黄帝内经?灵枢[M].广州:广东科技出版社,2022:35.
[9] 皇甫谧.针灸甲乙经[M].北京:人民卫生出版社,2007:183.
[10] 芦芸,薛昊,金传阳,等.从《刺禁论》到《针灸禁忌》——早期针刺安全规范的形成[J].中国针灸,2018,38(12):1353-1356.
[11] 杨继洲.针灸大成[M].北京:中国中医药出版社,2023:235-241.
[12] 吕中茜,陈波,陈泽林,等.试述《针灸大成》对针灸晕针的新认识[J].上海针灸杂志,2016,35(7):773-774.
[13] 郑文科,张俊华,商洪才.古代中医对针刺禁忌的认识[J].中华中医药杂志,2011,26(9):1928-1930.
[14] 徐晖,许银珊,刘清国.《内经》刺禁初探[J].山西中医,2007,23(1):42-45.
[15] 张树剑.针刺消毒史:近代以来的曲折遭遇与社会反应[J].自然科学史研究,2018,37(3):303-314.
[16] 杜耀文,王珑.“形神-五脏-六经”调气法针刺郁证[J].陕西中医,2024,45(3):369-372.
[17] 潘陇霞,雒成林.《针灸甲乙经》针刺“治神”理论的临床运用探析[J].中华中医药杂志,2020,35(3):1399-1401.
[18] 李雪青,马树祥,崔建美,等.从经典中浅谈针刺治疗中左手与经气的关系[J].陕西中医,2010,31(1):70-72.
[19] 李夏禹,南茜,杜宇征.浅析针刺量—效关系[J].中医药学报,2023,51(5):49-53.
[20] 赵京生.《内经》导气针法研究[J].南京中医学院学报,1993,9(2):49-50.
[21] 叶炎生,吴广文,朱定钰.基于针灸效应浅论留针时间的影响因素[J].中华中医药杂志,2021,36(6):3681-3683.
[22] 王栩.浅析“用针之类,在于调气”[J].中国针灸,2018,38(12):1347-1350.
[23] 黄馨云,李璟,顾侃,等.留针时间初探[J].中国针灸,2019,39(4):445-450.
[24] 王琼潇,粟胜勇,苏虹,等.基于玄府理论探讨针刺开阖补泻的临床应用[J].陕西中医,2023,44(8):1094-1097.
[25] 程德均,黄伟.试论出针补泻的临床意义[J].针灸临床杂志,2019,35(4):1-4.
[26] 朱安宁,孟宪军,冯丹丹.“出针贵缓”浅析[J].中国针灸,2013,33(5):419-421.
[27] 王灿,韩颖,张雨帆,等.针刺前后腧穴皮肤温度变化与气机升降的关系研究[J].亚太传统医药,2020,16(6):131-133.

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备注/Memo

备注/Memo:
[基金项目]国家自然科学基金资助项目(82274649,82205279,82004473)
更新日期/Last Update: 2025-02-08