从“穴位动态性”探讨运动针法及带针康复的疗效机制
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摘要
穴位动态性是指气血在腧穴中处于不断的运动变化中,动态是腧穴的状态本质特征,疾病的变化会影响气血的变化,因此有学者提出"动穴"及"穴位敏化"等学说;运动针法是在应用针刺的同时,通过活动以达到激发气血运行,更好地发挥针刺效果的方法;带针康复是将传统针刺法与现代康复技术结合,以达到更好地应用中医特色技术,提高临床疗效的作用。该文旨在从穴位动态性及穴位的本质对运动针法及带针康复的疗效机制进行探讨。
Acupoint dynamics refers to the constant movement of blood in acupoints,dynamics is the essential characteristics of the state of acupoints,and changes in diseases will affect the changes of blood and Qi. Therefore,some scholars have proposed"moving points"and"acupoint sensitization". And other doctrines; Exercise needle method is to use acupuncture at the same time,through activities to stimulate the operation of blood and Qi,better play the acupuncture effect of the method. Needle-carrying rehabilitation is a combination of traditional acupuncture and modern rehabilitation techniques to achieve better application of traditional Chinese medicine characteristic technology and improve the clinical efficacy. In this paper,the dynamic nature of acupuncture points and the essence of acupuncture points are discussed in terms of the therapeutic mechanism of acupuncture and acupuncture rehabilitation.
Acupoint dynamics refers to the constant movement of blood in acupoints,dynamics is the essential characteristics of the state of acupoints,and changes in diseases will affect the changes of blood and Qi. Therefore,some scholars have proposed"moving points"and"acupoint sensitization". And other doctrines; Exercise needle method is to use acupuncture at the same time,through activities to stimulate the operation of blood and Qi,better play the acupuncture effect of the method. Needle-carrying rehabilitation is a combination of traditional acupuncture and modern rehabilitation techniques to achieve better application of traditional Chinese medicine characteristic technology and improve the clinical efficacy. In this paper,the dynamic nature of acupuncture points and the essence of acupuncture points are discussed in terms of the therapeutic mechanism of acupuncture and acupuncture rehabilitation.
引文
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[6]姜劲峰,余芝,徐斌,等.穴位敏化内涵探析[J].中医杂志,2012,53(20):1714-1716.
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[14]李华伟,马丙祥.头针带针语言训练治疗小儿脑性瘫痪语言功能障碍的疗效观察[J].中国中西医结合儿科学,2010,2(1):21.
[15]卢燕,郭君.巨刺带针运动联合康复训练治疗缺血性脑卒中后痉挛性偏瘫的临床研究[J].中国保健营养,2016,6(26):202.
[16]林翠茹,张金喜,郭家奎.头针结合天井穴治疗卒中后肘关节痉挛瘫痪15例[J].辽宁中医杂志,2010,37(7):1362-1364.
[17]张伟,吴清明,付磊,等.运动针法对脑卒中后肩手综合征患者上肢功能的影响[J].中国中医急诊,2013,7(22):1122-1124.
[18]金英爱.头手足三联运动针法治疗多发性抽动症[J].辽宁中医杂志,2010,37(1):272-273.
[19]万敏,周玉梅,梁繁荣,等.穴位敏化现象和规律探究的分析术[J].针灸临床杂志,2017,33(3):4.
[20]方剑乔,蒋永亮.从中医针灸经典文献溯源穴位的本态[J]浙江中医药大学学报,2015,39(8):573-574.
[2]刘晓华.针刺机理及其哲学基础[J].世界中西医结合杂志,2017,12(6):744-748.
[3]陈日新,康明非,陈明人.岐伯归来-论腧穴敏化状态说[J].中国针灸,2011,31(2):134-138.
[4]洪亚群,刘芳.溯源回本提高腧穴认识[J].中医研究,2011,8(24):56-58.
[5]万敏,周玉梅,周洁,等.穴位敏化现象和规律探究的分析术[J].针灸临床杂志,2017,33(3):74-77.
[6]姜劲峰,余芝,徐斌,等.穴位敏化内涵探析[J].中医杂志,2012,53(20):1714-1716.
[7]盖国才.穴位压痛诊断法[M].北京:科学技术文献出版社,1978.
[8]吴秀锦.穴位的病理性反应针灸研究进展[M].北京:人民卫生出版社,1981:220-22.
[9]漆学智,吉长福,石宏,等.功能性肠病患者敏化穴位的分布[J].世界中医药,2017,8(3):259-261.
[10]喻晓春,高俊虹,付卫星.论阿是穴与穴位特异性[J].针刺研究,2005,30(3):183-187.
[11]陆寿康.刺法灸法学[M].北京:中国中医药出版社,2007:3.
[12]雷治国,马越,王鹏琴.眼针加运动康复对脑缺血再灌注大鼠Fas蛋白含量的影响[J].中国伤残医学杂志,2014,11(19):34-35.
[13]姜润哲,王鹏琴.眼针结合康复训练治疗脑卒中后吞咽困难临床观察[J].针灸临床杂志,2016,32(10):12.
[14]李华伟,马丙祥.头针带针语言训练治疗小儿脑性瘫痪语言功能障碍的疗效观察[J].中国中西医结合儿科学,2010,2(1):21.
[15]卢燕,郭君.巨刺带针运动联合康复训练治疗缺血性脑卒中后痉挛性偏瘫的临床研究[J].中国保健营养,2016,6(26):202.
[16]林翠茹,张金喜,郭家奎.头针结合天井穴治疗卒中后肘关节痉挛瘫痪15例[J].辽宁中医杂志,2010,37(7):1362-1364.
[17]张伟,吴清明,付磊,等.运动针法对脑卒中后肩手综合征患者上肢功能的影响[J].中国中医急诊,2013,7(22):1122-1124.
[18]金英爱.头手足三联运动针法治疗多发性抽动症[J].辽宁中医杂志,2010,37(1):272-273.
[19]万敏,周玉梅,梁繁荣,等.穴位敏化现象和规律探究的分析术[J].针灸临床杂志,2017,33(3):4.
[20]方剑乔,蒋永亮.从中医针灸经典文献溯源穴位的本态[J]浙江中医药大学学报,2015,39(8):573-574.