主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2018, Vol. 41 ›› Issue (5): 362-367.doi: 10.3969/j.issn.1006-2157.2018.05.002

• 理论研究 • 上一篇    下一篇

从“春夏刺浅,秋冬刺深”探讨四时针刺之核心内涵*

张佳乐, 牛淑平#   

  1. 安徽中医药大学针灸推拿学院 安徽 230038;
  • 收稿日期:2017-12-20 出版日期:2018-05-30 发布日期:2018-05-30
  • 通讯作者: # 牛淑平,女,博士,教授,硕士生导师,主要研究方向:黄帝内经和中医养生文献研究,E-mail:nsp_2007@163.com
  • 作者简介:张佳乐,男,在读本科生
  • 基金资助:
    *教育部人文社科规划基金资助项目(No.16YJAZH048)

Core connotation of acupuncture in four seasons based on parlance of needling superficially in spring and summer and needling deeply in autumn and winter*

Zhang Jiale, Niu Shuping#
  

  1. School of Acupuncture-Moxibustion and Tuina, Anhui University of Chinese Medicine, Anhui 230038, China;
  • Received:2017-12-20 Online:2018-05-30 Published:2018-05-30
  • Supported by:
    Foundation for Humanities and Social Sciences of Ministry of Education (No. 16YJAZH048)

摘要: 尽管《黄帝内经》和《难经》中对“春夏刺浅,秋冬刺深”有相关阐述,后世对此语亦有一些阐发,但表述均不够清晰。根据《内经》《难经》并结合历代医家释义及相关研究进行分析,认为“春夏刺浅,秋冬刺深”可从时间针灸学、体质、得气等角度来认知。“春夏刺浅,秋冬刺深”提示针刺顺应四时之气,是得气的外在环境基础;重视患者体质,辨体针刺是针刺得气的内在环境基础,而以病机为核心的针刺辨治思路则强调病位深浅、病性阴阳、病程长短在得气中的关键作用。因此,临证针刺只有重视得气,达到“气至”,才能尽可能地做到“调整阴阳,以平为期”。

关键词: 黄帝内经, 难经, 刺法, 针刺核心, 得气

Abstract: Although there are related explanations on the parlance of needling superficially in spring and summer and needling deeply in autumn and winter in Huangdi Neijing (the Yellow Emperor’s Internal Classic) and Nanjing (Classic of Difficult Issues), and later generations also made some expositions on this parlance, all of them are not clear enough. The parlance can be recognized from aspects of time acupuncture and moxibustion, constitution and obtaining qi after analyzing interpretations in Huangdi Neijing and Nanjing and from physicians in all ages and relevant studies. The parlance indicates that needling should conform to four seasons, which are external environment basis of obtaining qi. Patients’ constitutions and needling based on physical differentiation are internal environment basis of obtaining qi. The thinking of acupuncture differentiation and treatment, takes pathogenesis as the core, emphasizes the key roles of location, nature and course of a disease in obtaining qi. Obtaining qi even qi arrival should be stressed in needling in clinic, and then regulating yin and yang and reaching equilibrium will be achieved.

Key words: Huangdi Neijing (the Yellow Emperor’s Internal Classic), Nanjing (Classic of Difficult Issues), needling method, core of acupuncture, obtaining qi

中图分类号: 

  • R245.3