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 ›› 2020, Vol. 43 ›› Issue (12): 1042-1045.doi: 10.3969/j.issn.1006-2157.2020.12.011

• 针灸 • 上一篇    下一篇

试论灸法之“得气”与“气至”*

彭若轩1, 毛红蓉2#, 吴赛1   

  1. 1 湖北中医药大学针灸骨伤学院 湖北 430061;
    2 武汉市中西医结合医院针灸科
  • 收稿日期:2020-06-14 出版日期:2020-12-30 发布日期:2021-01-05
  • 通讯作者: #毛红蓉,女,主任医师,副教授,主要研究方向:针灸对神经、内分泌、免疫功能的调节,E-mail:1838269751@qq.com
  • 作者简介:彭若轩,男,在读硕士生
  • 基金资助:
    *国家自然科学基金重大项目(No.81590955),武汉市卫健委面上项目(No.EZ20D01)

Discussion on “deqi” and “qizhi” in moxibustion*

Peng Ruoxuan1, Mao Hongrong2#, Wu Sai1   

  1. 1 School of Acupuncture, Moxibustion, Orthopaedics and Traumatology, Hubei University of Traditional Chinese Medicine, Hubei 430061, China;
    2 Department of Acupuncture and Moxibustion, Wuhan Hospital of Traditional Chinese and Western Medicine, Hubei 430022, China
  • Received:2020-06-14 Online:2020-12-30 Published:2021-01-05
  • Contact: Associate Prof. Mao Hongrong, Chief Physician. Wuhan Hospital of Traditional Chinese and Western Medicine. No.215 Zhongshan Avenue, Qiaokou District, Wuhan 430022. E-mail: 1838269751@qq.com
  • Supported by:
    National Natural Science Foundation of China (No. 81590955); Scientific Research Projects funded by Wuhan Municipal Health Commission (No.EZ20D01)

摘要: “得气”与“气至”的概念非针刺之独有,灸法理论中也应关注两者的特点。灸法治疗过程中“得气”与“气至”为2种特征性表现,“得气”以施灸局部皮肤潮红伴有酸胀热痛等灸感为主,但这种灸感分“得正气”与“得邪气”两论,并非一定提示“气至而有效”;而要达到临床治疗显效的“气至”境界,往往需在“得气”的基础上出现表浅症状以及脉象的改善。对于不同的辨证,在不同的施灸方法、施灸穴位、补泻手法的运用下,灸之“得气”与“气至”的特征与关系也有所变化。体会这种微妙的变化,有助于临床施灸时辨证选取合适的穴位及方法,也有助于医师对灸法的疗效进行把握。

关键词: 灸法, 得气, 气至, 手法, 穴位, 补泻, 辨证

Abstract: The concepts “deqi” (literally, obtaining qi) and “qizhi” (literally, arrival of qi) are not unique to acupuncture, but also relevant in moxibustion. They refer to two characteristic manifestations in the process of moxibustion therapy. “Deqi” is mainly characterized by reddening of local skin accompanied with aching distention and hot pain caused by moxibustion, but these sensations might indicate the arrival of healthy qi or pathogenic qi, and thus may not necessarily suggest the arrival of qi that cures. On the other hand, “qizhi” often involves effective relief of superficial symptoms and improvement of pulse manifestation on the basis of “deqi” clinically. For different patterns, and with different moxibustion methods, acupoints, and supplementation/drainage manipulations, the characteristics and relationships between “deqi” and “qizhi” may vary. Understanding such subtle differences helps practitioners select the appropriate acupoints and methods according to different patterns during clinical moxibustion, and also assess the efficacy of moxibustion.

Key words: moxibustion, deqi, qizhi, manipulation, acupoint, supplementation/drainage, pattern differentiation

中图分类号: 

  • R245-0