针刺层次与针感的关系

发布时间：2018-01-28 11:06

本文关键词： 针刺层次针感三才五体　出处：《中国针灸》2017年11期 　论文类型：期刊论文

【摘要】：根据《内经》"三才""五体"的人体结构层次观点,结合现代解剖学的组织结构理论,以及笔者30多年的针灸临床实践,将人体针刺的结构层次分为4层,各层产生不同的针感。第一层为皮肤层,针尖入皮肤时,主要表现为"痛"感;第二层为皮下浅筋膜层,针尖在这一层则出现强烈的"胀"感,并可沿一定方向传导;第三层是深筋膜和肌肉层,如针尖刺到深筋膜是"重"感,针尖刺入肌肉时,则为"酸"楚感;第四层为骨膜和骨层,针尖一旦触及,则出现剧"痛"。此外,每一层都有血管和神经分布,针尖刺到血管时则"痛",刺到神经时则"麻",并沿神经走行方向传导。反之,我们通过病人的针感,也可得知针尖所在的层次和部位。掌握针刺层次与针感的关系,对进一步研究针法、针刺的疗效和病人的感觉及调控病人的针感有重要意义。
[Abstract]:According to the viewpoint of "three talents" and "five bodies" in "Inner Classic", combined with the theory of tissue structure of modern anatomy and the clinical practice of acupuncture and moxibustion for more than 30 years, the structure of human acupuncture was divided into four layers. The first layer is the skin layer, when the tip of the needle enters the skin, the main expression is "pain"; The second layer is the subcutaneous superficial fascia layer in which the tip of the needle has a strong sense of "swelling" and can be conducted in a certain direction. The third layer is the deep fascia and muscle layer, if the tip of the deep fascia is "heavy" sense, when the needle into the muscle, it is "sour" sense of pain; 4th layers of periosteum and bone, once the tip of the needle is touched, there is a dramatic "pain." in addition, each layer has blood vessels and nerve distribution, when the needle points to the blood vessels, "pain", when the nerve is "anesthesia." On the contrary, we can know the level and position of the needle tip through the patient's needling feeling, grasp the relationship between acupuncture level and acupuncture feeling, and further study the acupuncture method. The effect of acupuncture, the feeling of patients and the regulation of acupuncture are of great significance.
【作者单位】：美国纽约大成中医传承基地;
【分类号】：R245
【正文快照】： 《素问·刺要论》指出:“刺有浅深,各至其理……深浅不得,反为大贼”,强调针刺的深度必须适当。《内经》进一步也阐述了“三才”和“五体”的针刺层次,“三才”以天、人、地划分3层,“五体”则以皮、脉、肉、筋、骨5种组织结构划分,这是最基本、最具体的层次结构观点。层次一

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