摘要
《黄帝内经》是最早记载刺骨理论、方法和技术的经典医籍。后世医家在《黄帝内经》针刺至骨的启发下,逐渐完善了刺骨靶点、操作方法和针刺工具。骨膜、骨缘筋结、骨空、骨络等刺激靶点的系统总结,对针刺治疗神经病理性疼痛、肌骨疼痛、脑源性疼痛、疑难风湿疼痛具有重要启示。以骨骼系统的解剖结构为切入点,从解剖、生理、病理、生物力学、骨脑之间的神经调控等视角入手,重新解读了穴位主治的结构特异性,探索了针刺至骨操作形式的多样性,在继承《黄帝内经》刺骨疗法的经验基础上,对刺激的部位、方式和适宜病症进行了深入探讨,构建了基于解剖结构的现代新针灸,以期拓宽《黄帝内经》刺骨治痹的应用范围,也为针刺镇痛的机理研究提供新思路。
The Huangdi Neijing is the earliest classical medical book that records the theory,method and technique of bone piercing.Inspired by the internal meridian acupuncture to the bone in Huangdi Neijing,later doctors further improved the piercing stimulation targets,operation methods and acupuncture tools.A systematic summary of stimulation targets such as periosteum,bone-nearby meridian tendons,Gukong,and bone collaterals provides important insights for acupuncture treatment of neuropathic pain,musculoskeletal pain,brain-origin pain,and difficult rheumatic pain.This article approaches from the anatomical structure of the skeletal system,reinterpreting the structural specificity of acupoint therapeutic effects from new perspectives including anatomy,physiology,pathology,biomechanics,and neuroregulation between bones and the brain.It explores the diversity of acupuncture techniques applied to bone.On the basis of inheriting the experience of bone piercing therapy in the Huangdi Neijing,it deeply discusses the location,mode and appropriate symptoms of stimulation,and constructs a modern new acupuncture and moxibustion based on anatomical structure,with a view to broadening the application scope of bone piercing therapy in the Huangdi Neijing,and also providing new ideas for the research on the mechanism of acupuncture analgesia.
作者
邹德辉
郭大江
王海生
王琦
闫泽昊
杜璇璇
李继安
ZOU Dehui;GUO Dajiang;WANG Haisheng;WANG Qi;YAN Zehao;DU Xuanxuan;LI Ji'an(College of Traditional Chinese Medicine,North China University of Science and Technology,Tangshan Hebei 063210,China;Hebei Key Laboratory of Integrated Traditional Chinese and Western Medicine for Diabetes and Its Complications,Tangshan Hebei 063210,China;Qian'an Hospital of Traditional Chinese Medicine,Qian'an Hebei 064400,China)
出处
《中医药导报》
2025年第5期188-191,207,共5页
Guiding Journal of Traditional Chinese Medicine and Pharmacy
基金
河北省自然科学基金项目(H2022231228)
河北省中医药管理局科研计划项目(2021169)
河北省创新能力提升计划项目(19392507D)
河北省高等教育教学改革研究与实践项目(2019GJJG204)
河北省省属高校基本科研业务费项目(JQN2022029)。
关键词
至骨针法
刺骨
《黄帝内经》
痛症
靶点
骨膜
骨缘筋结
骨空
骨络
approaching bone acupuncture therapy
bone piercing
Huangdi Neijing,pain syndromes
targets
perisoteum
bone-nearby meridian tendons
Gukong
bone collaterals
