摘要
为阐明"得气"与"气至"的内在关系,通过重温《内经》有关理论,结合有关学者的观点,分析比较二者的关系。"得气"是中气穴的标志,也是气至针下的征象,更是针刺补泻的前提。得气的感觉来自医患双方,其表现形式既有"紧而疾""沉涩紧""轻滑慢"与"针下热""针下寒"的显性得气,也有"针染(游)于巷"的隐性得气,以及"徐而和"之谷气显示的气调状态。"气至"有"气至针下"与"气至病所"两方面含义。气至针下与得气内涵相近;气至病所,主要体现在气至而有效,表现形式有即刻效应与滞后效应两种。得气与气至含义各有侧重,得气突出医者在针刺过程(辨气、守气、调气)中的重要性,并提示隐性得气的临床意义;而气至强调气至而有效,即临证当分清表里虚实,表浅筋脉病候,可缪刺、浅刺,收效较快;深里虚实病证,当补泻得谷气,虽见效滞后,但脉象可鉴,告诫针灸临床不可忽视脉象的重要意义。
In order to clarify the inter-relationship between getting qi and arrival of qi, the relevant theory in the Inner Canon of Yellow Emperor is re-considered, and then the relationship of the two concepts by combining with some opinions from scholars is compared and analyzed. also it is a sign of arrival of qi at an acupoint;what＇s more. tion. The sensation of arrival of qi comes from both doctors Getting qi is the signal of acupuncture at an acupoint; it is the premise for reinforcing or reducing manipula- and patients, characterized with explicit symptoms in- cluding ＂tight and swift＂, ＂sunken. sticky and tight＂, ＂light. loose and slow＂, ＂warm at the acupoint＂ or ＂cold at the acupoint＂ as well as implicit symptom including “qi moving along the meridians”; also there is the condition of qi regulation that is characterized with “paced and harmony” stomach qi. The arrival of qi could be divided into “qi moving to the needles” and “qi traveling to the diseases”. The “qi moving to the needles” has similar meaning to getting qi. The “qi traveling to the diseases” is reflected as “qi arrival with efficacy” and characterized as an imme- diate effect or a delayed effect. There are differences between the concepts of getting qi and arrival of qi. Getting qi focuses on the importance of the doctor during acupuncture processes （differentiate the nature of qi, guard qi, manipulate qi）, which also suggests the clinical significance of implicit getting qi. “Arrival of qi” emphasizes “qi arrival with efficacy”, and indicates that during treatment the differences of the exterior or interior and deficit or surplus should be distinguished. For external and shallow diseases involving myofascia-related diseases, miu nee- dling and shallow needling can achieve an immediate treatment effect; for deep, internal and deficient diseases, reinforcing or reducing manipulation should be used to achieve stomach qi, which has delayed effects hut can he used as an indicator. It is believed that pulse diagnosis shall not be neglected in clinical treatment of acupuncture.
出处
《中国针灸》
CAS
CSCD
北大核心
2014年第8期828-830,共3页
Chinese Acupuncture & Moxibustion
关键词
针灸
穴位
得气
气至
谷气
acupuncture-moxibustio
acupolnt
getting qi
arrival of qi
stomach qi
