毫针针刺深度“规矩”初探

Primary exploration on depth and angle of acupuncture with filiform needle

关键词:  针刺深度  同身寸  计算机扫描摄影定位

Key words:  depth of acupuncture  proportional unit of the body  CT location

摘要:

在临床针刺意外事故中,以针刺深度或角度不当而致者最为常见且最为严重。古今医籍中所载穴位的针刺深度和角度很不统一,为了保证针灸临床操作的准确性和规范性,提高针灸临床疗效,在针灸经穴已有国家标准定位的基础上,针刺安全深度和角度也亟待国家制定相关标准。笔者认为“骨度同身寸”之思想,活体计算机断层扫描摄影(CT)定位针刺深度和角度与医学统计学相结合的方法确有其科学性和临床应用价值。另外,古人“授人以渔”的科学方法也应引起今人重视。

Abstract:

Among the accidents due to clinical acupuncture the trouble of abnormal depth and angle of acupuncture is the most common and the most severe. The depth and the angle described in the ancient and the present medical books are not unified. In order to guarantee the accuracy and conformity in clinical procedure and increase the clinical effect a related standard for the safe depth and angle of acupuncture is necessary although there has been a national standard for the standard location of acupuncture point before. The author considers that the bone measurement and proportional unit of the body,intravital CT for the ascertaining the depth and the angle of acupuncture combined with statistics do have their scientific entity and a value in the clinical use. On the other hand,the scientific method of "giving person with fish" provided by the ancient medical workers should be paid attention to.