台北中医医学杂志

103.5 「大气一转,阴阳相得」古法针灸之节气针法

 

「大气一转,阴阳相得」古法针灸之节气针法
Solar term acupuncture of classical
acupuncture school
沈邑颖
台北慈济医院中医部,台北,台湾
【摘要】
本文以中焦食积兼节气之简要案例,说明人与天地阴阳四时相应,必要时可将节气影响纳入临床诊治。
本文临床案例有饮食积滞之内因兼节气影响之外因,造成中焦气机阻滞,下焦气机沉滞,导致上焦气虚。针灸治疗思路以「大气一转,阴阳相得」方式,标本内外兼治,协调阴阳。
首选脾经太白穴和肝经太冲穴调畅中焦气机,恢复气机道路;因肾气过沉,选肾经然谷穴与膀胱经昆仑穴温通下焦沉滞并转动下焦气机,最後以心经神门穴与大肠经合谷穴提补上焦气机。
作者依据二十四节气对应四时阴阳的特质,和「肝气升於左,肺气降於右」气机理论,提出临床常用「太极气机转动针法」,采用轻柔的进针与行针来推动气机,适用於四季气机阻滞或身体左右气机郁滞。选用穴位及顺序为1. 左侧太冲穴,2. 右侧太白穴,3. 右侧合谷穴,4. 右侧曲池穴,5. 百会穴,6. 左侧尺泽穴,7. 左侧列缺穴,8. 左侧内关穴,9. 右侧公孙穴。
【关键词】大气一转阴阳相得 节气针法 古法针灸 太极气机转动针法
Shen, Yi-Ying
Department of TCM in Taipei Tzu-chi Hospital, Taipei, Taiwan
【Summary】
This article takes a brief case of food accumulates in the stomach disease with the impact of solar term, which shows that people correspond to heaven and earth yin and yang at four seasons.
If necessary, the effect of solar terms can be incorporated into clinical diagnosis and treatment.
The author also proposes self-developed Tai Chi qi rotation acupuncture method based on
the concept of the human body corresponding to four seasons and yin and yang in the Yellow Emperor’s Neijing.
【Keywords】Solar term acupuncture, classical acupuncture school, Tai Chi qi rotation
acupuncture method