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題 名 | 針灸科學所載禁針穴禁針原因之文獻研究=A Study on the Reasons of Forbidden Acupoints in "Science of Acupuncture and Moxibustion" |
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作 者 | 高宗桂; 黃維三; 張永賢; 林昭庚; 嚴振國; | 書刊名 | 中國醫藥學院雜誌 |
卷 期 | 7:3 1998.09[民87.09] |
頁 次 | 頁147-156 |
分類號 | 413.91 |
關鍵詞 | 禁針穴; 針刺深度; 針灸文獻; Forbidden acupoints; Puncture depth; Safe depth; |
語 文 | 中文(Chinese) |
中文摘要 | 針灸醫學雖因簡單迅速又有良效而傳播到世界各地,但在臨床卻常有針刺意外的發生。從古今針灸典籍不難發現,發生針灸意外的諸多因素中,常常是在人體特定穴位施術不當所致,古代醫家將這些稱為禁針穴或禁灸穴。為了預防臨床針灸發生意外,對於自古以來針灸諸書所稱的禁針穴確有詳加探討的必要。 本研究是以我國國家中醫師執照考試指定書本,同時也是醫學院中醫系教科書的《針灸科學》一書所載的卅五個禁針穴為研究對象,參考自晉朝到民國的九本針灸專著與其他近代解剖學文獻為材料,從穴位針刺深度與穴位解剖學角度來分析禁針原因。 研究結果顯示,《針灸科學》所指出的禁針腧穴大略區分為兩大類:第一類是針刺過深可能引起重大神經、血管或內部臟器損傷。第二類穴位難以從解剖學解釋禁針原因,但從現代臨床文獻卻可知,若刺激劑量與時機不恰當會產生副作用。由於歷代針灸專書對這些穴位個別有針刺深度的記載。本研究認為,禁針穴應可改為「慎用穴」,針刺這些穴位的時候應注意安全深度與治療時機。 |
英文摘要 | Acupuncture is a major element of traditional Chinese medicine. Although it is a quick and effective form of phsyical therapy, side-effects arise when contraindicated points are punctured. The purpose of this study is to investigated the anatomical and physiological reasons for the contraindication of 35 points in our textbook "Science of Acupuncture and Moxibustion" against the background of ten authoritative classics from the " A-B Classic of Acupuncture and Moxibustion" of the Jin Dynasty (Huang-fu Mi, 259 A.D.). Contraindicated points fall into two categories. One is that of acupuncture points beneath which lies a major artery, vein, nerve or an internal organ, which could be injured if punctured. The other is that of acupuncture points at which needling causes untoward effects at remote locations, such as the arbortifacient effect of stimulution at Hegu (LI-4) and Sanyinjiao (SP-6). The effect of needling varies in accordance with the constitution of the patient, the function of the acupuncture points, the strength and frequency of needle manipulation. Needles are now finer than they used to be, clinical practitioners take greater care in the selection of needling depths, and sterilization methods have improved. In view of these factors, many points contraindicated in past may be used if due care and attention are pain. We therefore suggest that the 35 contraindicated points be called "caution points." |
本系統中英文摘要資訊取自各篇刊載內容。