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台灣中醫臨床醫學雜誌

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篇名 溫氏現代針灸學之簡介
卷期 20:1
並列篇名 Introduction of Dr Wen’s modern acupuncture therapy
作者 溫崇凱
頁次 017-022
關鍵字 針灸神經選穴acupuncturenerveacupuncture point selection
出刊日期 201408

中文摘要

針灸理論形成於兩千多年前的《內經》,古人觀察到人體上下表裡聯繫形成所謂的「經絡學說」,在中國已經被廣泛的應用在治療各種疾病。1972年美國總統尼克森訪華之後,更掀起了針灸研究熱潮,數以萬計的論文發表關於針灸的機理研究,為針灸賦予新的生命。然而在探索針灸機轉的同時,針灸科學研究陷入一個見樹不見林的困境;各國學者們應用現代科學研究方法,從細胞到動物乃至於人體臨床研究,儘管可以證明針刺具有各種醫療效果,包括消炎、止痛乃至於免疫及自律神經系統之調節。另還有學者主張經絡實質為神經、血管與淋巴等混合性結構。但是對於臨床疾病治療理論的探討則相對欠缺,也就是說依據什麼樣的理論與思維來選配穴位施以病患針灸,可以達成臨床較好的療效,其實是臨床醫師所更加祈求的。筆者從事中醫針灸臨床實務工作二十年來,透過不斷的學習鑽研與臨床治療驗證,首次獨家提出【溫氏針灸醫學】;藉由中醫針灸之手段,以各家針灸學派之精髓,依據現代醫學之人體解剖學、神經解剖學、生理學以及藥理學的基本知識,作為選配穴位之思考準則。筆者主張針灸之原理為神經傳導刺激之作用,乃藉由神經傳導達成止痛、消炎、自律神經調節與免疫調節等作用。並利用人體自律神經的分布與藥理學之知識,來加以選穴,達成迅速獲取療效與治療現代醫學難症之契機。希望藉此拋磚引玉,並得以幫助學習或已經從事針灸工作之中醫師,快速學習針灸選穴、配穴應用之要領,以達到提高針灸療效的目的。

英文摘要

Acupuncture theory formed in the two thousand years ago, "Nei Jing", the ancients observed the connection system of body, so-called "Meridian", has been widely used in the treatment of various diseases in China. After the 1972 United States President Richard Nixon's visit to China, set off a wave of acupuncture studies, tens of thousands of papers published studies on the mechanism of acupuncture. However, while exploring mechanisms of acupuncture, acupuncture research fail to see the wood for the trees; researchers use modern scientific methods,cells, animal and even human clinical studies, although they can prove that acupuncture has a variety of medical effects, including anti-inflammation, pain control and even regulate the immune and autonomic nervous systems. There are other scholars advocate that meridian’s essence is nerves, blood vessels and lymphatic hybrid structure. But clinicianswant to known what kind of theory and thinking to impose optional acupuncture acupuncture patients can reach better clinical efficacy. I engaged in clinical practice acupuncture work two decades, through continuous learning and clinical validation study, first proposed 【Dr Wen's Acupuncture Medicine】; by means of the essence of the various schools of acupuncture, the basis of modern medicine human anatomy, neuroanatomy, physiology, and basic knowledge of pharmacology as thinking points of matching criteria. The author argues that the role of nerve conduction stimulation of acupuncture as a principle, is reached by nerve conduction pain, inflammation, autonomic nervous system regulation and immunomodulatory effects. Distribution and use of knowledge of the human autonomic nervous system pharmacology, the selection of points to be reached quickly get treatment efficacy and disease of modern medicine is difficult opportunity. Hoping to start a discussion, and to help student and already engaged in the work of practitioners of acupuncture,learnquicklywithacupuncture point selection and essentials application of points, in order to achieve the purpose of improving the efficacy of acupuncture.

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