针灸临床杂志2026，Vol.42Issue(6)：1-6,6.DOI:10.19917/j.cnki.1005-0779.026100
从气、脉与筋辨证探讨针刺解结的刺法及针具选用
Exploring Needling Methods and Instrument Selection for Knot-Resolving Acupuncture from Perspective of Syndrome Differentiation Based on Qi,Vessels,and Sinews
摘要
Abstract
Based on classical medical literature,this study systematically explores the theory and clinical practice of knot-resolving acupuncture.The original meaning of'Jie'(knot)refers to a lump formed by knotted cords,and in TCM,the concept is widely used to describe pathogenesis,disease patterns,and related pathological states.Knot-resolving is both a therapeutic principle in acupuncture and a specific treatment approach.This study systematically elucidates the pathogenesis of knot disorders from three dimensions of Qi knot,vessel knot and sinew knot.Qi knot reflects functional dysregulation,vessel knot indicates obstruction of pathways,and sinew knot represents structural abnormalities.These three aspects interact with one another and form a pathological vicious cycle.Correspondingly,it proposes knot-resolving needling methods,including Qi-regulating techniques,blood-letting techniques,and sinew-targeting needling techniques,together with their corresponding acupuncture instruments,such as the filiform needle,three-edged needle,and acupotomy.Under the guidance of a three-dimensional syndrome differentiation framework based on Qi,vessels,and sinews,the study constructs a systematic approach to knot-resolving acupuncture,which breaks through the limitations of traditional single-dimensional treatment strategies and establishes a diagnostic and therapeutic model of identifying knots-determining treatment principles-selecting instruments.This framework has important guiding significance for the clinical treatment of difficult and complex disorders related to knot pathology.关键词
气结/脉结/筋结/解结/刺法/针具Key words
Qi knot/Vessel knot/Sinew knot/Knot-resolving/Needling technique/Acupuncture instruments分类
医药卫生引用本文复制引用
涂龙腾,刘清国,胡靖,吴昊吉,邱伟杰,刘继鹏,龚玉,徐萌,刘船,夏天琦..从气、脉与筋辨证探讨针刺解结的刺法及针具选用[J].针灸临床杂志,2026,42(6):1-6,6.基金项目
国家自然科学基金面上项目(82074553) （82074553）
北京市自然科学基金(7242231) （7242231）
北京中医药大学揭榜挂帅项目(2024-JYB-JBZD-025). （2024-JYB-JBZD-025）
