Application characteristics and modern research progress of "bone-approaching" acupuncture

ZOU De-hui; FENG Kai-xin; LIANG Hong-wen; TANG Xu-hao; ZHAO Shan; QIU Zi-jian; BAI Peng-yong; LIU Jia-mu; LIU Tong

doi:10.13703/j.0255-2930.20221117-k0008

您当前的位置：

首页 >

文章列表页 >

Application characteristics and modern research progress of "bone-approaching" acupuncture

Review | 更新时间：2024-06-03

- Application characteristics and modern research progress of "bone-approaching" acupuncture
- Chinese Acupuncture & Moxibustion Vol. 43, Issue 9, Pages: 1094-1098(2023)
- 作者机构：
  
  1.华北理工大学中医学院，河北唐山 063000
  2.广州中医药大学第五临床医学院，广东广州 510095
  3.广东省第二中医院针灸康复科，广州 510095
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20221117-k0008
  CLC： R245
- Received：17 November 2022，
  
  Online First：21 July 2023，
  
  Published：12 September 2023
- 稿件说明：
移动端阅览
邹德辉,冯开新,梁洪文等.“至骨”针法应用特点及现代研究进展[J].中国针灸,2023,43(09):1094-1098.

ZOU De-hui,FENG Kai-xin,LIANG Hong-wen,et al.Application characteristics and modern research progress of "bone-approaching" acupuncture[J].Chinese Acupuncture & Moxibustion,2023,43(09):1094-1098.
邹德辉,冯开新,梁洪文等.“至骨”针法应用特点及现代研究进展[J].中国针灸,2023,43(09):1094-1098. DOI： 10.13703/j.0255-2930.20221117-k0008.

ZOU De-hui,FENG Kai-xin,LIANG Hong-wen,et al.Application characteristics and modern research progress of "bone-approaching" acupuncture[J].Chinese Acupuncture & Moxibustion,2023,43(09):1094-1098. DOI： 10.13703/j.0255-2930.20221117-k0008.

摘要

探讨“至骨”针法的刺法演变、作用靶点及起效机制。早在《黄帝内经》中就有短刺、输刺等针刺“至骨”法的具体操作。骨膜是针刺“至骨”法镇痛和醒脑调神最有效的刺激靶点。“至骨”针法不仅治疗骨痹作用突出，对疼痛性、脑源性、情志性疾病亦效应独特。针尖“至骨”法、飞针“至骨”法、针体“至骨”法的系统总结和改良，是对《黄帝内经》刺骨法的继承发展和有益补充，对拓宽针灸临床应用范围具有重要意义。

Abstract

The paper explores the evolution of "bone-approaching" acupuncture

its effect target and mechanism. The concrete operation procedure of "bone-approaching" method is recorded originally in

Huangdi Neijing

(Inner Canon of Yellow Emperor) as short needling and

Shu

needling (referring to the category of the five needling technique). The periosteum is the most effective stimulation target of "bone-approaching" acupuncture for analgesia

regaining consciousness and regulating spirit. The "bone-approaching" acupuncture is not only prominently effective on bone

syndrome

but also has the unique effect on painful

encephalogenic and emotional diseases. The paper summarizes and improves "bone-approaching" acupuncture

i.e. "touching bone surface" with needle tip by slow insertion

"touching bone surface" without pain by swift insertion and "touching bone" with needle body by oblique insertion. It contributes to the inheritance

development and supplementation to the bone needling techniques in

Huangdi Neijing

and is significant for broadening the clinical appli

cation range of acupuncture.

关键词

Keywords

references

刘斌 , 张向东 , 苏晓川 , 等 . 《黄帝内经》骨的理论框架探析 [J ] . 中国中医基础医学杂志 , 2022 , 28 ( 1 ): 27 - 29,40 .

宗博艺 , 李琳 , 李世昌 , 等 . 骨骼源性因子调控认知功能的机制研究 [J ] . 中国骨质疏松杂志 , 2022 , 28 ( 8 ): 1238 - 1243 .

Idelevich A , Baron R . Brain to bone: what is the contribution of the brain to skeletal homeostasis? [J ] . Bone , 2018 , 115 : 31 - 42 .

Obri A , Khrimian L , Karsenty G , et al . Osteocalcin in the brain: from embryonic development to age-related decline in cognition [J ] . Nat Rev Endocrinol , 2018 , 14 ( 3 ): 174 - 182 .

Mosialou I , Shikhel S , Liu JM , et al . MC4R-dependent suppression of appetite by bone-derived lipocalin 2 [J ] . Nature , 2017 , 543 ( 7645 ): 385 - 390 .

Ursem SR , Diepenbroek C , Bacic V , et al . Localization of fibroblast growth factor 23 protein in the rat hypothalamus [J ] . Eur J Neurosci , 2021 , 54 ( 4 ): 5261 - 5271 .

Zameer S , Vohora D . Effect of aromatase inhibitors on learning and memory and modulation of hippocampal dickkopf-1 and sclerostin in female mice [J ] . Pharmacol Rep , 2017 , 69 ( 6 ): 1300 - 1307 .

许云腾 , 李西海 . 从肾-脑-骨轴初探绝经后骨质疏松骨内稳态失衡的机制 [J ] . 中华中医药杂志 , 2020 , 35 ( 10 ): 4797 - 4800 .

Kelly RR , Sidles SJ , LaRue AC . Effects of neurological disorders on bone health [J ] . Front Psychol , 2020 , 11 : 612366 .

Otto E , Knapstein PR , Jahn D , et al . Crosstalk of brain and bone-clinical observations and their molecular bases [J ] . Int J Mol Sci , 2020 , 21 ( 14 ): 4946 .

邹德辉 . 至骨针法针刺特色初探 [J ] . 中医药导报 , 2022 , 28 ( 2 ): 83 - 86 .

邹德辉 . 至骨针法探析 [J ] . 中医学报 , 2021 , 36 ( 10 ): 2098 - 2101 .

邹德辉 , 刘通 , 王洪彬 , 等 . 针刺“至骨”法临床应用浅议 [J ] . 中国针灸 , 2020 , 40 ( 1 ): 54 - 57 .

杨丹丹 , 宋奕 , 方梅 , 等 . 短刺结合电针对神经根型颈椎病患者血清IL-6作用效能的临床研究 [J ] . 辽宁中医杂志 , 2022 , 49 ( 7 ): 176 - 180 .

Perreault T , Cummings M , Dommerholt J , et al . Periosteal needling to the cervical articular pillars as an adjunct intervention for treatment of chronic neck pain and headache: a case report [J ] . Appl Sci , 2022 , 12 ( 6 ): 3122 .

刘通 , 刘悦 , 邝伟川 , 等 . 刺骨调筋针法治疗腰椎术后失败综合征临床疗效 [J ] . 中华中医药学刊 , 2018 , 36 ( 12 ): 2914 - 2917 .

刘立安 , 孟月 , 王育林 , 等 . 髓海理论考探与脑户穴应用 [J ] . 中国针灸 , 2019 , 39 ( 9 ): 1003 - 1006 .

张维 . 不同深度针刺太阳穴预防性治疗缓解期偏头痛的临床研究 [J ] . 上海针灸杂志 , 2015 , 34 ( 9 ): 46 - 47 .

杨璇 , 孙生琦 , 贺边疆 , 等 . 输刺臂丛神经阳性反应点治疗神经根型颈椎病的镇痛时效观察 [J ] . 针灸临床杂志 , 2019 , 35 ( 7 ): 39 - 42 .

盛吉莅 , 金肖青 . 盛氏骨边刺法及其学术思想浅析 [J ] . 中国针灸 , 2014 , 34 ( 11 ): 1111 - 1113 .

闫泽昊 , 邹德辉 , 杨瑞娟 , 等 . 至骨针法镇痛特色及作用机理浅析 [J ] . 按摩与康复医学 , 2021 , 12 ( 19 ): 49 - 51 .

杜俊英 , 陈峰 , 江彬 , 等 . 骨边刺电针干预对骨癌痛吗啡耐受大鼠蓝斑核的影响 [J ] . 针刺研究 , 2020 , 45 ( 2 ): 87 - 92 .

钟雪梅 , 房军帆 , 江彬 , 等 . 早期骨边刺结合电针抗骨癌痛大鼠吗啡耐受效应及其对背根神经节HDAC与MOR表达的影响 [J ] . 中国针灸 , 2020 , 40 ( 4 ): 405 - 410 .

邱曼丽 , 孙开龙 , 钟俊武 , 等 . 短刺治疗瘀血阻滞证膝关节骨关节炎及对血清炎性因子的影响 [J ] . 中国针灸 , 2022 , 42 ( 7 ): 733 - 738 .

刘泉宏 , 李维科 , 苏茜 , 等 . “短刺法”对膝骨关节炎患者miR-140、miR-30水平表达的影响及影像学观察 [J ] . 针灸临床杂志 , 2022 , 38 ( 10 ): 26 - 30 .

任毅 , 刘菲 , 张愉 , 等 . “短刺法”对兔膝关节炎软骨中Ⅱ型胶原及其标记物表达的影响及影像学观察 [J ] . 中国针灸 , 2016 , 36 ( 6 ): 622 - 628 .

刘菲 , 李学智 , 付妮妮 , 等 . 短刺法对兔膝骨关节炎软骨细胞Sox9、VEGF和ColX表达的影响 [J ] . 南方医科大学学报 , 2016 , 36 ( 7 ): 997 - 1003 .

付妮妮 , 李学智 , 杨晓光 , 等 . 短刺法结合电针对兔膝骨关节炎软骨细胞增殖及凋亡的影响 [J ] . 四川大学学报(医学版) , 2016 , 47 ( 5 ): 708 - 713 .

刘少欣 , 林嘉成 , 王青云 , 等 . 针灸刺骨法治疗痛风临床思路探析 [J ] . 广州中医药大学学报 , 2020 , 37 ( 3 ): 497 - 500 .

王声强 , 赵甫刚 , 张伟玲 . 基于井穴和根结标本的基本内涵探讨指趾端刺止痛的作用规律与机理 [J ] . 河北中医药学报 , 2016 , 31 ( 4 ): 43 - 46,54 .

陈璐 , 江维 , 关晓芳 , 等 . 方氏头针治疗神经根型颈椎病疗效观察 [J ] . 世界中医药 , 2015 , 10 ( 11 ): 1768 - 1770 .

杨鹏程 , 黄琳娜 , 安军明 , 等 . 长安方氏头针学术流派的形成与传承研究 [J ] . 中医学报 , 2020 , 35 ( 3 ): 555 - 558 .

李青润 , 赵青 , 王克天 , 等 . 方氏头针对孤独症谱系障碍患儿睡眠障碍的影响 [J ] . 北京中医药 , 2022 , 41 ( 6 ): 679 - 681 .

叶譞斐 , 危兆璋 , 雒晓东 , 等 . 方氏头针治疗早中期帕金森病即时效应的功能磁共振研究 [J ] . 黑龙江中医药 , 2020 , 49 ( 4 ): 394 - 396 .

刘慧林 , 李彬 , 夏淑文 , 等 . 周德安教授针灸治神理论治疗不寐病的临床应用 [J ] . 成都中医药大学学报 , 2015 , 38 ( 4 ): 62 - 64 .

刘莲莲 , 唐先平 , 李光宇 , 等 . 唐先平应用六节穴诊治风湿骨病关节疼痛经验 [J ] . 中医药导报 , 2021 , 27 ( 5 ): 203 - 205 .

梁海松 , 盛东 , 姜仁建 , 等 . 针刺董氏奇穴治疗急性腰扭伤的疗效分析 [J ] . 中国中医急症 , 2020 , 29 ( 11 ): 1944 - 1946 .

Myers TW . Structural integration-developments in Ida Rolf's 'Recipe'-I [J ] . J Bodyw Mov Ther , 2004 , 8 ( 2 ): 131 - 142 .

Dallas SL , Prideaux M , Bonewald LF . The osteocyte: an endocrine cell...and more [J ] . Endocr Rev , 2013 , 34 ( 5 ): 658 - 690 .

Liu SB , Wang ZF , Su YS , et al . A neuroanatomical basis for electroacupuncture to drive the vagal-adrenal axis [J ] . Nature , 2021 , 598 ( 7882 ): 641 - 645 .

俞昌德 , 吴炳煌 , 陈跃 , 等 . 针刺颅骨缝治疗脑血管疾病的应用解剖 [J ] . 中国针灸 , 2002 , 22 ( 3 ): 177 - 179 .

王熙岚 , 邹德辉 , 石雪英 , 等 . 至骨针法镇痛经验浅析 [J ] . 按摩与康复医学 , 2022 , 13 ( 14 ): 36 - 39,43 .

王国书 , 李昌生 , 戚红亮 , 等 . 针刺颅骨缝配合康复训练治疗中风后痉挛性瘫痪的临床研究 [J ] . 上海针灸杂志 , 2018 , 37 ( 1 ): 20 - 23 .

刘敏 , 李梓香 , 邓兴瑞 , 等 . 颅骨缝针刺法联合帕罗西汀治疗抑郁症患者的疗效观察 [J ] . 世界中西医结合杂志 , 2020 , 15 ( 11 ): 2121 - 2124,2129 .

董波 , 陈泽钦 , 马洁 , 等 . 骨膜刺法针刺印堂、百会、大椎穴治疗原发性失眠临床疗效观察 [J ] . 四川中医 , 2018 , 36 ( 3 ): 176 - 178 .

祝鹏宇 , 井天依 , 许娜 , 等 . 孙申田经颅针刺刺激疗法介绍 [J ] . 中华中医药杂志 , 2021 , 36 ( 4 ): 2254 - 2256 .

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Acupuncture for Wernicke encephalopathy: a case report

Theoretical basis of bone-touching acupuncture method for brain diseases based on the ＂bone-brain axis＂

Bioelectric phenomena in electroacupuncture analgesia

Electroacupuncture combined with continuous adductor canal block for postoperative analgesia in patients undergoing total knee arthroplasty

Research progress on the regulatory mechanisms of inflammatory signaling pathways in acupuncture treatment for ischemic stroke

Related Author

ZOU Wei

YU Xueping

YAO Jiayong

MAO Yuhan

CHEN Xiangyu

CUI Jingjing

LIU Yihan

XU Dongsheng

Related Institution

First Clinical Medical College, Heilongjiang University of CM

Third Department of Acupuncture and Moxibustion, First Affiliated Hospital of Heilongjiang University of CM

Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences

School of Acupuncture-Moxibustion and Tuina, Shanghai University of TCM

Anesthesiology Department, Sichuan Orthopedic Hospital

⁰