基于五输穴的“穴-时-术”三级协同补泻针法框架构建

Construction of a Three-Level Synergistic System Integrating "Acupoint， Timing， and Manipulation" for Reinforcing-Reducing Acupuncture Based on the Five- Transport Points

摘要:

本文针对当前临床中存在的针刺补泻法选穴、时机与手法未能有机结合的问题，构建了以五输穴为核心载体的“穴-时-术”三级协同补泻针法框架。该框架以五输穴作为补泻干预的靶点，依托其作为经气出入运行关键节点的特性以及良好的操作可行性，通过本经、表里经、同名经和子母经五输穴实施“虚则补其母，实则泻其子”的取穴方法，融入子母纳支法，选择最佳补泻时机治疗，再结合深浅、迎随、捻转、提插、徐疾、呼吸等补泻手法，形成三位一体、层次清晰的综合补泻治疗路径。

Abstract:

Abstract：This paper addresses the current clinical issue of insufficient integration among point selection，timing， and manipulation in reinforcing and reducing acupuncture. It proposes a three-level synergistic system framework centered on the five-transport points，integrating acupoint，timing，and manipulation. The framework utilizes the fivetransport points as the core targets for reinforcing and reducing interventions， leveraging their characteristics as key nodes in meridian qi circulation and their practical operability. Point selection follows the principle of "in cases of insufficiency， tonify the 'mother' organ， while in cases of excessiveness， purge the 'child' organ" through the fivetransport points on the same meridians， exterior-interior meridians， same-name meridians， and mother-child meridians. The timing of treatment is optimized by integrating the the optimal timing for mother-child hour-branch point selection method. These are combined with reinforcing and reducing treatments. Furthermore， it combines reinforcing and reducing manipulation such as depth-based， direction-based， twirling and rotating， lifting-thrusting， speedbased， and respiration-related， to form a three-in-one， clearly structured comprehensive therapeutic pathway for reinforcing and reducing acupuncture.