郭伟主任经络调气法的理论构建与临床应用探析OA
A study on the clinical application and theoretical construction of meridian Qi regulation method of Chief Physician GUO Wei
文章系统总结郭伟主任运用经络调气法的临床经验,旨在构建一套基于中医经典理论、具有鲜明特色的针灸临床诊疗体系.通过长期临床实践,结合《黄帝内经》《难经》《脉经》等中医经典及现代研究文献,进行归纳、提炼与比较分析.研究认为,经络调气法是以中医正气理论为指导,以"脉症结合"为核心诊断手段,以"以脉定治"为关键治疗原则的全新针灸诊疗体系.与传统针灸依赖局部取穴或固定循经配穴的模式不同,本法通过寸口脉精细辨别病变经络的虚实状态,并以此为依据,系统性地整合运用同气相求、从阴引阳/从阳引阴、脏腑别通及奇经调气等多维度、协同性的调气治法,形成了一套动态、精准的"辨脉-立法-选穴"诊疗路径.其核心创新在于以脉象为主导的精准辨证与多维度调气策略的协同应用.临床实践表明,该法具有起效迅速(尤其在痛症治疗中常能获即时或短期显效)、适应范围广、安全性高的特点,对于传统取穴疗效不佳的复杂病例或涉及多经同病的疑难痛症,通过系统调气往往能取得显著疗效,展现出鲜明的临床优势与良好的推广价值.
This paper systematically summarizes the clinical experience of Chief Physician GUO Wei in applying the meridian Qi(气)regulation method,aiming to establish an acpuncture clinical diagnosis and treatment system that is grounded in classical TCM theories and features distinct characteristics.Through long-term clinical practice under the guidance of Chief Physician GUO,combined with classic TCM works such as Huangdi Neijing(《黄帝内经》),Nanjing(《难经》),Mai Jing(《脉经》)and modern research literature,inductive analysis,refinement and comparative studies were carried out.The study considers that the meridian Qi regulation method is a novel acupuncture diagnosis and treatment system guided by the TCM healthy Qi theory,with the"combination of pulse condition and symptoms"as the core diagnostic method and"determining treatment based on pulse condition"as the key therapeutic principle.Different from the traditional acupuncture mode that relies on local acupoint selection or fixed channel-following acupoint compatibility,this method accurately distinguishes the deficiency-excess state of the affected meridians via the Cun-Kou pulse(寸口脉).Based on this,it systematically integrates and applies multi-dimensional and synergistic Qi regulation therapies such as"Qi resonance","drawing Yang(阳)from Yin(阴)/drawing Yin from Yang","Zang-Fu(脏腑)viscera collaterals communication"and"extraordinary meridians Qi regulation",forming a dynamic and precise diagnostic and treatment path of"pulse differentiation-treatment principle formulation-acupoint selection".Its core innovation lies in the synergistic application of pulse-guided precise syndrome differentiation and multi-dimensional Qi regulation strategies.Clinical practice has shown that this method has the characteristics of rapid onset of action(especially immediate or short-term significant effects in the treatment of pain disorders),broad applicability,and high safety.For complex cases with suboptimal outcomes from traditional acupoint selection or refractory pain disorders involving multiple meridians,systematic Qi regulation can often achieve significant therapeutic effects,demonstrating distinct clinical advantages and good clinical application value.
黄达强;郭伟
福建中医药大学,福建 福州,350003福建中医药大学,福建 福州,350003
医药卫生
经络调气法临床经验总结名医经验
Meridian Qi regulation methodClinical experience summaryExpert clinician's experience
《中医临床研究》 2026 (6)
90-94,5
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