世界中医药

作者	单位
赵敏1，李晗1，吴焕淦2，张建斌3，黄艳2，包春辉2，东红升2，吴人照4，陈普生5，李璟1	1 上海中医药大学岳阳中西医结合医院，上海，200030； 2 上海中医药大学上海针灸经络研究所，上海，200030； 3 南京中医药大学，南京，210023； 4 浙江省中医药研究院，杭州，310007； 5 李时珍药业集团，黄冈，435300

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中文摘要:

随着艾条悬起灸在临床上的逐渐推广，其基本作用机制得到初步的证明。如何提高灸法的临床疗效成为如今灸法研究的重中之重。不同于古代的直接灸和间接灸，艾条悬起灸是近代产物。临床上艾条悬起灸主要分成温和灸、雀啄灸和回旋灸3种方式。文章通过分析艾条悬起灸的源流，分别回顾温和灸、雀啄灸和回旋灸的起源和发展，阐述此3种方式内在的联系和早期的临床适应证特点，还原温和灸、雀啄灸和回旋灸，以利于临床医家科学规范使用此3种方式。同时参考当下关于艾条悬起灸施灸特点的现代科学研究，主要从单次施灸时间、施灸间隔、施灸疗程等角度分析。客观解读艾条悬起灸的使用方式，以指导现代临床实践，提高艾条悬起灸的临床疗效，促进艾条悬起灸的学术推广，推动艾条悬起灸的现代化和国际化进程。

English Summary:

As the in-deep exploration of basic research of moxa stick moxibustion, the mechanism is preliminary investigated. The priority researches in moxibustion academic field is how to improve the clinical curative effect of moxa stick moxibustion. Different from ancient direct or indirect moxibustion, moxa stick moxibustion is a modern product. The moxa stick moxibustion is divided into three clinical approaches including warm moxibustion, bird perking moxibustion and circling moxibustion. In this review, based on analyzing the origination and development of moxa stick moxibustion including warm moxibustion, bird perking moxibustion and circling moxibustion, the internal relationship among these three approaches and early clinical applications were explained that was benefit to clinical medicines in practice. Meanwhile in view of current scientific studies of moxa stick moxibustion, the intervention time, interval and duration of modern moxa stick moxibustion methods were analyzed. The outcomes contribute to the objective interpretation of moxa stick moxibustion, the guidance of clinical practice, the improvement of clinical curative effect, the academic propagation and the process of modernization and internationalization of moxibustion.

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