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毫针持针法-中医疣病网
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毫针持针法

黄云霞 • • 未分类 • 阅读 106

（一）刺手与押手

毫针操作时，一般将医者持针的右手称为\”刺手\”，按压穴位局部的左手称为\”押手\”（又称\”压手\”）。《灵枢·九针十二原》记述的\”右主推之，左持而御之\”，说明刺手的作用主要是掌握毫针，进针时将臂、腕、指之力集于刺手，使针尖快速透入皮肤，然后行针。押手的作用，主要是固定穴位皮肤，使毫针能够准确地刺中腧穴，并使长毫针针身有所依靠，不致摇晃和弯曲。进针时，刺手与押手配合得当，动作协调，可以减轻痛感，行针顺利，并能调整和加强针感，提高治疗效果。古代医家非常重视双手配合动作，如《标幽赋》所说：\”左手重而多按，欲令气散；右手轻而徐入，不痛之因\”，确是经验之谈。

（二）持针姿势

持针的姿势、状如执持毛笔，故称为执毛笔式持针法。根据用指的多少，一般又分为二指持针法、三指持针法、四指持针法、五指持针法。

1．二指持针法：即用右手拇食两指指腹挟持针柄，针身与拇指呈90^角。一般用于针刺浅层腧穴的短毫针常用持针法。

2．多指持针法：即用右手拇、食、中、无名指指腹执持针柄，小指指尖抵于针旁皮肤，支持针身垂直。一般用于长针深刺的持针法。

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