至骨针法治疗痛症靶点*

作者：邹德辉1,2，郭大江3，王海生3，王 琦1,2，闫泽昊1,2，杜璇璇1,2，李继安1,2

单位：1.华北理工大学中医学院，河北 唐山 063210； 2.河北省中西医结合防治糖尿病及其并发症重点实验室，河北 唐山 063210； 3.迁安市中医医院，河北 迁安 064400

引用：引用：邹德辉，郭大江，王海生，王琦，闫泽昊，杜璇璇，李继安.至骨针法治疗痛症靶点[J].中医药导报,2025,31(5):188-191,207.

DOI：10.13862/j.cn43-1446/r.2025.05.033

PDF： 下载PDF

摘要：《黄帝内经》是最早记载刺骨理论、方法和技术的经典医籍。后世医家在《黄帝内经》针刺至骨的启发下，逐渐完善了刺骨靶点、操作方法和针刺工具。骨膜、骨缘筋结、骨空、骨络等刺激靶点的系统总结，对针刺治疗神经病理性疼痛、肌骨疼痛、脑源性疼痛、疑难风湿疼痛具有重要启示。以骨骼系统的解剖结构为切入点，从解剖、生理、病理、生物力学、骨脑之间的神经调控等视角入手，重新解读了穴位主治的结构特异性，探索了针刺至骨操作形式的多样性，在继承《黄帝内经》刺骨疗法的经验基础上，对刺激的部位、方式和适宜病症进行了深入探讨，构建了基于解剖结构的现代新针灸，以期拓宽《黄帝内经》刺骨治痹的应用范围，也为针刺镇痛的机理研究提供新思路。

关键词：至骨针法；刺骨；《黄帝内经》；痛症；靶点；骨膜；骨缘筋结；骨空；骨络

Abstract：

The Huangdi Neijing is the earliest classical medical book that records the theory, method and technique of bone piercing. Inspired by the internal meridian acupuncture to the bone in Huangdi Neijing, later doctors further improved the piercing stimulation targets, operation methods and acupuncture tools. A systematic summary of stimulation targets such as periosteum, bone-nearby meridian tendons, Gukong, and bone collaterals provides important insights for acupuncture treatment of neuropathic pain, musculoskeletal pain, brain-origin pain, and difficult rheumatic pain. This article approaches from the anatomical structure of the skeletal system, reinterpreting the structural specificity of acupoint therapeutic effects from new perspectives including anatomy, physiology, pathology, biomechanics, and neuroregulation between bones and the brain. It explores the diversity of acupuncture techniques applied to bone. On the basis of inheriting the experience of bone piercing therapy in the Huangdi Neijing, it deeply discusses the location, mode and appropriate symptoms of stimulation, and constructs a modern new acupuncture and moxibustion based on anatomical structure, with a view to broadening the application scope of bone piercing therapy in the Huangdi Neijing, and also providing new ideas for the research on the mechanism of acupuncture analgesia.

Key words：approaching bone acupuncture therapy; bone piercing; Huangdi Neijing; pain syndromes; targets; perisoteum; bone-nearby meridian tendons; Gukong; bone collaterals

发布时间：2026-01-03

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