針刀和圓鈍針的設計與應用

本文主要闡述針刀和圓鈍針的設計及應用，使讀者掌握針刀和圓鈍針的歷史、設計、應用以及各自的優勢、缺陷及發展。為有效軟組織松解，朱漢章教授發明了能夠銳性分離的針刀並成功申報發明專利。為了減少治療部位的血管、神經和臟器等損傷，周建斌主任發明了能夠鈍性分離的的圓鈍針並成功申報實用新型專利。針刀和圓鈍針的治療方法、適應症、禁忌症和注意事項參照中國針灸學會主編的《針刀基本技術操作規範》。圓鈍針針法包括平行捅刺法和斜行捅刺法，分別適用於淺筋膜和深筋膜。針刀的優勢是能夠有效地軟組織松解，但是可能造成血管、神經和臟器等損傷；圓鈍針的優勢是能夠安全地軟組織鬆解，但是不能穿透緻密結締組織，治療局限。為了能夠發揮針刀和圓鈍針各自的優勢同時避開各自的缺陷，周建斌主任將銳性分離和鈍性分離兩種軟組織鬆解方法組合於同一種針具，發明了通針和通針療法並成功申報了發明專利。

關鍵字

針刀；圓鈍針；通針；銳性分離；鈍性分離；軟組織松解；設計；應用

並列摘要

The article mainly introduces the design and application of acupotomy and yuandun needle. It aims at making readers grasp the history, design, application, advantages and disadvantages and development of acupotomy and yuandun needle. Professor Zhu Hanzhang invented acupotomy which is used to release soft tissue and patented the invention successfully. Professor Zhou Jianbin invented yuandun needle in order to reduce damage of vessels, nerves and organs of the therapeutic part and patented the invention successfully. The treatment methods, indications, contraindications and precautions of acupotomy and yuandun needle are referred to the standard of basic technical operation of acupotomy directed by China Associstion for Acupuncture and Moxibustion. The manipulating method of yuandun needle includes parallel needling which is applied to superficial fascia and oblique needling applied to deep fascia. The advantage of acupotomy is that it can effectively release soft tissue. But it can damage vessels, nerves and organs. The advantage of yuandun needle is that it can safely release soft tissue. But it can't penetrate dense connective tissue and the effective is limited. In order to take advantage of acupotomy and yuandun needle and their defections, Professor Zhou invented tong needle and Tong-acupuncture therapy combined with sharp dissection and blunt dissection and sucessfully filed for a patent for the in vention.