Review on the Quantitative Standards for Twirling Supplementation and Draining

Abstract

Objectives and Methods : The aim of this study was to investigate twirling and supplementation and draining by analyzing ancient acupuncture literature and modern research papers, and to discuss the quantitative standards for the procedure. Results : Twirling supplementation and draining techniques were first described in Huang do neijing, after which they were recorded in various other ancient acupuncture texts. Not only were these techniques used in the active treatment of patient historically, but they also form the foundations of modern-day acupuncture treatment. Twirling supplementation and draining techniques described in ancient literatures can be divided into Yin and Yang. Examples of Yang characteristics include Up, Male, Morning, Hands, the governor vessel, Outside, and Left. The left rotation technique is a reinforcing method performed by moving the thumb forward while rotating the needle. Examples of Yin characteristics include Down, Female, Afternoon, Foot, the conception vessel(CV), Inside, and Right. The right rotation technique is a reducing method performed by moving the thumb backward while rotating the needle. Twirling supplementation and draining has been divided for four ways by classical literature and research that worked before. the direction of acupuncture, the stimulus-quantity of acupuncture, the performance of doctor(the uses of both hands, left and right hand) and the feeling of patient. Conclusions : Therefore, continuous research is required to implement Twirling supplementation and draining in a consistent manner. In addition, more active clinical trials using the techniques are necessary as well.

Comparison of the acupuncture manipulation properties of traditional East Asian medicine and Western medical acupuncture

“…Thus, it is apparent that the primary goal of acupuncture manipulations is to provide mild stimulation for tonification (for the thin and weak) and intense stimulation for sedation (for the fat and strong). The findings of a literature review support the view that the two manipulation techniques are related to the degree of stimulation, 27 and it has been empirically shown that the deqi sensations elicited by the sedation manipulation are more intense than those induced by the tonification technique. 28 Recently, it was proposed that tonifying and sedative techniques of acupuncture treatment in TEAM correspond to the stimulation intensity of acupuncture manipulation techniques.…”

Analysis of Tonification and Sedation Methods in the 『Yeongsochimgugyeong』

“…영소침구경 의 백호요두법에서는 搖法에 대한 구체적인 방법 (14) 이 기술되어 있는 반면 침구대성 에는 "以肉內鍼頭輕轉"이라 하 (17) 자오환기법의 경우 영소침구경 에만 제삽보사에 따른 한열 표 현 (18) 이 있고, 유기법의 경우 원처로 돌아와서 노양수를 사용하는 부분은 영소침구경 에만 있다. (19) 봉황전시사법의 경우 영소침구 경 에서는 시행 전후의 호흡 및 염전의 방법에 대하여 자세한 설명 (20) 이…”

“…최근의 실험적 연구 [16][17][18] ), "九數(九陽數 三九二七數)로써 大指를 進前(右轉)" (용호교전 법), "老陽數(純陽數니 九九八一)" (유기법) (7) 영소침구경 의 표현: "六數(六陰數)" (제기법), "九數(九陽數)로 大指 進前(右轉)하야 入하고 六數(六陰數)로 大指退後(左轉)하야 出" (자오 두구법), "六數(六陰數)로서 大指를 退後(左轉)하야 瀉하고 다시 九數 (九陽數)로써 大指를 前進(右轉)하야 補" (적봉영원법) 침구대성 의 표현: "從陰六數" (제기법), "九入六出, 左右轉" (자오 도구법), "瀉九補六" (적봉영원법) (8) 영소침구경 의 표현: "六數(六陰數)를 一度 定하고 三度(三六十八)를 連行" (백호요두법), "三九數(三九二七)로 行" (용호교등법) 침구대성 의 표현: "振搖六數或三六一十八數" (백호요두법), "三九 二十七數" (용호교등법) 륙의 표현만 있고, (7) 백호요두법, 용호교등법에는 두 서적 모두 회 전 횟수가 서술되어있어 (8) 차이가 없다. 서 "侵提急按穴" 이라는 발침 후 개합법을 제시한 부분 등이 또 다른 차이점이다.…”