易筋經實証理論 (Yijinjing Evidence & Mechanism) HKOTA Training Venue: Zero Carbon Centre 吳鳳亮博士 (Dr Bacon Ng) 二零一七年二月四日 (10:30am - 11:00pm) www.baconng.org Definition ( 定義 ) Health Qi-gong ( 健身氣功 ) ( 健身 ) Health promotion ( 真氣能量 ) Vital life energy ( 功法 ) Practice Strategies A national-traditional sport combining body movement, breathing techniques and mental regulation 健身氣功是以自身形體活動 呼吸吐納 心理調節相結合爲主要運動形式的民族傳統體育項目, 是中華悠久文化的組成部分 The General Administration of Sport in China enacted The Provisional Regulations for the Management of Health Qigong in 2000 國家體育總局第 4 號令 健身氣功管理暫行辦法 1
Qigong ( 氣功 ) Ancient martial arts with roots in Taoism 道 - 行氣 (Flow of qi) Buddhism 釋 - 坐禪 (Dhyana) Introspection Confucianism 儒 - 心齋 (Minimize distraction) KungFu 武 内功 (Internal Strength) Chinese Medicine 醫 - 導引 (Guide the flow) Qi ( 氣 ) 天氣 (Seasons) 元氣 - 父母所傳 (Genes from parents ) 地氣 (Environment) 真氣 (Vital energy) 精氣 (Body energy) 神氣 (Spiritual energy) 營氣 ( 脈中 )( 清 ) (Digestive & cardiovascular system) 宗氣 (Lung function) 衛氣 ( 脈外 )( 濁 ) (Immune system) 正氣 (Dynamic balance of energy) 4 2
經絡分類 經脈 12 經脈 奇經八脈 雜脈 11 絡 12 經筋 12 經別 13 別絡 ( 脾 x 2) 督脈的別絡 任脈的別絡 孫絡 14 經皮 ( 浮絡 ) 365 穴 和孫絡 5 四經脈與易筋經的關係 Meridian and Yijinging 第一勢 : 韋馱獻杵第一勢 第二勢 : 韋馱獻杵第二勢 第三勢 : 韋馱獻杵第三勢第四勢 : 摘星換斗勢... 第五勢 : 倒拽九牛尾勢 第六勢 : 出爪亮翅勢... 第七勢 : 九鬼拔馬刀勢.. 第八勢 : 三盤落地勢... 第九勢 : 青龍探爪勢... 第十勢 : 臥虎撲食勢.. 第十一勢 : 打躬勢... 第十二勢 : 掉尾勢... 手少陰心經足少陰腎經手少陽三焦經足太陽膀胱經手太陰肺經督脈手厥陰心包經足厥陰肝經足少陽膽經足陽明胃經手陽明大腸經手太陽小腸經足太陰脾經任脈 6 Bacon Ng at ngfl@ha.org.hk 3
經筋與易筋經的關係 12 JingJin and Yijinging 第一勢 : 韋馱獻杵第一勢 第二勢 : 韋馱獻杵第二勢 第三勢 : 韋馱獻杵第三勢第四勢 : 摘星換斗勢... 第五勢 : 倒拽九牛尾勢 第六勢 : 出爪亮翅勢... 第七勢 : 九鬼拔馬刀勢.. 第八勢 : 三盤落地勢... 第九勢 : 青龍探爪勢... 第十勢 : 臥虎撲食勢.. 第十一勢 : 打躬勢... 第十二勢 : 掉尾勢... 手少陰心經經筋手厥陰心包經經筋手太陰肺經經筋手少陽三焦經經筋手陽明大腸經經筋手太陽小腸經經筋足少陰腎經經筋足厥陰肝經經筋足太陰脾經經筋足少陽膽經經筋足陽明胃經經筋足太陽膀胱經經筋 7 Bacon Ng at ngfl@ha.org.hk 12 經絡循經與每一勢的關係 第一勢第四勢第六勢第八勢第十勢第十二勢 肺內鼻翼心中內眼角胸部外眼角肺內 手太陰肺經手陽明大腸經足陽明胃經足太陰脾經手少陰心經手太陽小腸經足太陽膀胱經足少陰腎經手厥陰心包經手少陽三焦經足少陽膽經足厥陰肝經 第二勢 手食指 腳拇趾 第三勢 手小指 第五勢 腳小趾 第七勢 手無名指 第九勢 腳拇趾 第十一勢 8 4
Systematic Reviews No. = 33 related to Health Qigong Study Subjects of Systematic Reviews ( 系統綜述 ) 6 5 4 Publications 3 2 1 0 5 4 4 4 3 2 2 4 1 1 1 1 1 5
33 SR 15 had meta-analysis, 13 had significant implications SR Client Outcome Qigong Type Wang F, et al., 2013 Huang & Yeh, 2013 Type II Diabetes â Depression symptom â Anxiety á Psychological health Baduanjin, Liuzijue, Tai Chi Wang C. et al., 2013 Liu, et al. 2015 Bai, et al. 2015 Lee, et al 2007 Wang, et al., 2014 Depressive Symptoms Chronic pain Healthy Adults â Depressive symptoms Dejian Mind-Body Intervention (DMBI) Baduanjin, Wuqinxi, Wu Xing Ping Xing Gong ( 五行平衡功 ) Yan Chai Ten-section Brocades, â Chronic pain Internal qigong (Charité department ) External qigong â Perceived stress & anxiety Baduanjin Chan Mi Gong + Modified Zeng, et al., 2014 Cancer á QOL, mental health, immune function, vitality, â Fatigue and cortisol level Tai Chi, Guolin Qigong Lee, et al., 2007; Guo, et al., 2008; Xiong et al., 2014 Hypertensi on â Systolic BP (12-17 mmhg) â Diastole BP (8-10 mmhg) Shuxinpingxue Gong ( 舒心平血功 ) Wuxing Qigong ( 五行氣功 ) Dayan Qigong ( 大雁養生功 ) Qubingyangsheng Gong ( 去病養生功 ) Ding, et al., 2014; Ng, et al., 2012; Ng, et al., 2014 Pulmonary Rehab. á Lung fx., physical state â Dyspnea Liuzijue, Baduanjin, Health Qigong from the 4 types Disease Specific of Health Qigong Pain SR for Pain 1. Lee & Ernst (2006) Internal and External qigong 2. Lee, Pittler & Ernst (2007) External qigong 3. Lee, Pittler & Ernst (2009) Internal qigong 4. Bai, et al. (2015) Internal and External qigong 6
Mechanism Corticotrophin ( 促腎上線 質激素 ) & aldosterone ( 醛固酮 ) C-reactive protein (inflammation) Cholesterol, BP Adiponectin ( 脂聯素 ) Telomerase activity ( 端粒酶 ) HPA Axis activity ( 邊緣系统 ) Parasympathetic Nervous System Activity ( 副交感神經系統 ) Clinical Implication The reciprocal regulation mechanism of qigong which act on the hypothalamic-pituitary-adrenal (HPA) axis help to achieve a state of hemostasis with Increase in telomerase activity Qigong has both short-term and long-term effects in Reducing fatigue (Cortisol level) Improving mental health The suggested optimal dosage of health Qigong: At least 3 days per week At least 30 minutes each time At least 5 weeks continuously Fade away if ceased to practice at 6 months 14 Bacon Ng at ngfl@ha.org.hk 7
Clinical Trials (1) Tuina Yijinjing Gong Practice Improves the Knee Muscle Strength of the Elderly ( 不同方式推拿功法易筋经操练对老年人膝关节屈伸肌力的影响 ) (Hu, Gong, Qian, & Hu, 2013) - 推荐定势站柱 30 秒易筋经锻炼作为改善老年人膝关节屈伸肌力的锻炼方式 健身气功易筋经锻炼对骨骼肌减少症患者康复效果的影响 ( 王宾马士荣胡莺, 2014) - 患者的躯干柔韧性 肩关节柔韧性 下肢力量均有明显改善 The Mechanism of Muscle-bone Strengthening Exercise "Tuo tian-zhu" Preventing and Treating Cervical Spondylosis (Xu, Dou, & Wu, 2015) Acupuncture Combined with Muscle bone Strengthening Exercise Training on Hemiplegia 针刺结合易筋经训练对中风后偏瘫患者运动功能及心理的影响 15 (Zhang, Liang & Hui, 2016) Clinical Trials (2) Prevention of indwelling catheter induced phlebitis through physical exercise derived from Chinese Yijin Jing ( 易筋经出爪亮翅手臂锻炼预防静脉留置针所致静脉炎 ) (Huang, Xu, Zhang, Wang, & Mo, 2016) Applying Polysomnography to Evaluate the Curative Effect of Acupuncture Combined with Yijinjing on College Students Insomnia ( 应用多导睡眠图评价针刺结合 易筋经 功法治疗大学生失眠症的疗效观察 ) (Wang, Wang, Yun, Song, Shan & Zing (2015) 16 8
氣功和中醫理論 陰陽學說 健康狀態 : 氣流平衡陰陽 生病情況 : 某極偏強或弱 氣功效果 : 呼吸 ; 吸為陽, 呼為陰 ; 動作 : 上 升 動為陽, 下 降 靜為陰強調配合, 互補, 平衡 經絡學說 健康狀態 : 氣於經絡暢通無礙 生病情況 : 氣阻塞或錯亂 氣功效果 : 通過對身體局部牽引拉扯和按摩, 刺激有關的經絡穴位, 使之達到暢通 分享點滴如有錯漏, 請予指正 baconng@gmail.com 18 9