总结李子勇教授临床应用员利针的经验。员利针作为 《黄帝内经》 九针体系的核心针具之一，受历史传承断层与针 具形制考据不足的影响，其临床应用长期处于边缘化状态，独特价值鲜为人知。李子勇教授历经近三十年临床实践，基于 《黄帝内经》“粗守关，上守机”理论，创新提出“通关守机”的针刺思想，并以此为指导，将员利针广泛应用于临床。员 利针以员锐结合的形制优势，通过干预筋层、松解局部筋结治疗疾病，取得满意的临床疗效，展现出起效快、疗效稳的临 床特色。该文通过系统梳理李子勇教授对员利针的认识、员利针操作要点及临床验案，旨在为员利针的现代化应用提供可 复制的范式，推动经典针灸理论的临床转化。

This article summarizes Professor Li Ziyong’s clinical experience with the round-sharp needle. As one of the core needle types in the Huang Di Nei Jing（The Yellow Emperor’s Inner Classic） nine-needle system，the round-sharp needle has long been marginalized in clinical practice due to historical discontinuities in its transmission and insufficient research on its morphological characteristics，resulting in its unique therapeutic value remaining largely unrecognized. Through nearly three decades of clinical practice， Professor Li innovatively proposed the acupuncture concept of “unblocking passages and guarding the pivotal mechanism”，guided by the Yellow Emperor’s Inner Classic principle that “ordinary practitioners focus on the joints， while superior practitioners focus on the pivotal mechanisms”. Under this theoretical framework，he has extensively applied the round-sharp needle in clinical settings. With its unique design combining rounded and sharp features，the roundsharp needle demonstrates remarkable clinical efficacy by intervening at the fascial layer and releasing local fascial adhesions. It exhibits rapid onset and stable therapeutic outcomes. This article systematically reviews Professor Li’s understanding of the round-sharp needle，its key operational techniques，and clinical case studies，aiming to establish a replicable paradigm for its modern application and promote the clinical translation of classical acupuncture theory.

R246.9

广东省中医药局科研项目（编号：20251365）