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近年来西方用现代临床试验方法研究针灸引出一些令传统针灸界十分困惑的难题，其中包括如何确认针灸适应症，穴位是否有特异性，为何东方临床经验同西方研究结果迥异等问题。笔者试图以“针灸愈合作用”、“泛穴现象”及“硬针灸和软针灸”3个假说解释西方报道的大量临床研究数据同中国传统针灸理论和实践的差异。相信，采用科学方法对这些假说的证实或否定，将促进对传统针灸的重新认知和现代针灸理论的成熟。

英文摘要:

Some results of clinical trials from the West on traditional acupuncture with modern research design have puzzled the acupuncture community. These include 1） what is the implication of acupuncture， 2） whether acupuncture point has its specificity， and 3） why practical experience in the East is quite different from research observations in the West. Three hypotheses， namely， Acupuncture Healing Effect， Pan acuppoint Phenomenon， and Hard Acupuncture and Soft Acupuncture， are proposed here to explain these sensitive issues. Further investigation with scientific approach may prove or reject these hypotheses. The resolving of these issues will shed light on the re evaluation of traditional acupuncture and promote the maturation of modern acupuncture theory.

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