针灸：一针疗法的临床应用课件.ppt

1、一针疗法的临床应用一针疗法的临床应用Clinical Application of the One-needle Therapy 山东中医药大学 针灸推拿学院 高树中 Prof.Gao Shuzhong School of Acupuncture and Moxibustion Shandong University of TCM2009.07一、头痛(Headache)1.头维头维 点刺出血点刺出血 Touwei(ST8)prick the point 治疗经前头痛治疗经前头痛(to treat headache before menstruation)2.肓俞肓俞 Huangshu(KI1

2、6),治疗用脑过度治疗用脑过度等所致肾虚冲逆引起的血管性头痛，喜欢重等所致肾虚冲逆引起的血管性头痛，喜欢重按者按者(to treat kidney-deficiency vascular headache caused by brain overstrain,and the pain can get relieved by pressing).二、眉棱骨痛(Pain in the Supraorbital Region)1昆仑昆仑 Kunlun(SJ17)风邪所致风邪所致for treating pain in the supraorbital region caused by pathoge

3、nic wind2解溪解溪 Jiexi(ST41)胃经浊热上攻所致胃经浊热上攻所致for treating pain in the supraorbital region caused by ascending of turbid heat of stomach meridian三、麦粒肿(Stye)1.肩胛区红点放血肩胛区红点放血 上眼睑上眼睑（upper eyelid:bleed red spots in scapular region）2.足中趾点刺出血足中趾点刺出血 下眼睑下眼睑（lower eyelid:bleed the middle toe）若足大、次、中趾刺血，疗效更佳若足大、

4、次、中趾刺血，疗效更佳（Better curative results can be achieved if pricking the big,second and middle toes at the same time)四、牙痛(Toothache)1.翳风翳风 风火牙痛风火牙痛 Yi Feng(SJ17)for treating wind-fire toothache2.内庭内庭 胃火牙痛胃火牙痛 Nei Ting(ST44)for treating stomach-fire tootheache3.太溪太溪 肾虚牙痛，入暮发作或加重者肾虚牙痛，入暮发作或加重者 Taixi(KI3)(t

5、o treat toothache,caused by kidney-deficiency,attacking or aggravating at dusk)4.大杼大杼 龋齿和虚火牙痛龋齿和虚火牙痛Dazhu(LI5)for treating decayed teeth and toothache due to deficiency type5.偏历偏历 尤其龋齿牙痛尤其龋齿牙痛 Pianli(LI6)especially fro treating decayed toothache 五、落枕(Stiff neck)1后溪后溪 Houxi(SI3)或束骨或束骨Shugu(BL65)太阳经太阳

6、经(Tai-yang meridian)2悬钟悬钟 Xuanzhong(GB39)少阳经少阳经(Shao-yang meridian)六、颈椎病（Cervical spondylosis）1.束骨束骨 Shugu(BL65)2.昆仑昆仑 Kunlun(BL60)3.后溪后溪 Houxi(SI3)4.腕骨腕骨 Wangu(SI4)5.太溪太溪 Taixi(KI3)6.大钟大钟 Dazhong(KI4)7.足跟腱中点足跟腱中点 Achilles tendon七、肩周炎(Peripheral shoulder arthritis)1对侧阳陵泉下半寸左右压痛点对侧阳陵泉下半寸左右压痛点(tendern

7、ess about 0.5 cun inferior to the contralateral Yanglingquan GB37)2条口透承山条口透承山(from Tiaokou ST38 penetrating to Chengshan BL57)3鱼肩鱼肩Yujian 我发现、命名的新穴我发现、命名的新穴(It is the new point that I found and named.)4.三间三间 Sanjian (LI3)5后溪后溪 Houxi(SI3)6束骨束骨 Shugu(BL65)经筋病经筋病“肩不举肩不举”(The meridian tendon and muscle

8、diseases,eg:failure to raise the hand)八、中风手指拘挛(Fingers Constriction due to Apoplexy)腕骨腕骨Wangu(SI4)九、乳腺增生病（Breast lump）人迎人迎（Renying ST9）十、急性腰扭伤(Acute lumbar muscle sprain)1人中人中 Renzhong(DU26)“人中除腰脊之强痛人中除腰脊之强痛”腰部正中（腰椎）扭伤腰部正中（腰椎）扭伤(“Renzhong DU26 can alleviate serious lumbago,especially lumbago in the

9、middle of the back”)2后溪后溪 Houxi(SI3)督脉扭伤督脉扭伤 (Du-meridian sprain)3.龈交异点龈交异点 Yinjiao(DU28)督脉扭伤督脉扭伤 例例 门诊女病人门诊女病人(Du-meridian sprain)十、急性腰扭伤(Acute lumbar muscle sprain)4手三里手三里 Shousanli(LI10)针灸甲乙经针灸甲乙经：“腰痛不得卧，手三里主腰痛不得卧，手三里主之。之。”原因：手阳明经筋挟脊内。原因：手阳明经筋挟脊内。(A-B Classic of Acupuncture and Moxibustion：“Shous

10、anli LI10 is used to treat serious lumbago.”Reason:the tendon and muscle region of Hand-Yangming distributes on spinal column)5太冲穴处压痛点太冲穴处压痛点(the pressure pain point of Taichong LR3)马丹阳天星十二穴主治杂病歌：马丹阳天星十二穴主治杂病歌：“亦能疗腰痛，亦能疗腰痛，针下有神功针下有神功”。(Tianxing twelve acupoints main indications by Ma Danyang:“Taicho

11、ng LR3 can be used for lumbago and achieve good results”.)十、急性腰扭伤(Acute lumbar muscle sprain)6 腰痛穴的用法腰痛穴的用法(the application of acupoints for lumbago)腰腰1(the L1 region)（第五掌骨全息腰穴）（第五掌骨全息腰穴）(holographic lumbar acupoints at 5th metacarpal)腰腰2(the L2 region)（第四、五掌骨之间全（第四、五掌骨之间全息腰穴）息腰穴）(holographic lumbar

12、 acupoints between 4th and 5th metacarpals)腰腰3(the L3 region)（第三、四掌骨之间全（第三、四掌骨之间全息腰穴）息腰穴）(holographic lumbar acupoints between 3th and 4thmetacarpals)腰腰4(the L4 region)（第二、三掌骨之间全（第二、三掌骨之间全息腰穴）息腰穴）(holographic lumbar acupoints between 2th and 3th metacarpals)十一、膝骨关节炎(Knee osteoarthritis)1大杼大杼 Dazhu(B

13、L11)2对侧尺泽穴处压痛点对侧尺泽穴处压痛点 the tenderness around Chize(LU5)on the contralateral side十二、腓肠肌痉挛(Systremma)承山承山Chengshan（BL57）十三、癔病性失语 （Hysterical anepia）涌泉涌泉Yong quan(KI1)十四、胃脘痛（stomachache）1.至阳至阳 Zhiyang(DU9)或灵台或灵台 Lingtai(DU10)2.中脘中脘 Zhongwan(RN12)3.内关内关 Neiguan(PC7)4.足三里足三里Zusanli(ST36)5.公孙公孙 Gongsun(S

14、P4)6.尺胃尺胃(孔最下孔最下1寸寸)Chiwei(one cun below Kongzui(LU6)7.脐胃（肚脐左上方脐胃（肚脐左上方0.51寸压痛点）寸压痛点）Qiwei(tenderness point on the left upper corner of navel about 0.5 to 1 cun)十五、腹痛（Abdominal pain）1.足三里足三里Zusanli(ST36)或中脘或中脘Zhongwan(RN12)2.上巨虚上巨虚 Shangjuxu(ST37)3.下巨虚下巨虚 Xiajuxu(ST39)4.曲泉曲泉Ququan(LR6)十六、膈肌痉挛（Convul

15、sion of diaphragm muscles）1 攒竹攒竹 Cuanzhu(BL2)2 翳风翳风 Yifeng(SJ17)3 太渊太渊 Taiyuan(LU9)4.乳中乳中 Ruzhong(ST17)5.中魁中魁 Zhongkui(EX-UE4)6.太溪太溪 Taixi（KI3）7.脐疗脐疗 umbilicus treatment：神阙：神阙 Shenque(RN8）麝香放脐内麝香放脐内 put She-xiang(musk)into umbilicus十七、急性胰腺炎（Acute Pancreatitis）地机地机 Diji（SP8）十八、支气管哮喘（Bronchial asthma）

16、1鱼际鱼际 Yuji(LU10)2孔最孔最 Kongzui(LU6)十九、心绞痛(Angina Pectoris)1 内关内关 Neiguan(PC6)2 至阳至阳 Zhiyang(DU9)二十、喜笑不休(Compulsive Laughter)神门神门 Shenmen(HT7)二十一、脏躁(Hysteria)少海少海 Shaohai(HT3)二十二、慢性胆囊炎(Chronic Cholecystitis)1 阳陵泉阳陵泉（GB34）或或胆囊穴胆囊穴 Dannang Point(EX-LE6)2.2.丘墟透照海丘墟透照海(from Qiuxu GB40 penetrating to Zhaoh

17、ai KI6)二十三、痛经(Dysmenorrhea)1十七椎十七椎 Shiqizhui(EX-B7)2脐疗：神阙用药脐疗：神阙用药 Shenque(RN8）umbilicus treatment二十四、急性扁桃体炎(Acute Tonsillitis)1.少商少商Shaoshang(LU11)实热证实热证for treating excess-heat syndrome 2.商阳商阳Shangyang(LI1)胃热火毒上攻胃热火毒上攻for treating adverse riding of stomach-heat and fire-toxin二十五、美容（Cosmetology）1.足

18、三里足三里 Zusanli (ST36)2.人迎人迎 Renying(ST9)二十六、养生保健（Health care）1.足三里足三里Zusanli（ST36）2.涌泉涌泉 指揉指揉 Yongquan(KI1)finger kneading 3.太溪太溪Taixi(KI3)4.气海气海 Qihai（RN6）5.关元关元 Guanyuan（RN4）灸法灸法moxibustion 6.神阙神阙Shenque(CV8)灸法灸法moxibustion时间病症的一针疗法 1.太冲治疗丑时病症太冲治疗丑时病症 1.Taichong(LR3)for the diseases occurring at th

19、e second twelve Earthly Branches hour(1 am to 3 a.m)（1）丑时失眠）丑时失眠 insomnia occurring at the second twelve Earthly Branches hour （2）丑时肩痛）丑时肩痛 shoulder pain occurring at the second twelve Earthly Branches hour（3）丑时腰腿疼痛）丑时腰腿疼痛 lumbar and leg pain occurring at the second twelve Earthly Branches hour（4）丑时

20、烦躁）丑时烦躁 dysphoria occurring at the second twelve Earthly Branches hour 时间病症的一针疗法 2.太渊太渊 治疗寅时病症治疗寅时病症 2.Taiyuan（LU 9）for diseases and symptoms occurring at the third twelve Earthly Branches hour(3 a.m.to 5 a.m.)（1）寅时哮喘）寅时哮喘 asthma occurring at the third twelve Earthly Branches hour （2）寅时胃痛）寅时胃痛 stoma

21、chache occurring at the third twelve Earthly Branches hour （3）寅时下肢木胀不适）寅时下肢木胀不适 numbness and distending of lower extremities occuring at the third twelve Earthly Branches hour （4）变异性心绞痛）变异性心绞痛 variability of angina occurring at the third twelve Earthly Branches hour时间病症的一针疗法 3.三间三间 治疗卯时病症治疗卯时病症 3.Sa

22、njian(LI 3)for diseases occurring at the fourth twelve Earthly Branches hour(5 a.m.7 a.m.)（1）卯时肩痛）卯时肩痛 shoulder arthralgia occurring at the fourth twelve Earthly Branches hour （2）卯时腹痛腹泻无效病例）卯时腹痛腹泻无效病例 an ineffective case of abdominal pain and diarrhea occuring at the fourth twelve Earthly Branches h

23、our 时间病症的一针疗法 4.陷谷陷谷 治疗辰时病症治疗辰时病症 4.Xiangu(ST 43)for diseases occuring at the fifth twelve Earthly Branches hour(7 a.m.to 9 a.m.)辰时双下肢疼痛辰时双下肢疼痛 both lower limbs pain occuring at the fifth twelve Earthly Branches hour 时间病症的一针疗法 5.太白治疗巳时病症太白治疗巳时病症 Taibai(SP3)for diseases occuring at the sixth twelve E

24、arthly Branches hour(9 a.m.to 11 a.m.)巳时头痛巳时头痛 headache occuring at the sixth twelve Earthly Branches hour 时间病症的一针疗法 6.神门治疗午时病症神门治疗午时病症 Shenmen(HT 7)for the diseases occurring at the seventh twelve Earthly Branches hour(11 a.m.to 1 p.m.)午时心悸午时心悸 palpitation occurring at the seventh twelve Earthly Br

25、anches hour 时间病症的一针疗法 7.太溪太溪 治疗酉时病症治疗酉时病症 7.Taixi(KI 3)for disorders occurring at the tenth twelve Earthly Branches hour(5 p.m.to 7 p.m.)（1）酉时四肢疼痛麻木加重）酉时四肢疼痛麻木加重 numbness and pain aggravation of four limbs at the tenth twelve Earthly Branches hour （2）酉时腹痛）酉时腹痛 abdominal pain(Fu Tong)occuring at the

26、tenth twelve Earthly Branches hour 时间病症的一针疗法（3）酉时头痛）酉时头痛 headache(Tou Tong)at the time of the tenth of the twelve Earthly Branches hour（4）酉时齿痛）酉时齿痛 gum-ache and toothache(Chi Tong)occurring at the time of the tenth of the twelve Earthly Branches hour （5）酉时双目上窜感无效病例）酉时双目上窜感无效病例 Ineffective case of fe

27、eling of going upward of binoculus occurring at the tenth twelve Earthly Branches 时间病症的一针疗法 8.中渚中渚 治疗亥时病症治疗亥时病症 Zhong zhu(TE 3)for the diseases occurring at the last twelve Earthly Branches hour （1）亥时坐骨神经痛）亥时坐骨神经痛 sciatica occurring at the last of the twelve Earthly Branches hour （2）亥时上肢疼痛）亥时上肢疼痛 up

28、per limb pain occurring at the last twelve Earthly Branches hour其他病症的一针疗法 1.踝关节扭伤踝关节扭伤 （Strain of ankle joint）（1 1）对侧养老穴）对侧养老穴 Yanglao(SI6)of contralateral side（2 2）对侧阳池穴）对侧阳池穴 Yangchi(SJ4)of contralateral side 其他病症的一针疗法 2.膝关节扭伤膝关节扭伤 (Strain of knee joint)对侧尺泽穴处压痛点。对侧尺泽穴处压痛点。tenderness around Chize(

29、LU5)of contralateral side其他病症的一针疗法 3.下肢肌肉拉伤下肢肌肉拉伤 (Lower limb muscle strain)对侧上臂对应部位压痛点。对侧上臂对应部位压痛点。Lower limb muscle strain 其他病症的一针疗法 4.肱骨外上髁炎（网球肘）肱骨外上髁炎（网球肘）External Humeral Epicondylitis (Tennis Elbow)肘灵穴肘灵穴 Zhou ling point 对侧腓骨小头压痛点对侧腓骨小头压痛点 the tenderness on the contralateral fibular head其他病症的一针疗法 5.足跟痛足跟痛 (Talalgia)对侧大陵穴处压痛点对侧大陵穴处压痛点 the tenderness around Daling(PC7)on the contralateral side