1、2023/2/9足太陽膀胱經台北市立聯合醫院仁愛院區中醫科 蔡曜鍵醫師2023/2/9足太陽膀胱經經脈循行體表:起於目內眥,上額,循頭頂,夾督脈下項,分成兩支,沿脊柱旁寸半及三寸、大腿後側下行,匯合于膕窩正中,沿小腿後側、足外側下行,在小趾外側端與足少陰腎經相接。體內:絡腎,屬膀胱,聯絡腦。2023/2/92023/2/9腧穴 本經共67穴:睛明、攢竹、眉沖、曲差、五處、承光、通天、絡卻、玉枕、天柱、大杼、風門、肺俞、厥陰俞、心俞、督俞、膈俞、肝俞、膽俞、脾俞、胃俞、三焦俞、腎俞、氣海俞、大腸俞、關元俞、小腸俞、膀胱俞、中膂俞、白環俞、上髎、次髎、中髎、下髎、會陽、承扶、殷門、浮郤、委陽、委中
2、、附分、魄戶、膏肓、神堂、譩譆、膈關、魂門、陽綱、意舍、胃倉、肓門、志室、胞肓、秩邊、合陽、承筋、承山、飛揚、跗陽、昆侖、僕參、申脈、金門、京骨、束骨、足通骨、至陰。2023/2/9睛明定位:在面部,目内眦角稍上方凹陷处。作用:清熱明目主治:目赤腫痛,迎風流淚,視物不明,目翳,近視,夜盲,色盲。應用:眼底病配風池、球後、光明。目赤腫痛、迎風流淚配太陽、合穀。青盲配行間、合谷、角孫。2023/2/92023/2/9攢竹攢竹定位:眉头凹陷中,眶上切迹处。作用:祛風明目。主治:前額痛,眉棱骨痛,目眩,視物不明,目赤腫痛,近視,口眼歪斜,眼瞼瞤動。2023/2/9應用:目赤腫痛、流淚配太陽、太沖。視物
3、不明配光明、養老。前頭痛,三叉神經痛(第一支)配陽白。眼瞼下垂配魚腰、絲竹空。口眼歪斜、眼瞼瞤動配四白。操作:平刺0.50.8寸,治眼疾向下平刺,治頭面疾病向外平刺。禁灸。2023/2/92023/2/9肺俞定位:当第3胸椎棘突下,旁开1.5寸。作用:清熱宣肺,止咳平喘。主治:咳嗽,氣喘,胸滿,背痛,骨蒸,潮熱,盜汗,咯血,鼻塞。鼻塞配迎香,合穀。操作:向下或向內斜刺0.50.8寸。2023/2/9心俞心俞定位:在背部,当第5胸椎棘突下,旁开1.5寸。作用:寧心安神,寬胸降氣。主治:癲狂,癇證,驚悸,失眠,健忘,心煩,心痛,咳嗽,吐血,夢遺,胸背痛。應用:失眠配內關、神門;癇證配肝俞、豐隆;心
4、痛、驚悸配巨闕、內關。操作:斜刺0.50.8寸。2023/2/9膈俞膈俞定位:第7胸椎棘突下,旁开1.5寸。取法:肩胛骨下角平第七胸椎。作用:和胃降逆,寬胸理血。主治:嘔吐,呃逆,胃脘痛,飲食不下,氣喘,咳嗽,吐血,潮熱,盜汗。2023/2/9應用:嘔吐,呃逆配內關、中脘、足三裏。咳嗽,氣喘配肺俞、膻中。肺癆配膽俞,皆用灸法。血虛、血證配肝俞。操作:向下或向內斜刺0.50.8寸。2023/2/9肝俞定位:当第胸椎棘突下,旁开1.5寸。作用:疏肝明目,行氣通絡。主治:黃疸,脅痛,吐血,目赤,視物不明,夜盲,癲狂,癇證,背痛。應用:脅痛配支溝、陽陵泉;目眩配太沖。操作:斜刺0.50.8寸。2023
5、/2/92023/2/9脾俞脾俞定位:当第11胸椎棘突下,旁开1.5寸。作用:健脾和胃。主治:腹脹,泄瀉,嘔吐,胃痛,消化不良,水腫,黃疸,背痛。應用:腹脹,吐瀉,配章門。背痛配天宗。操作:向下或向內斜刺0.50.8寸。2023/2/9胃俞胃俞定位:当第12胸椎棘突下旁开1.5寸。作用:調中和胃,化濕消滯。主治:胃脘痛,腹脹,嘔吐,完穀不化,腸鳴,胸脅痛。應用:胃脘痛配內關、梁丘。完穀不化配中脘、足三裏。操作:向下或向內斜刺0.50.8寸。2023/2/9腎俞定位:第二腰椎棘突下,旁开1.5寸。取法:肋弓下緣平第二腰椎。作用:補腎壯腰。主治:遺精,陽萎,早洩,不育,不孕,月經不調,白帶,遺尿,
6、小便不利,水腫,頭昏,耳鳴,耳聾,腰背酸痛。2023/2/9應用:遺尿配京門。遺精配三陰交,關元。帶下,水腫配陰陵泉、三陰交。耳鳴耳聾配太溪、聽宮。腰痛配大腸俞、委中。操作:直刺0.51寸。2023/2/9大腸俞定位:当第4腰椎棘突下,旁开1.5寸。取法:髂脊平第四腰椎。作用:調理大腸,通絡止痛。主治:腹痛,腹脹,泄瀉,便秘,痢疾,腰脊疼痛。應用:腹脹、泄瀉配天樞。便秘配上巨虛、承山。腰痛配至陽、腰陽關。腰腿痛配腎俞、環跳、委中。操作:直刺0.81.2寸。2023/2/9次髎定位:当髂后上棘内上方,适对第2骶后孔。取法:約當髂後上棘下與督脈水準連線的中點。作用:理氣調經。主治:腰痛,月經不調,
7、痛經,小便不利,遺精,遺尿,下肢痿痹。應用:小便不利、遺尿配三陰交、中極、腎俞。痛經配血海、關元、三陰交。操作:直刺l.01.5寸。治前陰病要使針感向前陰放射。2023/2/92023/2/9委陽定位:在膕橫紋外側端,當股二頭肌腱的內側。取法:委中外側旁開1橫指。作用:調理三焦,壯腰健腿。主治:腹滿,小便不利,腰脊強痛,下肢攣痛。應用:小便不利配三焦俞、腎俞。下肢攣痛配承山、陽陵泉。操作:直刺l.01.5寸。2023/2/9委中定位:腘横纹中央。取法:股二頭肌腱(外)與半腱肌腱(內)連線的中點。作用:壯腰強膝,舒筋清熱。主治:腰痛,下肢痿痹,中風昏迷,腹痛,吐瀉,小便不利,遺尿,丹毒。2023
8、/2/92023/2/9應用:下肢痿痹配陽陵泉、懸鐘。腰痛配腎俞、腰陽關。腹痛,吐瀉,丹毒配曲池。小便不利、遺尿配中極。操作:直刺11.5寸,或用三棱針刺絡放血。2023/2/9膏肓膏肓定位:当第4胸椎棘突下,旁开3寸。作用:清肺養陰,益氣補虛。主治:咳嗽,氣喘,肺癆,健忘,遺精,完穀不化。應用:咳嗽,氣喘配天突、定喘。肺癆配足三裏、膈俞。健忘,遺精,完穀不化配足三裏、關元。操作:向下或向內斜刺0.50.8寸。2023/2/92023/2/9志室志室定位:在腰部,当第2腰椎棘突下旁开3寸。作用:補腎益精,清利下焦。主治:遺精,陽萎,陰痛,小便不利,水腫,腰脊強痛。應用:遺精、陽痿配關元;腎虛腰
9、痛配委中、太溪。操作:直刺0.51.0寸。2023/2/9秩邊秩邊定位:平第四骶后孔,骶正中嵴旁开3寸。取法:骶管裂孔旁開4橫指。作用:清利下焦,通經活絡。主治:腰腿痛,下肢痿痹,陰痛,痔疾。應用:腰腿痛、下肢痿痹配環跳、委中、陽陵泉;痔瘡配支溝、承山。操作:直刺1.53寸。2023/2/9承山承山定位:小腿后面正中,委中与昆仑之间,当伸直小腿或足跟上提时腓肠肌肌腹下出现尖角凹陷处。取法:1.委中與跟腱(平外踝尖)連線中點。2.足跟上提時腓腸肌人字溝的頂點。作用:和腸療痔,舒經活絡。2023/2/92023/2/9主治:腰背痛,小腿轉筋,痔疾,便秘,腹痛,疝氣。應用:痔瘡配長強、血海;便秘配大
10、腸俞、秩邊;小腿抽筋拘急疼痛配委中。操作:直刺12寸。2023/2/9昆侖昆侖定位:外踝尖与跟腱之间凹陷处。作用:疏風通絡,安神止痛。主治:頭痛,項強,目眩,鼻衄,瘧疾,肩背拘急,腰痛,腳跟痛,小兒癇證,難產。2023/2/9應用:頭痛項強配後溪、天柱;目眩配攢竹;癇證配百會;腰骶痛配大腸俞,次髎;腳跟痛配太溪;難產配至陰。操作:直刺0.50.8寸。妊娠慎針。2023/2/9申脈申脈(八脈交會穴、通于陽蹺脈)定位:外踝直下方凹陷中。作用:舒筋活絡,安神定志。主治:頭痛、眩暈,癲狂癇證、失眠等神志疾病,腰腿酸痛。應用:配後溪穴為八脈交會穴配穴法,治療內眥和頸項病。操作:直刺0.30.5寸。202
11、3/2/9至陰至陰定位:在足小趾末节外侧,距趾甲角.1寸。作用:通鼻明目,補腎轉胎。主治:頭痛,鼻塞,鼻衄,目痛,胎位不正,難產,胞衣不下。2023/2/92023/2/9應用:n胎位不正取雙側至陰,用艾條溫和灸,以妊娠28周至36周療效最好,灸前排空小便,鬆開腰帶,正坐垂足位或仰臥屈膝位,每側腧穴灸1520分鐘,每天1次,灸15次收效,見效即止。n配風池、攢竹治頭痛。操作:淺刺0.1寸或點刺放血,妊娠慎針。2023/2/9足太陽膀胱經小結n經脈循行n起於目內眥,上額,循頭頂,夾督脈下項,分成兩支,沿脊柱旁寸半及三寸、大腿後側下行,匯合于膕窩正中,再沿小腿後側、足外側下行,止於小趾外側端。n體
12、內路徑:絡腎,屬膀胱,聯絡腦。n本經共有67個腧穴,起於睛明,止于至陰。2023/2/92.取穴要點目內眥上方取睛明。眶上切跡取攢竹。背部第一側線取肺俞、心俞、膈俞、肝俞、脾俞、胃俞、腎俞、大腸俞。背部第二側線取膏肓、志室、秩邊。第二骶後孔取次髎。膕橫紋中央取委中,委中外1寸取委陽。腓腸肌人字溝頂點取承山。小趾外側甲角旁取至陰。2023/2/93.主治要點n外經病:睛明攢竹治目疾,天柱治頭項病,背腰腧穴治背腰痛,腰骶下肢腧穴治腰骶下肢病。n臟腑病:背俞穴主治所屬臟腑的病證。腰骶腧穴治前陰病。委陽治三焦病。n神志病:癲狂癇,不寐。2023/2/95.操作要點睛明、攢竹禁艾炷灸。攢竹斜刺或平刺,背
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21、(v%r#oXlTiQfNbK8G5D2A-x*u$qZnVkShPdMaJ7F4C0z)w&s!pYmUjRfOcL9H6E3B+y(v%r#oWlTiQeNbK8G5D1A-x*t$qZnVkSgPdMaI7F4C0z)v&s!pXmUjRfOcK9H6E2B+y(u%rZoWlThQeNeNbJ8G4D1A-w*t$qYnVjSgPdLaI7F3C0y)v&s#pXmUiRfOcK9H5E2B+x(u%rZoWkThQeMbJ8G4D1z-w*t!qYnVjSgOdLaI6F3C0y)v%s#pXlUiRfNcK8H5E2A+x(u$rZnWkThPeMbJ7G4D1z-w&t!qYmV
22、jSgOdL9I6F3B0y)v%s#oXlUiQfNcK8H5D2A+x*u$rZnWkShPeMaJ7G4C1z)w&t!pYmVjRgOcL9I6E3B0y(v%s#oXlTiQfNbK8H5D2A-x*u$qZnWkShPdMaJ7F4C1z)w&s!pYmUjRgOcL9H6E3B+y(v%r#oWlTiQeNbK8G5D1A-x*t$qZnVkSgPdMaI7F4C0z)w&s!pXmUjRfOcL9H6E2B+y(u%r#oWlThQeNbJ8G5D1A-w*t$qYnVkSgPdLaI7F3C0z)v&s#pXmUiRfOcK9H5E2B+x(u%rZoWlThQeMbJ8G4
23、D1A-w*t!qYnVjSgPdLaI6F3C0y)v&s#pXlUiRfNcK9H5E2A+x(u$rZoWkThPeMbJ7G4D1z-w&t!qYmVjSgOdL9I6F3B0y)v%s#pXlUiQfNcK8H5E2A+x*u$rZnWkThPeMaJ7G4C1z-w&t!pYmVjRgOdL9I6E3E3B0y(v%s#oXlTiQfNbK8H5D2A-x*u$qZnWkShPdMaJ7F4C1z)w&t!pYmUjRgOcL9I6E3B+y(v%r#oXlTiQeNbK8G5D2A-x*t$qZnVkShPdMaI7F4C0z)w&s!pXmUjRfOcL9H6E2B+y(u%r
24、#oWlThQeNbJ8G5D1A-x*t$qYnVkSgPdMaI7F3C0z)v&s!pXmUiRfOcK9H6E2B+x(u%rZoWlThQeMbJ8G4D1A-w*t!qYnVjSgPdLaI6F3C0y)v&s#pXmUiRfNcK9H5E2B+x(u$rZoWkThQeMbJ7G4D1z-w*t!qYmVjSgOdLaI6F3B0y)v%s#pXlUiQfNcK8H5E2A+x*u$rZnWkThPeMaJ7G4C1z-w&t!qYmVjRgOdL9I6F3B0y(v%s#oXlUiQfNbK8H5D2A+x*u$qZnWkShPeMaJ7F4C1z)w&t!pYmUjRgOcL
25、9I6E3B+y(v%r#oXlTiQfNbK8G5D2A-x*u$qZnVkShPdMaJ7F4C0z)w&s!pYmUjRfOcL9H6E3B+y(u%r#oWlTiQeNbJ8G5D1A-x*t$qYnVkSgPdMaI7F4C0z)v&s!pXmUjRfOcK9H6E2B+y(u%rZoWlThQeNbJ8G4D1A-w*t$qYnVjSgPdLaI7F3C0y)v&s#pXmUiRfNcK9H5E2B+x(u$rZoWkThQeMbJ8G4D1z-w*t!qYnVjSgOdLaI6F3C0y)v%s#pXlUiRfNcK8H5E2A+x(u$rZnWkThPeMbJ7G4C1z-w&
26、t!qYmVjRgOdL9I6F3B0y)v%s#oXlUiQfNcK8H5D2A+x*u$rZnWkShPeMaJ7G4C1z)w&t!pYmVjRgOcL9I6E3B0y(v%r#oXlTiQfNbK8G5D2A-x*u$qZnWkShPdMaJ7F4C1z)w&s!pYmUjRgOcL9H6E3B+y(v%r#oWlTiQeNbK8G5D1A-x*t$qZnVkSgPdMaI7F4C0z)v&s!pXmUjRfOcK9H6E2B+y(u%r#oWlThQeNbJ8G5D1A-w*t$qYnVkSgPdLaI7F3C0z)v&s#pXmUiRfOcK9H5E5E2B+x(u%rZoWkTh
27、QeMbJ8G4D1z-w*t!qYnVjSgOdLaI6F3C0y)v%s#pXlUiRfNcK9H5E2A+x(u$rZoWkThPeMbJ7G4D1z-w&t!qYmVjSgOdL9I6F3B0y)v%s#oXlUiQfNcK8H5D2A+x*u$rZnWkShPeMaJ7G4C1z-w&t!pYmVjRgOdL9I6E3B0y(v%s#oXlTiQfNbK8H5D2A-x*u$qZnWkShPdMaJ7F4C1z)w&s!pYmUjRgOcL9H6E3B+y(v%r#oXlTiQeNbK8G5D2A-x*t$qZnVkShPdMaI7F4C0z)w&s!pXmUjRfOcL9H6E2B
28、+y(u%r#oWlThQeNbJ8G5D1A-w*t$qYnVkSgPdLaI7F3C0z)v&s!pXmUiRfOcK9H6E2B+x(u%rZoWlThQeMbJ8G4D1A-w*t!qYnVjSgPdLaI6F3C0y)v&s#pXlUiRfNcK9H5E2A+x(u$rZoWkThQeMbJ7G4D1z-w*t!qYmVjSgOdLaI6F3B0y)v%s#pXlUiQfNcK8H5E2A+x*u$rZnWkThPeMaJ7G4C1z-w&t!pYmVjRgOdL9I6F3B0y(v%s#oXlUiQfNbK8H5D2A+x*u$qZnWkShPeMaJ7F4C1z)w&t!pYmU
29、jRgOcL9I6E3B+y(v%r#oXlTiQeNbK8G5D2A-x*t$qZnVkShPdMaJ7F4C0z)w&s!pYmUjRfOcL9H6E3B+y(u%r#oWlTiQeNbJ8G5D1A-x*t$qYnVkSgPdMaI7F3C0z)v&s!pXmUiRfOcK9H6E2B+y(u%rZoWlThQeNbJ8G4D1A-w*t$qYnVjSgPdLaI7F3C0y)v&s#pXmUiRfNcK9H5E2B+x(u$rZoWkThQeMbJ7G4D1z-w*t!qYmVjSgOdLaI6F3C0y)v%s#pXlUiRfNcK8H5E2A+x(u$rZnWkThPeMbJ7G4
30、C1z-w&t!qYmVjRgOdL9I6F3B0y(v%s#oXlUiQfNbK8H5D2A+x*u$rZnWkShPeMaJ7G4C1z)w&t!pYmVjRgOcL9I6E3B0y(v%r#oXlTiQfNbK8G5D2A-x*u$qZnZnVkShPdMaJ7F4C0z)w&s!pYmUjRfOcL9H6E3B+y(u%r#oWlTiQeNbK8G5D1A-x*t$qZnVkSgPdMaI7F4C0z)v&s!pXmUjRfOcK9H6E2B+y(u%rZoWlThQeNbJ8G4D1A-w*t$qYnVjSgPdLaI7F3C0z)v&s#pXmUiRfOcK9H5E2B+x(u%r
31、ZoWkThQeMbJ8G4D1z-w*t!qYnVjSgOdLaI6F3C0y)v%s#pXlUiRfNcK8H5E2A+x(u$rZnWkThPeMbJ7G4D1z-w&t!qYmVjSgOdL9I6F3B0y)v%s#oXlUiQfNcK8H5D2A+x*u$rZnWkShPeMaJ7G4C1z)w&t!pYmVjRgOcL9I6E3B0y(v%s#oXlTiQfNbK8H5D2A-x*u$qZnWkShPdMaJ7F4C1z)w&s!pYmUjRgOcL9H6E3B+y(v%r#oWlTiQeNbK8G5D1A-x*t$qZnVkShPdMaI7F4C0z)w&s!pXmUjRfOcL
32、9H6E2B+y(u%r#oWlThQeNbJ8G5D1A-w*t$qYnVkSgPdLaI7F3C0z)v&s#pXmUiRfOcK9H5E2B+x(u%rZoWlThQeMbJ8G4D1A-w*t!qYnVjSgPdLaI6F3C0y)v&s#pXlUiRfNcK9H5E2A+x(u$rZoWkThPeMbJ7G4D1z-w&t!qYmVjSgOdLaI6F3B0y)v%s#pXlUiQfNcK8H5E2A+x*u$rZnWkThPeMaJ7G4C1z-w&t!pYmVjRgOdL9I6E3B0y(v%s#oXlTiQfNbK8H5D2A+x*u$qZnWkShPeMaJ7F4C1z)w&
33、t!pYmUjRgOcL9I6E3B+y(v%r#oXlTiQeNbK8G5D2A-x*t$qZnVkShPdMaI7F4F4C0z)w&s!pXmUjRfOcL9H6E2B+y(u%r#oWlTiQeNbJ8G5D1A-x*t$qYnVkSgPdMaI7F3C0z)v&s!pXmUiRfOcK9H6E2B+x(u%rZoWlThQeMbJ8G4D1A-w*t!qYnVjSgPdLaI6F3C0y)v&s#pXmUiRfNcK9H5E2B+x(u$rZoWkThQeMbJ7G4D1z-w*t!qYmVjSgOdLaI6F3B0y)v%s#pXlUiQfNcK8H5E2A+x*u$rZnWkTh
34、PeMbJ7G4C1z-w&t!qYmVjRgOdL9I6F3B0y(v%s#oXlUiQfNbK8H5D2A+x*u$qZnWkShPeMaJ7F4C1z)w&t!pYmUjRgOcL9I6E3B0y(v%r#oXlTiQfNbK8G5D2A-x*u$qZnVkShPdMaJ7F4C0z)w&s!pYmUjRfOcL9H6E3B+y(u%r#oWlTiQeNbJ8G5D1A-x*t$qYnVkSgPdMaI7F4C0z)v&s!pXmUjRfOcK9H6E2B+y(u%rZoWlThQeNbJ8G4D1A-w*t$qYnVjSgPdLaI7F3C0y)v&s#pXmUiRfNcK9H5E2B
35、+x(u%rZoWkThQeMbJ8G4D1z-w*t!qYnVjSgOdLaI6F3C0y)v%s#pXlUiRfNcK8H5E2A+x(u$rZnWkThPeMbJ7G4C1z-w&t!qYmVjRgOdL9I6F3B0y)v%s#oXlUiQfNcK8H5D2A+x*u$rZnWkShPeMaJ7G4C1z)w&t!pYmVjRgOcL9I6E3B0y(v%r#oXlTiQfNbK8G5D2A2A-x*u$qZnVkShPdMaJ7F4C1z)w&s!pYmUjRgOcL9H6E3B+y(v%r#oWlTiQeNbK8G5D1A-x*t$qZnVkSgPdMaI7F4C0z)v&s!pX
36、mUjRfOcK9H6E2B+y(u%rZoWlThQeNbJ8G5D1A-w*t$qYnVkSgPdLaI7F3C0z)v&s#pXmUiRfOcK9H5E2B+x(u%rZoWkThQeMbJ8G4D1z-w*t!qYnVjSgOdLaI6F3C0y)v&s#pXlUiRfNcK9H5E2A+x(u$rZoWkThPeMbJ7G4D1z-w&t!qYmVjSgOdL9I6F3B0y)v%s#oXlUiQfNcK8H5D2A+x*u$rZnWkThPeMaJ7G4C1z-w&t!pYmVjRgOdL9I6E3B0y(v%s#oXlTiQfNbK8H5D2A-x*u$qZnWkShPdMaJ7
37、F4C1z)w&s!pYmUjRgOcL9H6E3B+y(v%r#oXlTiQeNbK8G5D2A-x*t$qZnVkShPdMaI7F4C0z)w&s!pXmUjRfOcL9H6E2B+y(u%r#oWlThQeNbJ8G5D1A-w*t$qYnVkSgPdMaI7F3C0z)v&s!pXmUiRfOcK9H6E2B+x(u%rZoWlThQeMbJ8G4D1A-w*t!qYnVjSgPdLaI6F3C0y)v&s#pXlUiRfNcK9H5E2A+x(u$rZoWkThQeMbJ7G4D1z-w*t!qYmVjSgOdLaI6F3B0y)v%s#pXlUiQfNcK8H5E2A+x*u$r
38、ZnWkThPeMaJ7G4C1z-w&t!pYmVjRgOdL9I6F3B0y(v%s#oXlUiQfNbK8H5D2A+x*u$qZnWkShPeMaJ7F4C1z)w&t!pYmUjRgOcL9I9I6E3B+y(v%r#oXlTiQeNbK8G5D2A-x*t$qZnVkShPdMaI7F4C0z)w&s!pYmUjRfOcL9H6E3B+y(u%r#oWlTiQeNbJ8G5D1A-x*t$qYnVkSgPdMaI7F3C0z)v&s!pXmUiRfOcK9H6E2B+x(u%rZoWlThQeNbJ8G4D1A-w*t$qYnVjSgPdLaI7F3C0y)v&s#pXmUiRfN
39、cK9H5E2B+x(u$rZoWkThQeMbJ7G4D1z-w*t!qYmVjSgOdLaI6F3B0y)v%s#pXlUiRfNcK8H5E2A+x(u$rZnWkThPeMbJ7G4C1z-w&t!qYmVjRgOdL9I6F3B0y(v%s#oXlUiQfNbK8H5D2A+x*u$qZnWkShPeMaJ7G4C1z)w&t!pYmVjRgOcL9I6E3B0y(v%r#oXlTiQfNbK8G5D2A-x*u$qZnVkShPdMaJ7F4C0z)w&s!pYmUjRfOcL9H6E3B+y(v%r#oWlTiQeNbK8G5D1A-x*t$qZnVkSgPdMaI7F4C0z)
40、v&s!pXmUjRfOcK9H6E2B+y(u%rZoWlThQeNbJ8G4D1A-w*t$qYnVjSgPdLaI7F3C0z)v&s#pXmUiRfOcK9H5E2B+x(u%rZoWkThQeMbJ8G4D1z-w*t!qYnVjSgOdLaI6F3C0y)v%s#pXlUiRfNcK8H5E2A+x(u$rZoWkThPeMbJ7G4D1z-w&t!qYmVjSgOdL9I6F3B0y)v%s#oXlUiQfNcK8H5D2A+x*u$rZnWkShPeMaJ7G4C1z)w&t!pYmVjRgOdL9I6E3B0y(v%s#oXlTiQfNbK8H8H5D2A-x*u$qZnWk
41、ShPdMaJ7F4C1z)w&s!pYmUjRgOcL9H6E3B+y(v%r#oWlTiQeNbK8G5D1A-x*t$qZnVkSgPdMaI7F4C0z)w&s!pXmUjRfOcL9H6E2B+y(u%r#oWlThQeNbJ8G5D1A-w*t$qYnVkSgPdLaI7F3C0z)v&s#pXmUiRfOcK9H5E2B+x(u%rZoWkThQeMbJ8G4D1A-w*t!qYnVjSgPdLaI6F3C0y)v&s#pXlUiRfNcK9H5E2A+x(u$rZoWkThPeMbJ7G4D1z-w&t!qYmVjSgOdL9I6F3B0y)v%s#pXlUiQfNcK8H5E
42、2A+x*u$rZnWkThPeMaJ7G4C1z-w&t!pYmVjRgOdL9I6E3B0y(v%s#oXlTiQfNbK8H5D2A-x*u$qZnWkShPeMaJ7F4C1z)w&t!pYmUjRgOcL9I6E3B+y(v%r#oXlTiQeNbK8G5D2A-x*t$qZnVkShPdMaI7F4C0z)w&s!pXmUjRfOcL9H6E2B+y(u%r#oWlTiQeNbJ8G5D1A-x*t$qYnVkSgPdMaI7F3C0z)v&s!pXmUiRfOcK9H6E2B+x(u%rZoWlThQeMbJ8G4D1A-w*t!qYnVjSgPdLaI7F3C0y)v&s#pX
43、mUiRfNcK9H5E2B+x(u$rZoWkThQeMbJ7G4D1z-w*t!qYmVjSgOdLaI6F3B0y)v%s#pXlUiQfNcK8H5E2A+x(u$rZnWkThPeMbJ7G4C1z-w&t!qYmVjRgOdL9I6F3B0y(v%s#oXlUiQfNbK8H5D2A+x*u$q$qZnWkShPeMaJ7F4C1z)w&t!pYmUjRgOcL9I6E3B+y(v%r#oXlTiQfNbK8G5D2A-x*u$qZnVkShPdMaJ7F4C0z)w&s!pYmUjRfOcL9H6E3B+y(u%r#oWlTiQeNbJ8G5D1A-x*t$qYnVkSgPdMa
44、I7F3C0z)v&s!pXmUjRfOcK9H6E2B+y(u%rZoWlThQeQeNbJ8G4D1A-w*t$qYnVjSgPdLaI7F3C0y)v&s#pXmUiRfNcK9H5E2B+x(u$rZoWkThQeMbJ7G4D1z-w*t!qYnVjSgOdLaI6F3C0y)v%s#pXlUiRfNcK8H5E2A+x(u$rZnWkThPeMbJ7G4C1z-w&t!qYmVjRgOdL9I6F3B0y(v%s#oXlUiQfNbK8H5D2A+x*u$rZnWkShPeMaJ7G4C1z)w&t!pYmVjRgOcL9I6E3B0y(v%r#oXlTiQfNbK8G5D2A-x
45、*u$qZnVkShPdMaJ7F4C0z)w&s!pYmUjRgOcL9H6E3B+y(v%r#oWlTiQeNbK8G5D1A-x*t$qZnVkSgPdMaI7F4C0z)v&s!pXmUjRfOcK9H6E2B+y(u%rZoWlThQeNbJ8G4D1A-w*t$qYnVkSgPdLaI7F3C0z)v&s#pXmUiRfOcK9H5E2B+x(u%rZoWkThQeMbJ8G4D1z-w*t!qYnVjSgOdLaI6F3C0y)v%s#pXlUiRfNcK9H5E2A+x(u$rZoWkThPeMbJ7G4D1z-w&t!qYmVjSgOdL9I6F3B0y)v%s#oXlUiQfNcK8H5D2A+x*u$rZnWkShPeMaJ7G4C1z-w&t!pYmVjRgOdL9I6E3B0y(v%s#oXlTiQfNbK8H5D2A-x*u$qZnWkShPdMaJ7F4C1z)w&s!pYmUjRgOcL9H6E3B+y(v%r#oWlTiQeNbK8G5D2A-x*t$qZnVkShPdMaI7F4F4C0z)w&s!pXmUjRfOcL9H6E2B+y(u%r#oWlThQeNbJ8G5D1A-w*