一針療法的臨床應(yīng)用

1、一針療法的臨床應(yīng)用,Clinical Application of the One-needle Therapy 山東中醫(yī)藥大學(xué) 針灸推拿學(xué)院 高樹中 Prof. Gao Shuzhong School of Acupuncture and Moxibustion Shandong University of TCM2009.07,,,一、頭痛(Headache),1. 頭維 點(diǎn)刺出血 Touwei (ST8) pri

2、ck the point 治療經(jīng)前頭痛 (to treat headache before menstruation) 2. 肓俞 Huangshu (KI16), 治療用腦過(guò)度等所致腎虛沖逆引起的血管性頭痛，喜歡重按者 (to treat kidney-deficiency vascular headache caused by brain overstrain, and the pain can get relie

3、ved by pressing).,二、眉棱骨痛(Pain in the Supraorbital Region),1．昆侖 Kunlun (SJ17) 風(fēng)邪所致for treating pain in the supraorbital region caused by pathogenic wind2．解溪 Jiexi (ST41) 胃經(jīng)濁熱上攻所致for treating pain in the supraorbital r

4、egion caused by ascending of turbid heat of stomach meridian,三、麥粒腫(Stye),1. 肩胛區(qū)紅點(diǎn)放血 上眼瞼 （upper eyelid: bleed red spots in scapular region）2. 足中趾點(diǎn)刺出血 下眼瞼 （lower eyelid: bleed the middle toe） 若足大、次、中趾刺血，療效更佳 （Bet

5、ter curative results can be achieved if pricking the big, second and middle toes at the same time),四、牙痛(Toothache ),1. 翳風(fēng) 風(fēng)火牙痛 Yi Feng (SJ17) for treating wind-fire toothache2. 內(nèi)庭 胃火牙痛 Nei Ting(ST44) for tre

6、ating stomach-fire tootheache3. 太溪 腎虛牙痛，入暮發(fā)作或加重者 Taixi (KI3) (to treat toothache, caused by kidney-deficiency, attacking or aggravating at dusk)4. 大杼 齲齒和虛火牙痛Dazhu (LI5) for treating decayed teeth and toothache due

7、 to deficiency type5. 偏歷 尤其齲齒牙痛 Pianli (LI6 ) especially fro treating decayed toothache,五、落枕(Stiff neck),1．后溪 Houxi (SI3) 或束骨Shugu (BL65) 太陽(yáng)經(jīng) (Tai-yang meridian)2．懸鐘 Xuanzhong (GB39) 少陽(yáng)經(jīng)(Shao-yang meridian),六、頸椎病

8、（Cervical spondylosis ）,1.束骨 Shugu (BL65)2.昆侖 Kunlun(BL60)3.后溪 Houxi(SI3)4.腕骨 Wangu(SI4)5.太溪 Taixi(KI3)6.大鐘 Dazhong(KI4)7.足跟腱中點(diǎn) Achilles tendon,七、肩周炎 (Peripheral shoulder arthritis),1．對(duì)側(cè)陽(yáng)陵泉下半寸左右壓痛點(diǎn) (tenderness ab

9、out 0.5 cun inferior to the contralateral Yanglingquan GB37)2．條口透承山 (from Tiaokou ST38 penetrating to Chengshan BL57)3．魚肩Yujian 我發(fā)現(xiàn)、命名的新穴( It is the new point that I found and named.)4. 三間 Sanjian (LI3)5．后溪 Houxi

10、(SI3) 6．束骨 Shugu (BL65) 經(jīng)筋病“肩不舉”(The meridian tendon and muscle diseases, eg: failure to raise the hand),八、中風(fēng)手指拘攣(Fingers Constriction due to Apoplexy ),腕骨Wangu (SI4),九、乳腺增生?。˙reast lump ）,人迎（Renying ST9）,十、急性腰扭傷(

11、Acute lumbar muscle sprain ),1．人中 Renzhong (DU26 ) “人中除腰脊之強(qiáng)痛” 腰部正中（腰椎）扭傷(“Renzhong DU26 can alleviate serious lumbago, especially lumbago in the middle of the back ”) 2．后溪 Houxi (SI3) 督脈扭傷 (Du-meridi

12、an sprain) 3. 齦交異點(diǎn) Yinjiao (DU28) 督脈扭傷 例 門診女病人 (Du-meridian sprain),十、急性腰扭傷(Acute lumbar muscle sprain ),4．手三里 Shousanli (LI10) 《針灸甲乙經(jīng)》：“腰痛不得臥，手三里主之?！痹颍菏株?yáng)明經(jīng)筋挾脊內(nèi)。(A-B Classic of Acupuncture and Mox

13、ibustion：“Shousanli LI10 is used to treat serious lumbago.” Reason: the tendon and muscle region of Hand-Yangming distributes on spinal column) 5．太沖穴處壓痛點(diǎn) (the pressure pain point of Taichong LR3) 馬丹陽(yáng)天星十二穴主治雜病歌：“亦能療腰

14、痛，針下有神功”。(Tianxing twelve acupoints’ main indications by Ma Danyang: “Taichong LR3 can be used for lumbago and achieve good results”.),十、急性腰扭傷(Acute lumbar muscle sprain ),6． 腰痛穴的用法 (the application of acupoints for lum

15、bago) 腰1 (the L1 region) （第五掌骨全息腰穴）(holographic lumbar acupoints at 5th metacarpal) 腰2 (the L2 region) （第四、五掌骨之間全息腰穴）( holographic lumbar acupoints between 4th and 5th metacarpals) 腰3 (the

16、 L3 region) （第三、四掌骨之間全息腰穴）( holographic lumbar acupoints between 3th and 4thmetacarpals) 腰4 (the L4 region) （第二、三掌骨之間全息腰穴）( holographic lumbar acupoints between 2th and 3th metacarpals),十一、膝骨關(guān)節(jié)炎 (Knee osteoarthritis

17、),1．大杼 Dazhu (BL11) 2．對(duì)側(cè)尺澤穴處壓痛點(diǎn) the tenderness around Chize (LU5) on the contralateral side,十二、腓腸肌痙攣(Systremma),承山Chengshan（BL57）,十三、癔病性失語(yǔ) （Hysterical anepia）,涌泉Yong quan(KI1),十四、胃脘痛（stomachache）,1.至陽(yáng)

18、 Zhiyang(DU9)或靈臺(tái) Lingtai(DU10)2.中脘 Zhongwan(RN12)3.內(nèi)關(guān) Neiguan(PC7)4.足三里Zusanli(ST36)5.公孫 Gongsun(SP4)6.尺胃(孔最下1寸) Chiwei ( one cun below Kongzui (LU6)7.臍胃（肚臍左上方0.5～1寸壓痛點(diǎn)）

19、 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Zusanli(ST36)或中脘Zhongwan(RN12) 2. 上巨虛 Shangjuxu(ST37) 3. 下巨虛 Xiajuxu(ST39) 4. 曲泉Ququa

20、n(LR6),十六、膈肌痙攣（Convulsion of diaphragm muscles ）,1． 攢竹 Cuanzhu (BL2 ) 2． 翳風(fēng) Yifeng (SJ17) 3． 太淵 Taiyuan (LU9 ) 4. 乳中 Ruzhong (ST17 ) 5. 中魁 Zhongkui(EX-UE4)6. 太溪 Taixi（KI3） 7. 臍療 umbilicus treatment

21、 ：神闕 Shenque (RN8） 麝香放臍內(nèi) put She-xiang (musk) into umbilicus,十七、急性胰腺炎（Acute Pancreatitis ）,地機(jī) Diji （SP8）,十八、支氣管哮喘（Bronchial asthma ）,1．魚際 Yuji (LU10) 2．孔最 Kongzui (LU6),十九、心絞痛(Angina Pectoris ),1． 

22、; 內(nèi)關(guān) Neiguan (PC6)2．  至陽(yáng) Zhiyang (DU9),二十、喜笑不休(Compulsive Laughter),神門 Shenmen (HT7),二十一、臟躁(Hysteria),少海 Shaohai (HT3),二十二、慢性膽囊炎(Chronic Cholecystitis),1．  陽(yáng)陵泉（GB34）或膽囊穴 Dannang Point (EX-LE6 )2. 丘墟透照海(f

23、rom Qiuxu GB40 penetrating to Zhaohai KI6 ),二十三、痛經(jīng)(Dysmenorrhea),1．十七椎 Shiqizhui (EX-B7)2．臍療：神闕用藥 Shenque (RN8）umbilicus treatment,二十四、急性扁桃體炎 (Acute Tonsillitis ),1. 少商Shaoshang(LU11) 實(shí)熱證for treating excess-heat sy

24、ndrome2. 商陽(yáng)Shangyang(LI1) 胃熱火毒上攻for treating adverse riding of stomach-heat and fire-toxin,二十五、美容（Cosmetology ）,1.足三里 Zusanli (ST36) 2.人迎 Renying (ST9),二十六、養(yǎng)生保?。℉ealth care）,1. 足三里Zusanli（ST36）2. 涌泉 指

25、揉 Yongquan(KI1) finger kneading3. 太溪Taixi(KI3)4. 氣海 Qihai（RN6）5. 關(guān)元 Guanyuan（RN4）灸法moxibustion6. 神闕Shenque(CV8)灸法moxibustion,時(shí)間病癥的一針療法,1. 太沖治療丑時(shí)病癥 1. Taichong(LR3) for the diseases occurring at the second

26、 twelve Earthly Branches hour(1 am to 3 a.m) （1）丑時(shí)失眠 insomnia occurring at the second twelve Earthly Branches hour （2）丑時(shí)肩痛 shoulder pain occurring at the second twelve Earthly Branches hour（3）丑時(shí)腰腿疼痛 lumbar

27、 and leg pain occurring at the second twelve Earthly Branches hour（4）丑時(shí)煩躁 dysphoria occurring at the second twelve Earthly Branches hour,時(shí)間病癥的一針療法,2. 太淵 治療寅時(shí)病癥 2.Taiyuan（LU 9）for diseases and symptoms occurri

28、ng at the third twelve Earthly Branches hour (3 a.m. to 5 a.m.) （1）寅時(shí)哮喘 asthma occurring at the third twelve Earthly Branches hour （2）寅時(shí)胃痛 stomachache occurring at the third twelve Earthly Branches hour （3）寅時(shí)

29、下肢木脹不適 numbness and distending of lower extremities occuring at the third twelve Earthly Branches hour （4）變異性心絞痛 variability of angina occurring at the third twelve Earthly Branches hour,時(shí)間病癥的一針療法,3. 三間 治療卯時(shí)病癥

30、 3. Sanjian (LI 3) for diseases occurring at the fourth twelve Earthly Branches hour (5 a.m.~7 a.m.) （1）卯時(shí)肩痛 shoulder arthralgia occurring at the fourth twelve Earthly Branches hour （2）卯時(shí)腹痛腹瀉無(wú)效病例 an inef

31、fective case of abdominal pain and diarrhea occuring at the fourth twelve Earthly Branches hour,時(shí)間病癥的一針療法,4. 陷谷 治療辰時(shí)病癥 4. Xiangu (ST 43) for diseases occuring at the fifth twelve Earthly Branches hour (7 a.m. to 9 a

32、.m.) 辰時(shí)雙下肢疼痛 both lower limbs pain occuring at the fifth twelve Earthly Branches hour,時(shí)間病癥的一針療法,5. 太白治療巳時(shí)病癥 Taibai (SP3) for diseases occuring at the sixth twelve Earthly Branches hour(9 a.m. to 11 a.m.)

33、 巳時(shí)頭痛 headache occuring at the sixth twelve Earthly Branches hour,時(shí)間病癥的一針療法,6. 神門治療午時(shí)病癥 Shenmen (HT 7) for the diseases occurring at the seventh twelve Earthly Branches hour (11 a.m. to 1 p.m.) 午時(shí)心悸 p

34、alpitation occurring at the seventh twelve Earthly Branches hour,時(shí)間病癥的一針療法,7. 太溪 治療酉時(shí)病癥 7.Taixi (KI 3) for disorders occurring at the tenth twelve Earthly Branches hour(5 p.m. to 7 p.m.) （1）酉時(shí)四肢疼痛麻木加重 numbness

35、and pain aggravation of four limbs at the tenth twelve Earthly Branches hour （2）酉時(shí)腹痛 abdominal pain (Fu Tong) occuring at the tenth twelve Earthly Branches hour,時(shí)間病癥的一針療法,（3）酉時(shí)頭痛 headache ( Tou Tong) at the time

36、 of the tenth of the twelve Earthly Branches hour（4）酉時(shí)齒痛 gum-ache and toothache (Chi Tong) occurring at the time of the tenth of the twelve Earthly Branches hour （5）酉時(shí)雙目上竄感無(wú)效病例 Ineffective case of feeling of go

37、ing upward of binoculus occurring at the tenth twelve Earthly Branches,時(shí)間病癥的一針療法,8. 中渚 治療亥時(shí)病癥 Zhong zhu (TE 3) for the diseases occurring at the last twelve Earthly Branches hour （1）亥時(shí)坐骨神經(jīng)痛 sciatica occurring at

38、the last of the twelve Earthly Branches hour （2）亥時(shí)上肢疼痛 upper limb pain occurring at the last twelve Earthly Branches hour,其他病癥的一針療法,1. 踝關(guān)節(jié)扭傷 （Strain of ankle joint）（1）對(duì)側(cè)養(yǎng)老穴 Yanglao(SI6) of contralateral side

39、（2）對(duì)側(cè)陽(yáng)池穴 Yangchi(SJ4) of contralateral side,其他病癥的一針療法,2. 膝關(guān)節(jié)扭傷 (Strain of knee joint) 對(duì)側(cè)尺澤穴處壓痛點(diǎn)。 tenderness around Chize(LU5) of contralateral side,其他病癥的一針療法,3. 下肢肌肉拉傷 (Lower limb muscle stra

40、in ) 對(duì)側(cè)上臂對(duì)應(yīng)部位壓痛點(diǎn)。 Lower limb muscle strain,其他病癥的一針療法,4. 肱骨外上髁炎（網(wǎng)球肘） External Humeral Epicondylitis (Tennis Elbow) 肘靈穴 Zhou ling point 對(duì)側(cè)腓骨小頭壓痛點(diǎn) the tenderness on the