针灸一针疗法的临床应用 .ppt

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)prickthepoint治治 疗疗 经经 前前 头头 痛痛 (to treat headachebeforemenstruation)2.肓肓俞俞Huangshu(KI16),治治疗疗用用脑脑过过度度等等所所致致肾肾虚虚冲冲逆逆引引起起的的血血管管性性头头痛痛，喜喜欢欢重重按按者者(totreatkidney-deficiencyvascularheadache caused by brain overstrain,and the pain can get relieved bypressing).二、眉棱骨痛(Pain in the Supraorbital Region)1昆昆仑仑Kunlun(SJ17)风风邪邪所所致致fortreatingpain in the supraorbital region caused bypathogenicwind2解解溪溪 Jiexi(ST41)胃胃经经浊浊热热上上攻攻所所致致fortreating pain in the supraorbital regioncaused by ascending of turbid heat ofstomachmeridian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（uppereyelid:bleedredspotsinscapularregion）2.足中趾点刺出血足中趾点刺出血下眼睑下眼睑（lowereyelid:bleedthemiddletoe）若足大、次、中趾刺血，疗效更佳若足大、次、中趾刺血，疗效更佳（Bettercurativeresultscanbeachievedifprickingthebig,secondandmiddletoesatthesametime)四、牙痛(Toothache)1.翳风翳风风火牙痛风火牙痛YiFeng(SJ17)fortreatingwind-firetoothache2.内庭内庭胃火牙痛胃火牙痛NeiTing(ST44)fortreatingstomach-firetootheache3.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)(to treat toothache,caused by kidney-deficiency,attackingoraggravatingatdusk)4.大杼大杼龋齿和虚火牙痛龋齿和虚火牙痛Dazhu(LI5)fortreatingdecayedteethandtoothacheduetodeficiencytype5.偏历偏历尤其龋齿牙痛尤其龋齿牙痛Pianli(LI6)especiallyfrotreatingdecayedtoothache 五、落枕(Stiff neck)1后溪后溪Houxi(SI3)或束骨或束骨Shugu(BL65)太阳经太阳经(Tai-yangmeridian)2悬钟悬钟Xuanzhong(GB39)少阳经少阳经(Shao-yangmeridian)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Achillestendon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(tendernessabout0.5cuninferiortothecontralateralYanglingquanGB37)2条口透承山条口透承山(fromTiaokouST38penetratingtoChengshanBL57)3鱼肩鱼肩Yujian我发现、命名的新穴我发现、命名的新穴(ItisthenewpointthatIfoundandnamed.)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”(Themeridiantendonandmusclediseases,eg:failuretoraisethehand)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（RenyingST9）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(“RenzhongDU26canalleviateseriouslumbago,especiallylumbagointhemiddleoftheback”)2后溪后溪Houxi(SI3)督脉扭伤督脉扭伤(Du-meridiansprain)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-meridiansprain)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，手三里主之。腰痛不得卧，手三里主之。”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：“ShousanliLI10isusedtotreatseriouslumbago.”Reason:thetendonandmuscleregionofHand-Yangmingdistributesonspinalcolumn)5太冲穴处压痛点太冲穴处压痛点(thepressurepainpointofTaichongLR3)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 MaDanyang:“TaichongLR3canbeusedforlumbagoandachievegoodresults”.)十、急性腰扭伤(Acute lumbar muscle sprain)6腰痛穴的用法腰痛穴的用法(theapplicationofacupointsforlumbago)腰腰1(theL1region)（第五掌骨全息腰穴）第五掌骨全息腰穴）(holographiclumbaracupointsat5thmetacarpal)腰腰2(theL2region)（第四、五掌骨之间全（第四、五掌骨之间全息腰穴）息腰穴）(holographiclumbaracupointsbetween4thand5thmetacarpals)腰腰3(theL3region)（第三、四掌骨之间全（第三、四掌骨之间全息腰穴）息腰穴）(holographiclumbaracupointsbetween3thand4thmetacarpals)腰腰4(theL4region)（第二、三掌骨之间全（第二、三掌骨之间全息腰穴）息腰穴）(holographiclumbaracupointsbetween2thand3thmetacarpals)十一、膝骨关节炎(Knee osteoarthritis)1大杼大杼Dazhu(BL11)2对侧尺泽穴处压痛点对侧尺泽穴处压痛点thetendernessaroundChize(LU5)onthecontralateralside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Yongquan(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(SP4)6.尺胃尺胃(孔最下孔最下1寸寸)Chiwei(onecunbelowKongzui(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(tendernesspointontheleftuppercornerofnavelabout0.5to1cun)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（Convulsion 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umbilicustreatment：神阙：神阙Shenque(RN8）麝香放脐内麝香放脐内putShe-xiang(musk)intoumbilicus十七、急性胰腺炎（Acute Pancreatitis）地机地机 Diji（SP8）十八、支气管哮喘（Bronchial asthma）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阳阳陵陵泉泉（GB34）或或胆胆囊囊穴穴DannangPoint(EX-LE6)2.2.丘墟透照海丘墟透照海(fromQiuxuGB40penetratingtoZhaohaiKI6)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）umbilicustreatment二十四、急性扁桃体炎(AcuteTonsillitis)1.少商少商Shaoshang(LU11)实热证实热证fortreatingexcess-heatsyndrome2.商阳商阳Shangyang(LI1)胃热火毒上攻胃热火毒上攻fortreatingadverseridingofstomach-heatandfire-toxin二十五、美容（Cosmetology）1.足三里足三里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)fingerkneading3.太溪太溪Taixi(KI3)4.气海气海Qihai（RN6）5.关元关元Guanyuan（RN4）灸法灸法moxibustion6.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)forthediseasesoccurringatthesecondtwelveEarthlyBrancheshour(1amto3a.m)（1）丑时失眠）丑时失眠insomniaoccurringatthesecondtwelveEarthlyBrancheshour（2）丑时肩痛）丑时肩痛shoulderpainoccurringatthesecondtwelveEarthlyBrancheshour（3）丑时腰腿疼痛）丑时腰腿疼痛lumbarandlegpainoccurringatthesecondtwelveEarthlyBrancheshour（4）丑时烦躁）丑时烦躁dysphoriaoccurringatthesecondtwelveEarthlyBrancheshour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（LU9）fordiseasesandsymptomsoccurringatthethirdtwelveEarthlyBrancheshour(3a.m.to5a.m.)（1）寅时哮喘）寅时哮喘asthmaoccurringatthethirdtwelveEarthlyBrancheshour（2）寅时胃痛）寅时胃痛stomachacheoccurringatthethirdtwelveEarthlyBrancheshour（3）寅时下肢木胀不适）寅时下肢木胀不适numbnessanddistendingoflowerextremitiesoccuringatthethirdtwelveEarthlyBrancheshour（4）变异性心绞痛）变异性心绞痛variabilityofanginaoccurringatthethirdtwelveEarthlyBrancheshour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.Sanjian(LI3)fordiseasesoccurringatthefourthtwelveEarthlyBrancheshour(5a.m.7a.m.)（1）卯时肩痛）卯时肩痛shoulderarthralgiaoccurringatthefourthtwelveEarthlyBrancheshour（2）卯时腹痛腹泻无效病例）卯时腹痛腹泻无效病例anineffectivecaseofabdominalpainanddiarrheaoccuringatthefourthtwelveEarthlyBrancheshour 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(ST43)fordiseasesoccuringatthefifthtwelveEarthlyBrancheshour(7a.m.to9a.m.)辰时双下肢疼痛辰时双下肢疼痛bothlowerlimbspainoccuringatthefifthtwelveEarthlyBrancheshour 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)fordiseasesoccuringatthesixthtwelveEarthlyBrancheshour(9a.m.to11a.m.)巳时头痛巳时头痛headacheoccuringatthesixthtwelveEarthlyBrancheshour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(HT7)forthediseasesoccurringattheseventhtwelveEarthlyBrancheshour(11a.m.to1p.m.)午时心悸午时心悸palpitationoccurringattheseventhtwelveEarthlyBrancheshour 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(KI3)fordisordersoccurringatthetenthtwelveEarthlyBrancheshour(5p.m.to7p.m.)（1）酉时四肢疼痛麻木加重）酉时四肢疼痛麻木加重numbnessandpainaggravationoffourlimbsatthetenthtwelveEarthlyBrancheshour（2）酉时腹痛）酉时腹痛abdominalpain(Fu Tong)occuringatthetenthtwelveEarthlyBrancheshour 时间病症的一针疗法（3）酉时头痛）酉时头痛headache(Tou Tong)atthetimeofthetenthofthetwelveEarthlyBrancheshour（4）酉时齿痛）酉时齿痛gum-acheandtoothache(Chi Tong)occurring atthetimeofthetenthofthetwelveEarthlyBrancheshour（5）酉时双目上窜感无效病例）酉时双目上窜感无效病例Ineffectivecaseof feelingofgoingupwardofbinoculusoccurringatthetenthtwelveEarthlyBranches 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Zhongzhu(TE3)forthediseasesoccurringatthelasttwelveEarthlyBrancheshour（1）亥时坐骨神经痛）亥时坐骨神经痛sciaticaoccurringatthelastofthetwelveEarthlyBrancheshour（2）亥时上肢疼痛）亥时上肢疼痛upperlimbpainoccurringatthelasttwelveEarthlyBrancheshour其他病症的一针疗法1.踝关节扭伤踝关节扭伤（Strainofanklejoint）（1 1）对侧养老穴）对侧养老穴 Yanglao(SI6)ofcontralateralside（2 2）对侧阳池穴）对侧阳池穴 Yangchi(SJ4)ofcontralateralside 其他病症的一针疗法2.膝关节扭伤膝关节扭伤 (Strainofkneejoint)对侧尺泽穴处压痛点。对侧尺泽穴处压痛点。tendernessaroundChize(LU5)ofcontralateralside其他病症的一针疗法3.下肢肌肉拉伤下肢肌肉拉伤(Lowerlimbmusclestrain)对侧上臂对应部位压痛点。对侧上臂对应部位压痛点。Lowerlimbmusclestrain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）ExternalHumeralEpicondylitis (TennisElbow)肘灵穴肘灵穴 Zhoulingpoint 对侧腓骨小头压痛点对侧腓骨小头压痛点 thetendernessonthecontralateralfibularhead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thetendernessaroundDaling(PC7)onthecontralateralside