(针灸)一针疗法的临床应用

一针疗法的临床应用ClinicalApplicationoftheOne-needleTherapy山东中医药大学针灸推拿学院高树中Prof.GaoShuzhongSchoolofAcupunctureandMoxibustionShandongUniversityofTCM2009.07一、头痛(Headache)1.头维点刺出血Touwei(ST8)prickthepoint治疗经前头痛(totreatheadachebeforemenstruation)2.肓俞Huangshu(KI16),治疗用脑过度等所致肾虚冲逆引起的血管性头痛，喜欢重按者(totreatkidney-deficiencyvascularheadachecausedbybrainoverstrain,andthepaincangetrelievedbypressing).二、眉棱骨痛(PainintheSupraorbitalRegion)1．昆仑Kunlun(SJ17)风邪所致fortreatingpaininthesupraorbitalregioncausedbypathogenicwind2．解溪Jiexi(ST41)胃经浊热上攻所致fortreatingpaininthesupraorbitalregioncausedbyascendingofturbidheatofstomachmeridian三、麦粒肿(Stye)1.肩胛区红点放血上眼睑（uppereyelid:bleedredspotsinscapularregion）2.足中趾点刺出血下眼睑（lowereyelid:bleedthemiddletoe）若足大、次、中趾刺血，疗效更佳（Bettercurativeresultscanbeachievedifprickingthebig,secondandmiddletoesatthesametime)四、牙痛(Toothache)1.翳风风火牙痛YiFeng(SJ17)fortreatingwind-firetoothache2.内庭胃火牙痛NeiTing(ST44)fortreatingstomach-firetootheache3.太溪肾虚牙痛，入暮发作或加重者Taixi(KI3)(totreattoothache,causedbykidney-deficiency,attackingoraggravatingatdusk)4.大杼龋齿和虚火牙痛Dazhu(LI5)fortreatingdecayedteethandtoothacheduetodeficiencytype5.偏历尤其龋齿牙痛Pianli(LI6)especiallyfrotreatingdecayedtoothache五、落枕(Stiffneck)•1．后溪Houxi(SI3)或束骨Shugu(BL65)太阳经(Tai-yangmeridian)•2．悬钟Xuanzhong(GB39)少阳经(Shao-yangmeridian)六、颈椎病（Cervicalspondylosis）•1.束骨Shugu(BL65)•2.昆仑Kunlun(BL60)•3.后溪Houxi(SI3)•4.腕骨Wangu(SI4)•5.太溪Taixi(KI3)•6.大钟Dazhong(KI4)•7.足跟腱中点Achillestendon七、肩周炎(Peripheralshoulderarthritis)•1．对侧阳陵泉下半寸左右压痛点(tendernessabout0.5cuninferiortothecontralateralYanglingquanGB37)•2．条口透承山(fromTiaokouST38penetratingtoChengshanBL57)•3．鱼肩Yujian我发现、命名的新穴(ItisthenewpointthatIfoundandnamed.)•4.三间Sanjian(LI3)•5．后溪Houxi(SI3)•6．束骨Shugu(BL65)经筋病“肩不举”(Themeridiantendonandmusclediseases,eg:failuretoraisethehand)八、中风手指拘挛(FingersConstrictionduetoApoplexy)•腕骨Wangu(SI4)九、乳腺增生病（Breastlump）•人迎（RenyingST9）十、急性腰扭伤(Acutelumbarmusclesprain)•1．人中Renzhong(DU26)“人中除腰脊之强痛”腰部正中（腰椎）扭伤(“RenzhongDU26canalleviateseriouslumbago,especiallylumbagointhemiddleoftheback”)•2．后溪Houxi(SI3)督脉扭伤(Du-meridiansprain)•3.龈交异点Yinjiao(DU28)督脉扭伤例门诊女病人(Du-meridiansprain)十、急性腰扭伤(Acutelumbarmusclesprain)•4．手三里Shousanli(LI10)•《针灸甲乙经》：“腰痛不得卧，手三里主之。”原因：手阳明经筋挟脊内。(A-BClassicofAcupunctureandMoxibustion：“ShousanliLI10isusedtotreatseriouslumbago.”Reason:thetendonandmuscleregionofHand-Yangmingdistributesonspinalcolumn)•5．太冲穴处压痛点(thepressurepainpointofTaichongLR3)•马丹阳天星十二穴主治杂病歌：“亦能疗腰痛，针下有神功”。(Tianxingtwelveacupoints’mainindicationsbyMaDanyang:“TaichongLR3canbeusedforlumbagoandachievegoodresults”.)十、急性腰扭伤(Acutelumbarmusclesprain)•6．腰痛穴的用法(theapplicationofacupointsforlumbago)腰1(theL1region)（第五掌骨全息腰穴）(holographiclumbaracupointsat5thmetacarpal)腰2(theL2region)（第四、五掌骨之间全息腰穴）(holographiclumbaracupointsbetween4thand5thmetacarpals)腰3(theL3region)（第三、四掌骨之间全息腰穴）(holographiclumbaracupointsbetween3thand4thmetacarpals)腰4(theL4region)（第二、三掌骨之间全息腰穴）(holographiclumbaracupointsbetween2thand3thmetacarpals)十一、膝骨关节炎(Kneeosteoarthritis)•1．大杼Dazhu(BL11)•2．对侧尺泽穴处压痛点thetendernessaroundChize(LU5)onthecontralateralside十二、腓肠肌痉挛(Systremma)•承山Chengshan（BL57）十三、癔病性失语（Hystericalanepia）•涌泉Yongquan(KI1)十四、胃脘痛（stomachache）•1.至阳Zhiyang(DU9)或灵台Lingtai(DU10)•2.中脘Zhongwan(RN12)•3.内关Neiguan(PC7)•4.足三里Zusanli(ST36)•5.公孙Gongsun(SP4)•6.尺胃(孔最下1寸)Chiwei(onecunbelowKongzui(LU6)•7.脐胃（肚脐左上方0.5～1寸压痛点）Qiwei(tendernesspointontheleftuppercornerofnavelabout0.5to1cun)十五、腹痛（Abdominalpain）•1.足三里Zusanli(ST36)或中脘Zhongwan(RN12)•2.上巨虚Shangjuxu(ST37)•3.下巨虚Xiajuxu(ST39)•4.曲泉Ququan(LR6)十六、膈肌痉挛（Convulsionofdiaphragmmuscles）•1．攒竹Cuanzhu(BL2)•2．翳风Yifeng(SJ17)•3．太渊Taiyuan(LU9)•4.乳中Ruzhong(ST17)•5.中魁Zhongkui(EX-UE4)•6.太溪Taixi（KI3）•7.脐疗umbilicustreatment：神阙Shenque(RN8）麝香放脐内putShe-xiang(musk)intoumbilicus十七、急性胰腺炎（AcutePancreatitis）•地机Diji（SP8）十八、支气管哮喘（Bronchialasthma）•1．鱼际Yuji(LU10)•2．孔最Kongzui(LU6)十九、心绞痛(AnginaPectoris)•1．内关Neiguan(PC6)•2．至阳Zhiyang(DU9)二十、喜笑不休(CompulsiveLaughter)•神门Shenmen(HT7)二十一、脏躁(Hysteria)•少海Shaohai(HT3)二十二、慢性胆囊炎(ChronicCholecystitis)•1．阳陵泉（GB34）或胆囊穴DannangPoint(EX-LE6)•2.丘墟透照海(fromQiuxuGB40penetratingtoZhaohaiKI6)二十三、痛经(Dysmenorrhea)•1．十七椎Shiqizhui(EX-B7)•2．脐疗：神阙用药Shenque(RN8）umbilicustreatment二十四、急性扁桃体炎(AcuteTonsillitis)•1.少商Shaoshang(LU11)实热证fortreatingexcess-heatsyndrome•2.商阳Shangyang(LI1)胃热火毒上攻fortreatingadverseridingofstomach-heatandfire-toxin二十五、美容（Cosmetology）•1.足三里Zusanli(ST36)•2.人迎Renying(ST9)二十六、养生保健（Healthcare）•1.足三里Zusanli（ST36）•2.涌泉指揉Yongquan(KI1)fingerkneading•3.太溪Taixi(KI3)•4.气海Qihai（RN6）•5.关元Guanyuan（RN4）灸法moxibustion•6.神阙Shenque(CV8)灸法moxibustion时间病症的一针疗法•1.太冲治疗丑时病症1.Taichong(LR3)forthediseasesoccurringatthesecondtwelveEarthlyBrancheshour(1amto3a.m)•（1）丑时失眠insomniaoccurringatthesecondtwelveEarthlyBrancheshour•（2）丑时肩痛shoulderpainoccurringatthesecondtwelveEarthlyBrancheshour•（3）丑时腰腿疼痛lumbarandlegpainoccurringatthesecondtwelveEarthlyBrancheshour•（4）丑时烦躁dysphoriaoccurringatthesecondtwelveEarthlyBrancheshour时间病症的一针疗法•2.太渊治疗寅时病症2.Taiyuan（LU9）fordiseasesandsymptomsoccurringatthethirdtwelveEarthlyBrancheshour(3a.m.to5a.m.)•（1）寅时哮喘asthmaoccurringatthethirdtwelveEarthlyBrancheshour•（2）寅时