薄氏腹针疗法的临床应用.ppt

薄氏腹针疗法的临床应用Dr.ZhiYunBosAbdominalAcupunctureTherapyanditsClinicalApplication,东直门医院针灸科刘云霞LiuYunXia,AcupunctureDept.ofDongZhiMenHospital,概述Summary:AbdominalAcupunctureTherapy,腹针,AbdominalAcupuncture,是通过刺激腹部穴位，调节脏腑失衡来治疗全身疾病的一种方法。是以神阙调控系统为核心的针灸疗法,Itisamethodthattreatsthewholebodydiseasesthroughthestimulationoftheacupointsontheabdomen,andthroughtheregulationofthezangfuimbalances.ItisanacupuncturetherapythattakesShenQue(RN8)modulationsystemasitscore.,概述Summary:AbdominalAcupunctureTherapy,内因性疾病，或久病及里的慢性病、疑难病,适应症Indications,Illnessduetointernalcause,chronicillnessthatdevelopsintointernaldiseases,anddifficulttotreatdiseases.,腹针适应症,适应症：内因性疾病，或久病及里的慢性病、疑难病。如中风后遗症患者肢体功能恢复，椎基底动脉供血不足，抑郁症，功能性便秘，代谢性疾病，更年期综合症，肩周炎，网球肘，颈椎病，腰椎病等,腹针的禁忌症,一切原因不明的急腹症急性腹膜炎肝脾肿大引起的脐静脉曲张腹腔内肿瘤并广泛转移大月份孕妇长期慢性病而致体质极度衰弱者，当慎针肝脾肿大患者不宜深刺,上腹部以神阙到中庭分为8寸,下腹部以神阙到曲骨分为5寸,腹针穴位的取穴方法（2）MethodofPointLocationinAbdominalAcupuncture,Intheepigastrium,mark8cunbetweenShenQue(RN8)andZhongTing(RN16).,Inthelowerabdomen,mark5cunbetweenShenQue(RN)andQuGu(RN2).,腹部的横寸，传统针灸以双侧的乳中穴之间的距离分为8寸,腹针疗法以神阙到平行的腹侧的外缘定为6寸,腹针穴位的取穴方法（2）MethodofPointLocationinAbdominalAcupuncture,Inconventionalacupuncture,horizontallythereare8cunbetweenthebilateralRuZhong(ST17).,Inabdominalacupuncture,horizontallythereare6cunfromShenQue(RN8)tothelateraledgeoftheabdomen.,取穴规范NormofAcupointSelection,传统针灸取穴以正中线确定为任脉，因此取穴时，以正中线为标记,任脉为中心标记TaketheRenmeridianasthecentermark,Inconventionalacupuncture,themidlineistheRenmeridian.Themidlineisthemarkinglineforacupointselection.,取穴规范NormofAcupointSelection,腹针是把腹白线作为任脉的体表标志,腹针取穴时，必须对腹白线进行准确的辨认，以免取穴的失误,Inselectingacupointsinabdominalacupuncture,makesurethetolocatepreciselytheabdominalwhiteline,soasnottomakeanyerrorsinselectingtheacupoints.,Inabdominalacupuncture,theRenmeridianislocatedattheabdominalwhitelineonthebodysurface.,腹针常用穴位CommonlyUsedAbdominalAcupuncturePoints,中脘,RN12脐中上4寸，任脉上,下脘,RN10脐中上2寸，任脉上,水分,RN9脐中上1寸，任脉上,神阙,RN8脐中央,气海,RN6脐中下1.5寸，任脉上,关元,RN4脐中下3寸，任脉上,腹针常用穴位CommonlyUsedAbdominalAcupuncturePoints,商曲,KD17下脘旁开0.5寸,气穴,KD13关元旁开0.5寸,滑肉门,ST24水分旁开2寸,天枢,ST25神阙穴旁开2寸。大肠募穴,外陵,ST26阴交穴旁开2寸,大横,SP15神阙穴旁开3.5寸,腹针常用穴位CommonlyUsedAbdominalAcupuncturePoints,气旁,气海旁开0.5寸,上风湿点,滑肉门旁开0.5寸,上0.5寸,上风湿外点,滑肉门旁开1寸,QiPang:0.5CunlateraltoQiHai(RN6),ShangFengShi（UpperRheumatic）point:0.5cunLateralandsuperiortoHuaRouMen(ST24),ShangFengShiWai(UpperRheumaticlateral)Point:1cunlateraltoHuaRouMen(ST24),腹针常用穴位CommonlyUsedAbdominalAcupuncturePoints,下风湿点,气海旁开2.5寸,下风湿下点,石门旁开3寸,XiaFengShi(LowerRheumatic)point:2.5cunlateraltoQiHai(RN6),XiaFengShiXia(LowerRheumaticinferior)point:3cunlateraltoShiMen(RN5),腹针针具的选择NeedleSize,留针时间和疗程,留针时间一般为2030分钟对于病程短和体质较差的病人，留针时间稍短对于病程长和体质较好的病人，留针时间相对长一些腹针的治疗疗程为610次之间一般疾病6次为一疗程，慢性病10次为一疗程治疗的第13次，连续针灸，每日一次；第3次以后，隔日针灸一次,落枕StiffNeck,落枕(stiffneck)：即颈部伤筋，是指急性单纯性颈项强痛、活动受限的一种病症。头多向患侧歪斜，可出现肩部和上臂疼痛，颈项部压痛明显,StiffNeck,istheinjurytotheneckligaments.Itisanacutesymptomwithsimplestiffpainandmobilityobstructiontotheneck.Theheaddeviatestotheaffectedside,painoccursattheshoulderandupperarmarea.Thereisevidentpainwhenpressisappliedtotheneck.,中脘（深刺）商曲（患侧，浅刺）滑肉门（患侧，中刺）,落枕腹针处方AAFormulaforstiffNeck,ShangQu(KD17,Affectedside,S),ZhongWan(RN12,D),HuaRouMen(ST24,Affectedside,M).,肩周炎FrozenShoulder(PeriarthritisofShoulder),肩周炎：肩关节周围肌肉、肌腱、韧带及关节囊损伤或退行性改变，导致慢性非特异性炎症肩周疼痛，功能受限，50岁以上，女多于男,FrozenShoulder:Non-specificinflammationduetoinjuryordegeneratingchangeofthemuscles,tendons,ligaments,jointcapsuleoftheshoulderperipheralregion.Painoftheshoulderperiphralregion,withobstructionofshoulderfunctionl.Mostlyseeninpeopleover50yearsold,morefemalesthanmales.,分期Stages,早期（也称做疼痛期，2-3个月以内）以疼痛为主，日轻夜重；中期（也称做粘连期，3个月以上）以功能障碍来主，外展、外旋及后伸等动作受限最明显晚期（也称做缓解期，半年至一年以上）临床表现肩部疼痛不甚,多可见肩部肌肉萎缩。Earlystage:(painfulperiod,lasts2-3months)painisevident,lightduringthedayandsevereatnight.Mid-stage:(adhesionperiod,exceeds3months)patientmainlyencounterfunctionalobstruction.Abduction,lateralrotationanddorsiflexionisevidentlyimpaired.Laterstage:(mitigatingperiod,overhalfayeartooverayear)clincallypatientdontfeelmuchpainontheshoulder,butismostlyseenshouldermuscleatrophy.,中脘（深刺）商曲（中刺，健侧）滑肉门（浅刺患侧）,肩周炎腹针处方AbdominalAcupunctureFormulaforFrozenShoulder,ZhongWan(RN12,D),ShangQu(KD17,healthyside,M),HuaRouMen(ST24,affectedside,M).,网球肘TennisElbow,网球肘：或叫肱骨外上髁炎，是一种肘部常见疾病。是一种附着在肱骨外上髁的肌腱炎,Tenniselbow,alsoknownasradio-humeralepicondylitis.Itisadiseasethatisoftenseen.Itisatendinitisoftheexternalhumeralepicondyle.,网球肘TennisElbow,因手臂伸肌与屈肌肌力承受能力不一致，过度使用使伸肌受伤害。网球运动员反手击球,Duetothedifferenceofbearingcapacityofmusclestrengthbetweenthearmextensorandflexormuscles,theexcessiveuseinjurestheextensormuscle.Tennisplayerhitstheballwithbackhandcausesthisdisorder.,中脘（深刺）商曲（健侧，中刺）滑肉门（患侧中刺）上风湿点（患侧，浅刺）,网球肘腹针处方AbdominalAcupunctureFormulaforTennisElbow,ZhongWan(RN12,D),ShangQu(KD17,healthyside,M),HuaRouMen(ST24,affectedside,M),ShangFengShipoint(affectedside,S),腕管综合征CarpalTunnelSyndrom,腕管综合征：是指人体正中神经在腕管内受到压迫所产生的症状，食指中指疼痛、麻木和拇指肌肉无力感累积性创伤疾病,Carpaltunnelsyndrome,isasyndromecausedbythepressureonthemediannerveinthecarpaltunnel.Themainsymptomispainandnumbnessoftheindexfingerandthemiddlefinger,andmyastheniaofthethumb.Acumulatedtraumaticinjury.,中脘（D）商曲（健M）滑肉门（患M）上风湿点（患S）上风湿外点（患S）,腕管综合征腹针处方AbdominalAcupunctureforCarpalTunnelSyndrom,ZhongWan(RN12,D)Sha