Transcript 薄氏腹针疗法的临床应用
薄氏腹针疗法的 临床应用 Dr. ZhiYun Bo’s Abdominal Acupuncture Therapy and its Clinical Application 东直门医院针灸科 刘云霞 Liu YunXia, Acupuncture Dept. of DongZhiMen Hospital 概述Summary: Abdominal Acupuncture Therapy 腹针 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 Abdominal Acupuncture It is a method that treats the whole body diseases through the stimulation of the acupoints on the abdomen, and through the regulation of the zang fu imbalances. It is an acupuncture therapy that takes ShenQue (RN8) modulation system as its core. 概述Summary: Abdominal Acupuncture Therapy 适应症 内因性疾病，或久病及里的慢性病、疑难病 Indications Illness due to internal cause, chronic illness that develops into internal diseases, and difficult to treat diseases. 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 腹针穴位的取穴方法（2） Method of Point Location in Abdominal Acupuncture 上腹部以神阙到中庭分为8寸 In the epigastrium, mark 8 cun between ShenQue (RN8) and ZhongTing (RN16). 下腹部以神阙到曲骨分为5寸 In the lower abdomen, mark 5 cun between ShenQue (RN) and QuGu (RN2). 腹针穴位的取穴方法（2） Method of Point Location in Abdominal Acupuncture 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 In conventional acupuncture, horizontally there are 8 cun between the bilateral RuZhong (ST17). 腹针疗法以神阙到平行的腹侧的外缘定为6寸 In abdominal acupuncture, horizontally there are 6 cun from ShenQue (RN8) to the lateral edge of the abdomen. 取穴规范 Norm of Acupoint Selection 任脉为中心标记 Take the Ren meridian as the center mark 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 In conventional acupuncture, the midline is the Ren meridian. The midline is the marking line for acupoint selection. 取穴规范 Norm of Acupoint Selection 腹针是把腹白线作为任脉的体表标志 In abdominal acupuncture, the Ren meridian is located at the abdominal white line on the body surface. 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 In selecting acupoints in abdominal acupuncture, make sure the to locate precisely the abdominal white line, so as not to make any errors in selecting the acupoints. 腹针常用穴位 Commonly Used Abdominal Acupuncture Points 中 脘 RN12 脐中上4寸，任脉上 下 脘 RN10 脐中上2寸，任脉上 水 分 神 阙 气 海 关 元 RN9 脐中上1寸，任脉上 RN8 脐中央 RN6 脐中下1.5寸，任脉上 RN4 脐中下3寸，任脉上 腹针常用穴位 Commonly Used Abdominal Acupuncture Points 商 曲 气 穴 滑肉门 天 枢 外 陵 大 横 KD17 下脘旁开0.5寸 KD13 关元旁开0.5寸 ST24 水分旁开2寸 ST25 神阙穴旁开2寸。大肠募穴 ST26 阴交穴旁开2寸 SP15 神阙穴旁开3.5寸 腹针常用穴位 Commonly Used Abdominal Acupuncture Points 气 旁 气海旁开0.5寸 QiPang: 0.5 Cun lateral to QiHai (RN6) 上风湿点 滑肉门旁开0.5寸,上0.5寸 ShangFengShi （Upper Rheumatic） point: 0.5 cun Lateral and superior to HuaRouMen (ST24) 上风湿外点 滑肉门旁开1寸 ShangFengShiWai (Upper Rheumatic lateral)Point: 1 cun lateral to HuaRouMen (ST24) 腹针常用穴位 Commonly Used Abdominal Acupuncture Points 下风湿点 气海旁开2.5寸 XiaFengShi (Lower Rheumatic) point: 2.5 cun lateral to QiHai (RN6) 下风湿下点 石门旁开3寸 XiaFengShiXia (Lower Rheumatic inferior) point: 3 cun lateral to ShiMen (RN5) 腹针针具的选择 Needle Size 型号Needle Size 分型 Type 适应症 indications 34# A1肥胖型 头痛，面神经麻痹，颈椎病，肩周炎 (0.22mm-50mm) Thicker Headache, facial paralysis, cervical spondylosis, frozen shoulder 34# A2正常型 网球肘，腕管综合症，腰椎病，坐骨 (0.22mm-40mm) Normal 神经痛 Tennis elbow, carpal tunnel syndrom, lumbago, sciatica 34# A3消瘦型 骨关节病，风湿性关节炎，类风湿性 (0.22mm-30mm) Thinner 关节炎等疼痛性疾病 osteoarthropathy, rheumatic arthritis, rheumatoid arthritis and other pain disorders. 留针时间和疗程 • 留针时间一般为20~30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6~10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1~3次，连续针灸，每日一次；第3次以后，隔日 针灸一次 落枕 Stiff Neck • 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 Stiff Neck, is the injury to the neck ligaments. It is an acute symptom with simple stiff pain and mobility obstruction to the neck. The head deviates to the affected side, pain occurs at the shoulder and upper arm area. There is evident pain when press is applied to the neck. 落枕腹针处方 AA Formula for stiff Neck 中脘（深刺） 商曲（患侧，浅刺） 滑肉门（患侧，中刺） ShangQu (KD17, Affected side, S), ZhongWan(RN12, D), HuaRouMen (ST24, Affected side, M). 肩周炎 Frozen Shoulder (Periarthritis of Shoulder) • 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 Frozen Shoulder: Non-specific inflammation due to injury or degenerating change of the muscles, tendons, ligaments, joint capsule of the shoulder peripheral region. Pain of the shoulder periphral region, with obstruction of shoulder functionl. Mostly seen in people over 50 years old, more females than males. 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。 • Early stage: (painful period, lasts 2-3 months) pain is evident, light during the day and severe at night. • Mid-stage: (adhesion period, exceeds 3 months) patient mainly encounter functional obstruction. Abduction, lateral rotation and dorsiflexion is evidently impaired. • Later stage: (mitigating period, over half a year to over a year) clincally patient don’t feel much pain on the shoulder, but is mostly seen shoulder muscle atrophy. 肩周炎腹针处方 Abdominal Acupuncture Formula for Frozen Shoulder 中脘（深刺） 商曲（中刺，健侧） 滑肉门（浅刺患侧） ZhongWan(RN12, D), ShangQu(KD17, healthy side, M), HuaRouMen(ST24, affected side, M). 网球肘 Tennis Elbow • 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 Tennis elbow, also known as radio-humeral epicondylitis. It is a disease that is often seen. It is a tendinitis of the external humeral epicondyle. 网球肘 Tennis Elbow • 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 Due to the difference of bearing capacity of muscle strength between the arm extensor and flexor muscles, the excessive use injures the extensor muscle. Tennis player hits the ball with backhand causes this disorder. 网球肘腹针处方 Abdominal Acupuncture Formula for Tennis Elbow 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） • • • • ZhongWan (RN12, D), ShangQu (KD17, healthy side, M), HuaRouMen (ST24, affected side, M), ShangFengShi point (affected side, S) 腕管综合征 Carpal Tunnel Syndrom • 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 •Carpal tunnel syndrome, is a syndrome caused by the pressure on the median nerve in the carpal tunnel. The main symptom is pain and numbness of the index finger and the middle finger, and myasthenia of the thumb. •Acumulated traumatic injury. 腕管综合征腹针处方 Abdominal Acupuncture for Carpal Tunnel Syndrom 中脘（D） 商曲（健M） 滑肉门（患M） 上风湿点（患S） ZhongWan(RN12, D) ShangQu(KD17, healthy side, M) HuaRouMen(ST24, affected side, M) ShangFengShi point(upper rheumatic point, affected side, S), 上风湿外点（患S） ShangFengShiWai point(upper rheumatic lateral point, affected side, S) 病例分享 Case Study 病例分享 Case Study Thank You! 东直门医院针灸科 刘云霞 YunXia Liu, Acupuncture Dept. DongZhiMen Hospital