《石学敏痛症》PPT课件

单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,*,石学敏 教授,Shi Xue Min Professor,针刺治疗痛证,Acupuncture Analgesia,1,针 法 特 点,Characteristic of the theraphy,强 调 调 神，治 病 求 本,Regulate the vitality,刺 络 疗 法，祛 瘀 通 络,Blood-letting puncture,临 证 加 减，辨 证 论 治,Select the points according to,differential diagnosis,2,止 痛 要 穴,上 肢：外 关,Arm:,Waiguan,(SJ5),下 肢：飞 扬,Leg:,Feiyang,(BL58),腰 部：大 肠 俞,Lumbus,:,Dachangshu,(BL25),全 身：人 中,The Whole body:,Renzhong,(DU26),3,1.头 面 躯 体 痛 证,1.Painful disease of cephalofacial and somatic region,1.1头痛,1.1,Headache,血管性头痛,1.1.1 Vascular headache,治则：疏解少阳、活血化瘀。,Principle:Regulate Shaoyang meridian,Activate blood flow and dispel blood stasis,配方：风池、完骨、太阳、头维透率谷、中封、阳辅。,Prescription:Fengchi(GB20),Wangu(GB12),Taiyang(EX-HN5),Touwei(ST8)to Shuaigu(GB8)，Zhongfeng(LR4)Yangfu(GB38),4,1.1.2 神经性头痛,1.1.2 Nervous headache,治则：调神理气、通络止痛,。,Principle:Regulate the Vitality and Qi,Activate the collaterals and relieve pain,配方：内关、人中、太冲、百会、四神聪、风池、完骨、天柱。,Prescription:Neiguan(PC6),Renzhong(DU26),Taichong(LR3),Baihui(DU20),Sishencong(EX-HN1),Fengchi(GB20),Wangu(GB12),Tianzhu(BL10),1.1.3 眼性头痛,1.1.3,Ocular headache,治则：通络止痛。,Principle:,Activate the collaterals and relieve pain,配方：风池、太阳、睛明、球后、四白。,Prescription:Fengchi(GB20),Taiyang(EX-HN5),Jingming(BL1),Qiuhou(EX-HN7),Sibai(ST2),5,1.1.4,颈性头痛,1.1.4,Cervical headache,治则：通络止痛,。,Principle:Activate the collaterals and relieve pain,配方：风池、完骨、天柱、颈椎夹脊刺。,Prescription:Fengchi(GB20),Wangu(GB12),Tianzhu(BL10),cervical Jiaji(EX-B2),1.1.5,高颅压性头痛,1.1.5,Ocular headache,治则：醒神开窍、滋阴潜阳、通络止痛。,Principle:,XNKQ,Nourish yin and yang,Activate the collaterals and relieve pain,配方：上星透百会、太阳、风池、完骨、三阴交、合谷、太冲。,Prescription:Shangxing(DU23)to Baihui(DU20),Taiyang(EX-HN5),Fengchi(GB20),Wangu(GB12),Sanyinjiao(SP6),Hegu(LI4),Taichong(LR3),6,1.2,面颊痛（三叉神经痛）,1.2,Prosopalgia,治则：,活血化瘀、通络止痛。,Principle:Activate blood flow and dispel blood stasis,Clear the collaterals to,relieve pain,主方：下关、四白、风池、翳风，痛点刺络拔罐。,Prescription:Xiaguan(ST7),Sibai(ST2),Fengchi(GB20),Yifeng(SJ17),And blood-cuping on Ashipoint,配穴：第一支痛加攒竹、太阳。,Associated points:To the frist branch:Cuanzhu(BL2),Taiyang(EX-HN5),第二支痛加颧,髎,。,To the second branch:Quanliao(SI18),第三支痛加颊车、迎香。,To the third branch:Jianche(ST6),Yingxiang(LI20),7,1.3,落枕（斜方肌痉挛）,1.3,Stiff neck,治则：,调气活血、疏通经络。,Principle:Regulate Qi and activate blood,Regulate and clear the meridian,配方：风池、完骨、天柱、颈椎夹脊刺、绝骨、后溪。,Prescription:Fengchi(GB20),Wangu(GB12),Tianzhu(BL10),cervical Jiaji(EX-B2),Juegu(GB39),Houxi(SI3),1.4 颈痛（颈椎病）,1.4,Cervical spondylopathy,治则：活血通络、祛风止痛。,Principle:Activate blood and clear the meridian,Dispel wind to relieve pain,配方：风池、完骨、天柱、颈椎夹脊刺。,Prescription:,Fengchi(GB20),Wangu(GB12),Tianzhu(BL10),cervical Jiaji(EX-B2),8,1.5 脊痛（退行性脊柱炎）,1.5,Retrogressive spondylitis,治则：祛瘀通络、通调督脉、膀胱经气。,Principle:Dispel blood stasis and clear the meridian,Regulate QI of Du and bladder channel,配方：1.双侧环跳、大肠俞、委中、阳陵泉刺络拔罐。,Prescription:,:Huantiao(GB30),Dachangshu(BL25),Weizhong(BL40),Yanglingquan(GB34)Ashipoint with blood-cuping,2.人中、肾俞、大肠俞、环跳、腰阳关、委中、养老、,阿是穴。,:Renzhong(DU26),Shenshu(BL23),Dachangshu(BL25),Huantiao(GB30),Yaoyanghguan(DU3),Weizhong(BL40),Yanglao(SI6),Ashipoints,9,1.6肩臂痛（臂丛神经痛）,1.6 Brachial plexus neuralgia,治则：行气散瘀、通经止痛。,Principle:Circulate Qi and dispel blood stasis,Clear the meridian to relieve pain,配方：颈夹脊刺、肩外俞、阿是穴刺络疗法,Prescription:,cervical Jiaji(EX-B2),Jianwaishu(SI14),Ashi point with blood-letting puncture,10,1.7 肩凝症（肩关节周围炎）,1.7 Periarthritis of shoulder,治则：活血化瘀、通络止痛。,Principle:Activate blood and dispel blood stasis,Clear the collaterals to relieve pain,配方：1.患侧肩,髃,、肩贞、,臑,俞、天宗、曲垣、肩外俞,或以痛为俞刺络拔罐。,Prescription:,:Illness side points of Jianyu(LI15),Jianzhen(SI9),Naoshu(SI10),Tianzong(SI11),Quyuan(SI13),Jianwaishu(SI14),And blood-cuping on Ashi point,2.患侧肩,髃,、肩贞、,臑,俞、天宗、秉风、曲垣、肩外俞、,肩中俞、条口。,:Illness side points of Jianyu(LI15),Jianzhen(SI9),Naoshu(SI10),Tianzong(SI11),Bingfeng(SI12),Quyuan(SI13),Jianwaishu(SI14),Jianzhongshu(SI15),Tiaokou(ST38),11,1.8 肘劳（,肱,骨外上髁炎）,1.8 External humeral epicomdylitis,治则：治则：舒筋活血、通络止痛。,Principle:Relax tendons and promote blood circulation,Clear the collaterals to relieve pain,配方：曲池、肘,髎,、手三里、合谷、阿是穴（施阻力针法）。,Prescription:Quchi(LI11),Zhouliao(LI12),Shousanli(LI10),Hegu(LI4),Ashipoint with special manipulation,12,1.9 胁痛（肋间神经痛）,1.9 Intercostal neuralgia,治则：疏肝理气、通络止痛。,Principle:Regulate Qi of liver,Clear the collaterals to relieve pain,配方：支沟、阳陵泉、太冲、三阴交、期门、日月、膈俞、丘墟。,Prescription:Zhigou(SJ6),Yanglingquan(GB34),Taichong(LR3),Sanyinjiao(SP6),Qimen(LR14),Riyue(GB24),Geshu(BL17),Qiuxu(GB40),13,1.10 腰痛,10,Lumbago,1.10.1,急性腰扭伤,1.10.1,Acute lumbar sprain,治则：行气活血、通络止痛。,Principle:Promote,Qi,and blood,Clear the collaterals to relieve pain,配方：以局部俞穴和循经取穴为主，采用后溪、委中、大肠俞、,肾俞。疼痛甚者，取内关、人中、痛点施阻力针法。,Prescription:,Houxi,(SI3),Weizhong,(BL40),Dachangshu,(BL25),Shenshu,(BL23).,And,Neiguan,(PC6),Renzhong,(DU26),Ashi,point with special manipulation if Serious pain,14,1.10.2 腰椎间盘突出症,1.10.2 Prolapse of lumbar intervertebral disc,治则：活血化瘀、消肿止痛。,Principle:Promote blood and dispel stasis,Repercussion to relieve pain,配方：取患侧阿是穴、环跳、殷门、