细银针在疼痛科的应用课件

,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,*,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,*,*,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,细银针的发展史,the History of the,Fine,Silver Needle,我国使用金针、银针治疗伤病由来已久，相传是从古代,“,九针,”,中的鍉针和长针发展而成。,Use of gold needle and silver needle for treatment of injuries was for a long time.They were developed from the blunt needle and long needle.,长沙马王堆汉墓中，,足臂十一脉灸经,、,阴阳十一脉灸经,记载了各种疼痛、痉挛等症状，都是用灸法治疗的。,”Foot eleven pulse moxibustion lection”and,”Yingyang eleven pulse moxibustion lection”i,n Changsha Mawangdui Han Tomb r,ecorded all kinds of pain,cramps and other symptoms,were treated with moxibustion therapy.,黄帝内经,中已多方面记载了各种痛症和脏腑疾病的针灸疗法。,The silver needle therapy used as a variety of pain and viscera disease was also recorded from Huangdi Neijing”.,1968,年河北满城汉墓出土了西汉时期的金针（,5,根）、银针（4根），说明当时金针银针治疗疾病已经相当普遍。,Gold needle(5)and silver needle(4),unearthed from Hebei Mancheng Han tomb of Western Han Dynasty in 1968,indicated that the gold needle and silver needle in the treatment of disease were already commonplace.,细银针的发展史,-,远古九针图,Nine Classical Needles,九针，针具名。为九种针具的总称。出自,黄帝内经,。即鑱针、员针、鍉针、锋针、铍针、员利针、毫针、长针和大针。,灵枢,官针,：“九针之宜，各有所为；长短大小，各有所施也，不得其用，病弗能移。”指出九针的形状、用途各异，据情选用，方可去病。,The nine classical needles are those of different forms used in the ancient times,originating from“Huang Di Nei Jing”,as the shear needle,round-point needle,spoon needle,lance needle,stiletto needle,round-sharp,needle,filiform needle,long,needle and big needle.,温针疗法的由来,The Origin of Warm Needling Treatment,此法始见于东汉时张仲景的,伤寒论,。,Advocated by Zhang ZhongJing of Han Dynasty in his Shang Han Lun“.,明代杨继洲的,针灸大成,，对此法叙述较详：“其法针穴上，以香白芷作圆饼，套针上，以艾灸之，多以取效,此法行于山野贫贱之人，经络受风寒致病者，或有效，只是温针通气而已。”,Yang Jizhou of the Ming Dynasty,“Zhen Jiu Da Cheng has been recorded.,以后，历代都有沿用。此法至今仍在民间广为流传应用。,Later,Warm Needling Treatment had been used in the successive dynasties.This method became popular among the people.,陆氏,银质针,第六代传人,陆银华,40,年代，宁波陆银华老先生用家传长银针（纯银打造）治疗四肢关节软组织损伤，采取“循经取穴”和“以痛为腧”的针刺疗法，取得了比传统毫针较为满意的镇痛效应，在浙东地区颇有声誉。,温针灸治疗,Moxibustion with Warmed Needle,温针灸法，又称温针，是在毫针针刺得气留针后，于针尾捻裹艾绒,燃点加温以治疗疾病的一种方法。又称为针柄灸法。目的是使热力通过针身传入穴位内，以发挥治疗作用。临床适用于风寒湿痹、痿证等。,Moxibustion with Warming Needle,also termed warm needling,is a method of acupuncture combined with moxibustion,after the arrival of Qi and the needle handle is pinched with some moxa wool,and then the moxa wool or stick is ignited for moxibustion.The purpose of the moxibustion is to conduct heat power through the needle shaft into the acupoint,so as to produce the therapeutic effect.,不锈钢针艾绒加热：由于不锈钢的导热系数低，为,16.3 W/mk,，而银的导热系数达到,429 W/mk,，因此要使用不锈钢针加艾灸来实现使热力通过针身传入穴位内的目的，是不能达到的,.,Stainless needle moxa heating:thermal conductivity of stainless steel needle is 16.3 W/m.C,versus that of silver needle of 429 W/m.C.Accordingly,heat conduction can not be achieved through stainless needle into acupoints.,银质针艾绒加热：艾绒加热无法控制调整加热的温度，升降变化快，波动大，加热不稳定,.,银质针过短，易烫伤皮肤；银质针过长，针尖的温度就低，导热效果就差,;,Silver needle moxa heating:moxa heating hardly controls and adjusts the heating temperature,bringing big heat-conducting instability.It is easy to burn skin if the silver needle is too short;the needle tip temperature will be too low if the silver needle is too long,heat conductivity effect is therefore unsatisfied.,艾绒加热污染环境，烟熏使医生和病人难以忍受，燃烧时易掉火芯伤人。,Pollution or unpleasant environment brought by moxa heating and injured by flame of moxibustion.,温针灸治疗的现状,The Status of Warm Needling Treatment,温针灸治疗的现状,The Status of Warm Needling Treatment,不同留针长度不锈钢针艾绒加热的热量传导情况,(,室温,30,C),The heat conduction of acupuncture and moxibustion(room temperature at 30,C),不锈钢针的传导作用非常弱，虽然艾绒燃烧的绝对最高温度可达到,350,C,左右，但既使离针尾仅,4.0cm,最高绝对温度还只有,43.9,C,，而离针尾,7.0cm,的距离几乎温度不能被传至。,With low thermal conductivity,although the absolute highest temperature of moxa combustion can reach 350,C,the temperature of needle point still can not achieve the target temperature.,0,10,20,40,50,0,1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,时间,Time(Min),温度,Temperature(C),针灸,4.0cm,30,针灸,5.0cm,针灸,6.0cm,针灸,7.0cm,85%,的银质针灸针 银质针导热巡检仪,高导热效率的银质针,提高银质针的含银量，由原来的,75%,，增加到,85%,去掉圆顶针尾改为平顶针尾，与探头密切配合，去掉散热空间。改针柄由散热为加热,去掉针柄上的弹簧，使针身、针柄为一体，提高导热效率,严格加工工艺,保证产品质量。使导热率达到一致,稳定可控高效的银质针导热巡检仪,操作可控性强,每路加热探头都能任意设定温度，独立控制温度,巡回显示每路探头实时加热温度,在运行过程中可适时调整,加热稳定性好，加热温度上下波动小于,4,C,导热效率高,加热升温快，,2,分钟达到温度设置值，,4-5,分钟能稳定在设置值上,有效加热时间长且稳定,安全可靠，操作简单,完全按照国际安全标准设计制造的,银质针和加热电流完全隔离，银质针上无微电流通过,银质针灸针导热治疗新技术,The New Technology of SNHCT,银质针灸针导热治疗的新工具,T,he Medical Devices of SNHCT,银质针导热巡检仪,Heat Conducting and Temperature Control Equipment,医用银质针灸针,Medical silver needle,注册证号,(R,egistration No),：,沪食药监械,(,准,),字,2009,第,2271019,号,发明专利申请号,(PA No.),：,200510005305.2,注册证号,(Registration No.),：,沪食药监械,(,准,),字,2008,第,2270040,号,发明专利申请号,(PA No.),：,200410091397.6,临床试验结果,The Key Findings of Clinical Trial,在针刺的基础上，分别留针,(,皮肤至针尾,)4.0cm,，,4.5cm,，,5.0cm,，分别使用银质针和银质针导热巡检仪加热和传统不修钢针艾绒加热,20,分钟，其间皮肤进针点温度变化。,After acupuncture,needles lay outside(skin to the backshank)4.0cm,4.5cm,5.0cm,respectively using silver needle no heating,