1、薄氏腹針療法的薄氏腹針療法的臨床應(yīng)用臨床應(yīng)用Dr. ZhiYun Bos Abdominal Acupuncture Therapy and its Clinical Application東直門醫(yī)院針灸科 劉云霞Liu YunXia, Acupuncture Dept. of DongZhiMen Hospital概述概述Summary: Abdominal Acupuncture Therapy腹針腹針Abdominal Acupuncture是通過刺激腹部穴位，調(diào)節(jié)臟腑失衡來治療全身疾病的一種方法。是以神闕調(diào)控系統(tǒng)為核心的針灸療法It is a method that treats th

2、e 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.概述概述Summary: Abdominal Acupuncture Therapy適應(yīng)癥IndicationsIllness due to internal cau

3、se, chronic illness that develops into internal diseases, and difficult to treat diseases. 腹針適應(yīng)癥腹針適應(yīng)癥 適應(yīng)癥：內(nèi)因性疾病，或久病及里的慢性病、疑難病。 如中風(fēng)后遺癥患者肢體功能恢復(fù)，椎基底動(dòng)脈供血不足，抑郁癥，功能性便秘，代謝性疾病，更年期綜合癥，肩周炎，網(wǎng)球肘，頸椎病，腰椎病等 腹針的禁忌癥腹針的禁忌癥 一切原因不明的急腹癥 急性腹膜炎 肝脾腫大引起的臍靜脈曲張 腹腔內(nèi)腫瘤并廣泛轉(zhuǎn)移 大月份孕婦 長(zhǎng)期慢性病而致體質(zhì)極度衰弱者，當(dāng)慎針 肝脾腫大患者不宜深刺上腹部以神闕到中庭分為8寸下腹部以神闕

4、到曲骨分為5寸腹針穴位的取穴方法腹針穴位的取穴方法（2） Method of Point Location in Abdominal Acupuncture In the epigastrium, mark 8 cun between ShenQue (RN8) and ZhongTing (RN16).In the lower abdomen, mark 5 cun between ShenQue (RN) and QuGu (RN2).腹部的橫寸，傳統(tǒng)針灸以雙側(cè)的乳中穴之間的距離分為8寸腹針療法以神闕到平行的腹側(cè)的外緣定為6寸腹針穴位的取穴方法腹針穴位的取穴方法（2） Method of

5、Point Location in Abdominal Acupuncture In conventional acupuncture, horizontally there are 8 cun between the bilateral RuZhong (ST17).In abdominal acupuncture, horizontally there are 6 cun from ShenQue (RN8) to the lateral edge of the abdomen. 取穴規(guī)范取穴規(guī)范 Norm of Acupoint Selection傳統(tǒng)針灸取穴以正中線確定為任脈，因此取穴

6、時(shí)，以正中線為標(biāo)記任脈為中心標(biāo)記Take the Ren meridian as the center markIn conventional acupuncture, the midline is the Ren meridian. The midline is the marking line for acupoint selection. 取穴規(guī)范取穴規(guī)范 Norm of Acupoint Selection腹針是把腹白線作為任脈的體表標(biāo)志腹針取穴時(shí)，必須對(duì)腹白線進(jìn)行準(zhǔn)確的辨認(rèn)，以免取穴的失誤In selecting acupoints in abdominal acupuncture,

7、 make sure the to locate precisely the abdominal white line, so as not to make any errors in selecting the acupoints.In abdominal acupuncture, the Ren meridian is located at the abdominal white line on the body surface.腹針常用穴位腹針常用穴位 Commonly Used Abdominal Acupuncture Points中中 脘脘 下下 脘脘水水 分分神神 闕闕氣氣 海海

8、關(guān)關(guān) 元元腹針常用穴位腹針常用穴位 Commonly Used Abdominal Acupuncture Points商商 曲曲氣氣 穴穴滑肉門滑肉門天天 樞樞外外 陵陵大大 橫橫腹針常用穴位腹針常用穴位 Commonly Used Abdominal Acupuncture Points氣氣 旁旁上風(fēng)濕點(diǎn)上風(fēng)濕點(diǎn)上風(fēng)濕外點(diǎn)上風(fēng)濕外點(diǎn)QiPang: 0.5 Cun lateral to QiHai (RN6)ShangFengShi （Upper Rheumatic） point: 0.5 cun Lateral and superior to HuaRouMen (ST24)ShangFe

9、ngShiWai (Upper Rheumatic lateral)Point: 1 cun lateral to HuaRouMen (ST24)腹針常用穴位腹針常用穴位 Commonly Used Abdominal Acupuncture Points下風(fēng)濕點(diǎn)下風(fēng)濕點(diǎn)下風(fēng)濕下點(diǎn)下風(fēng)濕下點(diǎn)XiaFengShi (Lower Rheumatic) point: 2.5 cun lateral to QiHai (RN6)XiaFengShiXia (Lower Rheumatic inferior) point: 3 cun lateral to ShiMen (RN5)腹針針具的選擇腹針針

10、具的選擇 Needle Size 型號(hào)型號(hào)Needle Size分型分型 Type適應(yīng)癥適應(yīng)癥 indications34# (0.22mm-50mm)A1肥胖型Thicker頭痛，面神經(jīng)麻痹，頸椎病，肩周炎Headache, facial paralysis, cervical spondylosis, frozen shoulder34# (0.22mm-40mm)A2正常型Normal網(wǎng)球肘，腕管綜合癥，腰椎病，坐骨神經(jīng)痛 Tennis elbow, carpal tunnel syndrom, lumbago, sciatica34# (0.22mm-30mm)A3消瘦型Thinner

11、骨關(guān)節(jié)病，風(fēng)濕性關(guān)節(jié)炎，類風(fēng)濕性關(guān)節(jié)炎等疼痛性疾病 osteoarthropathy, rheumatic arthritis, rheumatoid arthritis and other pain disorders.留針時(shí)間和療程留針時(shí)間和療程 留針時(shí)間一般為2030分鐘 對(duì)于病程短和體質(zhì)較差的病人，留針時(shí)間稍短 對(duì)于病程長(zhǎng)和體質(zhì)較好的病人，留針時(shí)間相對(duì)長(zhǎng)一些 腹針的治療療程為610次之間 一般疾病6次為一療程，慢性病10次為一療程 治療的第13次，連續(xù)針灸，每日一次；第3次以后，隔日針灸一次 落枕落枕 Stiff Neck落枕落枕(stiffneck)：即頸部傷筋，是指急性單純性頸項(xiàng)強(qiáng)

12、痛、活動(dòng)受限的一種病癥。頭多向患側(cè)歪斜，可出現(xiàn)肩部和上臂疼痛，頸項(xiàng)部壓痛明顯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 appli

13、ed to the neck.中脘（深刺）商曲（患側(cè)，淺刺）滑肉門（患側(cè)，中刺） 落枕腹針處方落枕腹針處方 AA Formula for stiff Neck ShangQu (KD17, Affected side, S), ZhongWan(RN12, D),HuaRouMen (ST24, Affected side, M). 肩周炎肩周炎 Frozen Shoulder (Periarthritis of Shoulder)肩周炎：肩關(guān)節(jié)周圍肌肉、肌腱、韌帶及關(guān)節(jié)囊損傷或退行性改變，導(dǎo)致慢性非特異性炎癥肩周疼痛，功能受限，50歲以上，女多于男Frozen Shoulder: Non-s

14、pecific 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. 分期分期 Stages早期

15、（也稱做疼痛期，早期（也稱做疼痛期，2-3個(gè)月以內(nèi)）以疼痛為主，日輕夜重；個(gè)月以內(nèi)）以疼痛為主，日輕夜重；中期（也稱做粘連期，中期（也稱做粘連期，3個(gè)月以上）以功能障礙來主，外展、外旋及個(gè)月以上）以功能障礙來主，外展、外旋及后伸等動(dòng)作受限最明顯后伸等動(dòng)作受限最明顯晚期（也稱做緩解期，半年至一年以上）臨床表現(xiàn)肩部疼痛不甚晚期（也稱做緩解期，半年至一年以上）臨床表現(xiàn)肩部疼痛不甚, 多多可見肩部肌肉萎縮?？梢娂绮考∪馕s。Early stage: (painful period, lasts 2-3 months) pain is evident, light during the day and

16、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 dont feel much pain on the shoulder,

17、but is mostly seen shoulder muscle atrophy.中脘（深刺）商曲（中刺，健側(cè)）滑肉門（淺刺患側(cè)）肩周炎腹針處方肩周炎腹針處方 Abdominal Acupuncture Formula for Frozen ShoulderZhongWan(RN12, D), ShangQu(KD17, healthy side, M), HuaRouMen(ST24, affected side, M). 網(wǎng)球肘網(wǎng)球肘 Tennis Elbow網(wǎng)球肘：或叫肱骨外上髁炎，是一種肘部常見疾病。是一種附著在肱骨外上髁的肌腱炎Tennis elbow, also known a

18、s radio-humeral epicondylitis. It is a disease that is often seen. It is a tendinitis of the external humeral epicondyle. 網(wǎng)球肘網(wǎng)球肘 Tennis Elbow 因手臂伸肌與屈肌肌力承受能力不一致，過度使用使伸肌受傷害。網(wǎng)球運(yùn)動(dòng)員反手擊球Due to the difference of bearing capacity of muscle strength between the arm extensor and flexor muscles, the excessive

19、use injures the extensor muscle. Tennis player hits the ball with backhand causes this disorder.中脘（深刺）商曲（健側(cè)，中刺）滑肉門（患側(cè) 中刺）上風(fēng)濕點(diǎn)（患側(cè)，淺刺） 網(wǎng)球肘腹針處方網(wǎng)球肘腹針處方 Abdominal Acupuncture Formula for Tennis ElbowZhongWan (RN12, D), ShangQu (KD17, healthy side, M), HuaRouMen (ST24, affected side, M), ShangFengShi point (affected side, S)腕管綜合征腕管綜合征 Carpal Tunnel Syndrom腕管綜合征：是指人體正中神經(jīng)在腕管內(nèi)受到壓迫所產(chǎn)生的癥狀，食指中指疼痛、麻木和拇指肌肉無力感累積性創(chuàng)傷疾病Carpal tu