1、The Meridian-Collateral System LESSON 10第一頁(yè)，共28頁(yè)。第二頁(yè)，共28頁(yè)。刮痧刮痧(gush) scraping therapy 第三頁(yè)，共28頁(yè)。氣功氣功(qgng) Qi gong第四頁(yè)，共28頁(yè)。 tui na第五頁(yè)，共28頁(yè)。針刺針刺(zhn c) acupuncture therapy第六頁(yè)，共28頁(yè)。General Description The foundation for acupuncture,moxibustion,tuina and qigong. Focus on human body as a whole.人體運(yùn)輸人體運(yùn)輸(y

2、nsh)(ynsh)之之通路通路經(jīng)經(jīng)絡(luò)絡(luò)第七頁(yè)，共28頁(yè)。The theory of meridians-collaterals The meridians-collaterals family The physiological function The pathological changes 第八頁(yè)，共28頁(yè)。Meridians and CollateralsThese pathways connect the viscera with limbs and joints, link the upper part of the body with the lower part and as

3、sociate the interior with the exterior. The meridian-collaterals is a general term for the meridians (Jing Mai) and the collaterals (Luo Mai).第九頁(yè)，共28頁(yè)。Meridians and CollateralsJing means “ go through ” or “ a path ”. They are the main trunks of the system, thick and large.They run longitudinally and

4、 are deep-level distributed within the body. 第十頁(yè)，共28頁(yè)。Meridians and Collaterals Luo means “ something that connects ” or “ a net ”. They are branches of the meridians, thin and small. They usually run transversely and are distributed superficially, and crisscross and net the whole body. 第十一頁(yè)，共28頁(yè)。經(jīng)絡(luò)

5、系統(tǒng)(xtng)組成：v經(jīng)絡(luò)(jnglu)系統(tǒng)經(jīng)脈(jngmi)十五絡(luò)脈孫絡(luò)浮絡(luò)十二經(jīng)脈奇經(jīng)八脈十二經(jīng)別十二經(jīng)筋十二皮部絡(luò)脈手三陰手三陽(yáng)足三陰足三陽(yáng)沖脈任脈督脈帶脈陰陽(yáng)蹺脈陰陽(yáng)維脈遍布全身第十二頁(yè)，共28頁(yè)。The meridians-collaterals family Meridians ColleteralsTwelve regular meridians Eight extraordinary meridiandivergent collateral superficial collateral fine（Minute）collateral 15第十三頁(yè)，共28頁(yè)。 Other fam

6、ily members The twelve divergent meridians( (十二經(jīng)別十二經(jīng)別) ) The twelve skin divisions（十二皮部十二皮部） The twelve musculature zones.（十二經(jīng)筋）十二經(jīng)筋）BELONG TO Meridians System第十四頁(yè)，共28頁(yè)。(Meridians & Collaterals ( Exterior )Zang-Futhe twelve muscles regionsthe twelve cutaneous regionsthe minute and superficial co

7、llateralsthe twelve regular meridiansthe eight extra meridiansthe twelve divergent meridiansthe fifteen collateralsInterior )Relation Photo第十五頁(yè)，共28頁(yè)。They link together to unify all the viscera, organs, orifices, muscles, skin and bones in the human body into an organic whole. 第十六頁(yè)，共28頁(yè)。 Physiologica

8、lly the meridians serve as the pathways for Qi and blood to flow and circulate in the body. Pathologically the meridians transmit pathogenic factors into the body. 第十七頁(yè)，共28頁(yè)。 WHAT OCCASION?When meridian Qi becomes weak or fails to protect the body due to certain factors, exogenous pathogenic factors

9、 may invade the body and pathogenic factors will be transmitted into the viscera through the meridians. 第十八頁(yè)，共28頁(yè)。They start and terminate at certain sites, run along the fixed routes, link in accordance with certain order, distribute along the limbs with certain rules and are directly connected wit

10、h certain viscera. Diagnose according to changes of the meridians.How can we know what happened?第十九頁(yè)，共28頁(yè)。第二十頁(yè)，共28頁(yè)。 肺部脹滿，膨膨氣喘、咳嗽，鎖骨上窩“缺盆”內(nèi)（包括喉嚨部分）疼痛；嚴(yán)重的則交捧著兩手(lin shu)，感到胸部煩悶，視覺(jué)模糊。還可發(fā)生前臂部的氣血阻逆如厥冷、麻木、疼痛等癥。 第二十一頁(yè)，共28頁(yè)。CASE lung distention chest pain pain in the supraclavicular fossa 缺盆缺盆(qu pn)中痛中痛 .

11、ETC第二十二頁(yè)，共28頁(yè)。十二十二(sh r)經(jīng)病證經(jīng)病證 （一）手太陰(tiyn)肺經(jīng)病證： 【臨床表現(xiàn)】肺脹、咳喘、胸部滿悶；缺盒中痛；肩背痛，或肩背寒，少氣，灑淅寒熱，自汗出，濡或臂內(nèi)前廉痛，常中熱，小便頻數(shù)或色變等。（二）手陽(yáng)明大腸經(jīng)病證【臨床表現(xiàn)】齒痛、頸腫；咽喉腫痛，鼻衄，目黃口干；肩臂前側(cè)疼痛；拇、食指疼痛、活動(dòng)障礙。（三）足陽(yáng)明胃經(jīng)【臨床表現(xiàn)】壯熱、汗出、頭痛、頸腫、咽喉腫痛、齒痛，或口角歪斜，鼻流濁涕；或鼻衄；驚惕狂躁；或消谷善饑，脘腹脹滿；或膝腹腫痛，胸乳部、腹股部、下肢外側(cè)、足背、足中趾等多處疼痛，足中肢活動(dòng)受限。第二十三頁(yè)，共28頁(yè)。 （四）足太陰脾經(jīng)病證 【臨床表現(xiàn)

12、】舌本強(qiáng)、食則嘔、胃脘痛、腹脹善噫，得后與氣則快然如衰，身體皆重。舌本痛，體不能動(dòng)搖，食不下，煩心，心下急痛、溏瀉、癥瘕、泄、水團(tuán)、黃疸，不能臥，股膝內(nèi)腫厥，足大趾不用。 （五）手少陰心經(jīng)病證 【臨床表現(xiàn)】心胸?zé)炋弁?、咽干、渴而欲飲、目黃、脅痛、撓臂內(nèi)側(cè)后緣(hu yun)痛厥，掌中熱。 （六）手太陽(yáng)小腸經(jīng)病證 【臨床表現(xiàn)】耳聾、目黃、咽痛；肩似拔、撓似折。頸項(xiàng)肩撓肘臂外后廉痛。第二十四頁(yè)，共28頁(yè)。 （七）足太陽(yáng)膀胱經(jīng)病證 【臨床表現(xiàn)】發(fā)熱，惡風(fēng)寒，鼻寒流涕，頭痛，項(xiàng)背強(qiáng)痛；目似脫項(xiàng)如拔，腰似折，（月國(guó)）如結(jié)，踹如裂；癲癇、狂證、瘧疾、痔瘡；腰脊、（月國(guó)）窩，腓腸肌、足跟和小趾等處疼痛，活

13、動(dòng)障礙。（八）足少陰腎經(jīng)病證 【臨床表現(xiàn)】面黑如漆柴，頭暈?zāi)垦?；氣短喘促，咳?k su)咯血；饑不欲食，心胸痛，腰脊下肢無(wú)力或痿厥，足下熱痛；心煩、易驚、善恐、口熱舌干，咽腫。（九）手厥陰心包經(jīng)病證【臨床表現(xiàn)】手心熱，臂肘攣急，腋腫，甚則胸脅支滿，心煩、心悸、心痛、喜笑不休面赤目黃等。第二十五頁(yè)，共28頁(yè)。（十）手少陽(yáng)三焦經(jīng)病證【臨床表現(xiàn)】耳聾、心脅痛，目銳眥痛，頰部耳后疼痛，咽喉腫痛，汗出，肩肘、前臂痛，小指、食指活動(dòng)障礙。（十一）足少陽(yáng)膽經(jīng)病證 【臨床表現(xiàn)】口苦、善太息，心脅痛不能轉(zhuǎn)側(cè)，甚則面微有塵，體無(wú)膏澤，足外反熱。頭痛頷痛，缺盆中腫痛，腋下腫，馬刀俠癭，汗出振寒為瘧，胸、脅、肋髀、膝外至脛，絕骨外踝前及諸節(jié)皆痛，足小趾、次趾不用。（十二）足厥陰肝經(jīng)病證【臨床表現(xiàn)】腰痛不可俯仰，面色晦暗，咽干，胸滿、腹瀉、嘔吐、遺尿或癃閉(lngb)，疝氣或婦女少腹痛。 第二十六頁(yè)，共28頁(yè)。The eigh