項(xiàng)目九手厥陰經(jīng)絡(luò)與腧穴PericardiumMeridianofHand-Jueyin,PC.項(xiàng)目九手厥陰經(jīng)絡(luò)與腧穴1手厥陰心包經(jīng)經(jīng)絡(luò))手厥陰心包經(jīng)經(jīng)脈1.經(jīng)脈循行(1)經(jīng)脈循行心主手厥陰心包絡(luò)之脈,起于胸中出屬心包,下膈,歷絡(luò)三焦。培心系其支者,循胸出脅,下腋三寸,上系心抵腋下,循曘內(nèi),行太陰、少陰之間,入肘中,下臂,行兩筋之間入掌電賃中指,出其端其支者,別循小指次指出其靈樞手心包經(jīng)循行線昂圖手厥陰心包經(jīng)經(jīng)絡(luò)2(2)手厥陰心包經(jīng)循行特點(diǎn)體表路線乳旁→上肢內(nèi)側(cè)面中間→掌心→中指體內(nèi)聯(lián)系屬心包絡(luò),依次聯(lián)絡(luò)上、中、下三焦。與心、胸、胃聯(lián)系密切(2)手厥陰心包經(jīng)循行特點(diǎn)32.手厥陰心包經(jīng)經(jīng)脈病候《靈樞·經(jīng)脈》:是動(dòng)則病,手心熱,臂、肘攣急,腋腫;甚則胸脅支滿,心中澹澹大動(dòng),面赤,目黃,喜笑不休是主脈所生病者,煩心,心痛,掌中熱。2.手厥陰心包經(jīng)經(jīng)脈病候4(二)手厥陰心包絡(luò)脈手心主之別,名曰內(nèi)關(guān)。去腕二寸,出于兩筋之間,循經(jīng)以系于心包,絡(luò)心系。心系實(shí)則心痛;虛則為煩心1。取之兩筋間也易心包中沖手厥心包經(jīng)國(guó)什昂圖(二)手厥陰心包絡(luò)脈5(三)手厥陰心包經(jīng)別手少陽(yáng)經(jīng)別手心主之正,別下淵腋三寸,入胸中,別屬三焦,出山循喉嚨,出耳手熙陰眨鬟后,合少陽(yáng)完骨之下中《靈樞·經(jīng)別》)圖5手少陽(yáng)、手展陰經(jīng)劇線路圖(三)手厥陰心包經(jīng)別6(四)手厥陰心包經(jīng)筋手心主之筋,起于中指,與太陰之筋并行,結(jié)于肘內(nèi)廉,上臂陰,結(jié)腋下,下散前后挾脅。其支者,入腋,散胸中,結(jié)于賁。時(shí)內(nèi)廉其病,當(dāng)所過(guò)者支轉(zhuǎn)筋,及胸嗨息責(zé)。(《靈樞經(jīng)筋》圖1手陰經(jīng)觸分布圖(四)手厥陰心包經(jīng)筋7二、手厥陰心包經(jīng)腧穴PointsofPericardiumMeridianofHand-Jueyin1.天池★Tianchi(PC1)【定位Location】在胸部,當(dāng)?shù)谒睦唛g隙,乳頭外1寸,前正中線旁開5寸天池二、手厥陰心包經(jīng)腧穴8【層次解剖Stratifiedanatomy】皮膚→皮下組織→胸大肌→胸小肌?！局髦蜪ndications】1.脅肋脹痛,腋下腫痛,瘰疬人肌小中經(jīng)外應(yīng)乳癰,乳汁少。體種經(jīng)3.咳嗽,氣喘。下4.胸悶,心痛們誕機(jī)【刺法ψethod】斜刺或半5~0.8寸;本穴正當(dāng)胸腔,內(nèi)容肺,不宜深刺【層次解剖Stratifiedanatomy】92.天泉Tianquan(PC2)【定位Location】在臂內(nèi)側(cè),當(dāng)腋前紋頭下2寸肱二頭肌的長(zhǎng)、短頭之間。天泉曲澤2.天泉Tianquan(PC2)10經(jīng)絡(luò)學(xué)-手厥陰心包經(jīng)課件11經(jīng)絡(luò)學(xué)-手厥陰心包經(jīng)課件12經(jīng)絡(luò)學(xué)-手厥陰心包經(jīng)課件13經(jīng)絡(luò)學(xué)-手厥陰心包經(jīng)課件14經(jīng)絡(luò)學(xué)-手厥陰心包經(jīng)課件15經(jīng)絡(luò)學(xué)-手厥陰心包經(jīng)課件16經(jīng)絡(luò)學(xué)-手厥陰心包經(jīng)課件17經(jīng)絡(luò)學(xué)-手厥陰心包經(jīng)課件18經(jīng)絡(luò)學(xué)-手厥陰心包經(jīng)課件19經(jīng)絡(luò)學(xué)-手厥陰心包經(jīng)課件20經(jīng)絡(luò)學(xué)-手厥陰心包經(jīng)課件21經(jīng)絡(luò)學(xué)-手厥陰心包經(jīng)課件22經(jīng)絡(luò)學(xué)-手厥陰心包經(jīng)課件23經(jīng)絡(luò)學(xué)-手厥陰心包經(jīng)課件24經(jīng)絡(luò)學(xué)-手厥陰心包經(jīng)課件25經(jīng)絡(luò)學(xué)-手厥陰心包經(jīng)課件26經(jīng)絡(luò)學(xué)-手厥陰心包經(jīng)課件27項(xiàng)目九手厥陰經(jīng)絡(luò)與腧穴PericardiumMeridianofHand-Jueyin,PC.項(xiàng)目九手厥陰經(jīng)絡(luò)與腧穴28手厥陰心包經(jīng)經(jīng)絡(luò))手厥陰心包經(jīng)經(jīng)脈1.經(jīng)脈循行(1)經(jīng)脈循行心主手厥陰心包絡(luò)之脈,起于胸中出屬心包,下膈,歷絡(luò)三焦。培心系其支者,循胸出脅,下腋三寸,上系心抵腋下,循曘內(nèi),行太陰、少陰之間,入肘中,下臂,行兩筋之間入掌電賃中指,出其端其支者,別循小指次指出其靈樞手心包經(jīng)循行線昂圖手厥陰心包經(jīng)經(jīng)絡(luò)29(2)手厥陰心包經(jīng)循行特點(diǎn)體表路線乳旁→上肢內(nèi)側(cè)面中間→掌心→中指體內(nèi)聯(lián)系屬心包絡(luò),依次聯(lián)絡(luò)上、中、下三焦。與心、胸、胃聯(lián)系密切(2)手厥陰心包經(jīng)循行特點(diǎn)302.手厥陰心包經(jīng)經(jīng)脈病候《靈樞·經(jīng)脈》:是動(dòng)則病,手心熱,臂、肘攣急,腋腫;甚則胸脅支滿,心中澹澹大動(dòng),面赤,目黃,喜笑不休是主脈所生病者,煩心,心痛,掌中熱。2.手厥陰心包經(jīng)經(jīng)脈病候31(二)手厥陰心包絡(luò)脈手心主之別,名曰內(nèi)關(guān)。去腕二寸,出于兩筋之間,循經(jīng)以系于心包,絡(luò)心系。心系實(shí)則心痛;虛則為煩心1。取之兩筋間也易心包中沖手厥心包經(jīng)國(guó)什昂圖(二)手厥陰心包絡(luò)脈32(三)手厥陰心包經(jīng)別手少陽(yáng)經(jīng)別手心主之正,別下淵腋三寸,入胸中,別屬三焦,出山循喉嚨,出耳手熙陰眨鬟后,合少陽(yáng)完骨之下中《靈樞·經(jīng)別》)圖5手少陽(yáng)、手展陰經(jīng)劇線路圖(三)手厥陰心包經(jīng)別33(四)手厥陰心包經(jīng)筋手心主之筋,起于中指,與太陰之筋并行,結(jié)于肘內(nèi)廉,上臂陰,結(jié)腋下,下散前后挾脅。其支者,入腋,散胸中,結(jié)于賁。時(shí)內(nèi)廉其病,當(dāng)所過(guò)者支轉(zhuǎn)筋,及胸嗨息責(zé)。(《靈樞經(jīng)筋》圖1手陰經(jīng)觸分布圖(四)手厥陰心包經(jīng)筋34二、手厥陰心包經(jīng)腧穴PointsofPericardiumMeridianofHand-Jueyin1.天池★Tianchi(PC1)【定位Location】在胸部,當(dāng)?shù)谒睦唛g隙,乳頭外1寸,前正中線旁開5寸天池二、手厥陰心包經(jīng)腧穴35【層次解剖Stratifiedanatomy】皮膚→皮下組織→胸大肌→胸小肌?！局髦蜪ndications】1.脅肋脹痛,腋下腫痛,瘰疬人肌小中經(jīng)外應(yīng)乳癰,乳汁少。體種經(jīng)3.咳嗽,氣喘。下4.胸悶,心痛們誕機(jī)【刺法ψethod】斜刺或半5~0.8寸;本穴正當(dāng)胸腔,內(nèi)容肺,不宜深刺【層次解剖Stratifiedanatomy】362.天泉Tianquan(PC2)【定位Location】在臂內(nèi)側(cè),當(dāng)腋前紋頭下2寸肱二頭肌的長(zhǎng)、短頭之間。天泉曲澤2.天泉Tianquan(PC2)37經(jīng)絡(luò)學(xué)-手厥陰心包經(jīng)課件38經(jīng)絡(luò)學(xué)-手厥陰心包經(jīng)課件39經(jīng)絡(luò)學(xué)-手厥陰心包經(jīng)課件40經(jīng)絡(luò)學(xué)-手厥陰心包經(jīng)課件41經(jīng)絡(luò)學(xué)-手厥陰心包經(jīng)課件42經(jīng)絡(luò)學(xué)-手厥陰心包經(jīng)課件43經(jīng)絡(luò)學(xué)-手厥陰心包經(jīng)課件44經(jīng)絡(luò)學(xué)-手厥陰心包經(jīng)課件45