中医第十章2.ppt
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1、肺手太阴之脉:起于 中焦,下络大肠,还循胃口(胃上口),上膈属肺。从肺系,横出腋下,下循臑(上臂)内,行少阴,心主之前,下肘中,循臂内上骨(桡骨),入寸口,上鱼,循鱼际,出大指之端(内侧端)。,一、手太阴肺经,1 The Lung Channel of Hand-Taiyin 1) The Main Course of the Channel Pertains to the lung, links up to the large intestine Mainly runs along the anterior border of the medial aspect of the upper a
2、rm. 2) Principal Indications Diseases of the chest and lung : e.g. cough, asthma, chest pain; Disease of the regions along the course of this channel,1、尺泽 定位: 肘横纹中, 肱二 头肌腱 桡侧 主治: 咳嗽,气喘, 咯血,肘臂痛 操作: 直刺0.8-1.2 寸,2、列缺 定位: 桡骨茎突上方, 腕横纹上1.5寸 主治: 头痛,项强, 咳喘,手腕无 力 操作: 向肘部斜刺 0.3-0.5寸,3) Points Commonly Used Ch
3、ize (L 5) LOCATION On the cubital crease, near the radial border of the tendon of m. biceps brachii. This point is located with the elbow slightly flexed. INDICATION Cough, hemoptysis, sore throat, fullness in the chest, the pain of the elbow and arm. Lieque (L 7) LOCATION Superior to the styloid pr
4、ocess of the radius, 1.5 cun above the transverse crease of the wrist INDICATION Headache, cough, stuffy nose, sore throat, toothache and weakness of the wrist.,二、手阳明大肠经 起于大指次指之端,循 指上廉,出合谷两骨之 间,上入两筋之中,循 臂上廉,入肘外廉,上 臑外前廉,上肩,出髃 骨之前廉,上出于柱骨 之会上,下入缺盆,络 肺,下膈,属大肠。 其支者,从缺盆上颈, 贯颊,入下齿中;还出 挟口,交人中,左之右, 右之左,上挟鼻孔,
5、2 The Large Intestine Channel of Hand-Yangming 1) The Main Course of the Channel Pertains to the large intestine, links up to the lung Mainly runs along the anterior border of the lateral aspect of the upper limb 2) Principal Indications Diseases of the head, face, five sense organs and throat; othe
6、r diseases in the regions along the course of this channel 3) Points Commonly Used,1、合谷 定位:手背,第一、 二掌骨之间,约平 第二掌骨中点处。 主治: 1)头面部疾病: 头痛、齿痛、面瘫 2)大肠经本经病变: 腹痛、便秘 3)双相调节:热病 无汗,多汗 4)特异性:痛经, 滞产 操作:直刺0.5-1寸。 孕妇禁针。,2、曲池: 定位: 屈肘,成直角, 当肘横纹外端 与肱骨外上髁 连线的中点。 主治: 上肢不遂,手 臂肿痛,腹痛 吐泻 操作: 直刺1-1.5寸,Hegu (LI 4) LOCATION On
7、the dorsum of the hand, between the 1st and 2nd metacarpal bones, in the middle of the 2nd metacarpal bone on the radial side. INDICATIONS Headache, redness, swelling and pain of the eye, nasal diseases, deafness, toothache, deviation of the mouth and eye, sore throat, abdominal pain, constipation,
8、dystocia, amenorrhea Quchi (LI 11) LOCATION When the elbow is flexed to form a right angle, the point is at the midpoint of the line joining the lateral end of the transverse cubital crease and the lateral epicondyle of the humerus.,3、肩髃 定位: 肩峰端下端, 当肩峰与肱骨 大结节之间, 三角肌上部中 央。 主治:肩臂痛, 上肢不遂 操作: 直刺或向下斜 刺0.
9、8-1.5寸。 4、迎香(略),INDICATIONS Sore throat, abdominal pain, vomiting, diarrhea, edema, dizziness, hemiparalysis, swelling and pain of the hand and arm. Jianyu ( LI 15) LOCATION Antero-inferior to the acromion, between the acromion and the greater tuberosity of the humerus, at the center of the upper po
10、rtion of m. deltoideus. INDICATIONS Pain in the shoulder and arm, toothache, numbness of the upper extremities,三、足阳 明胃经,起于鼻翼旁(迎香穴),挟鼻上行左右交会于鼻根部,旁行入目内眦 ,与足太阳经相交 ,下沿鼻柱外侧 ,入上齿中 ,还出,挟口两旁,环绕嘴唇,在颏唇沟承浆穴处左右相交,退回沿下颌骨后下缘到大迎穴处,沿下颌角颊车上行耳前,沿发际到额前。 面部分支:从大迎穴前下走人迎,沿喉咙向下入缺盆,下行过膈肌,属胃, 络脾 。 缺盆部直行的脉:经乳头向下挟脐旁,下行至腹股沟的气街
11、穴。 胃下口支脉:从胃下口分出,沿腹腔内下行至气街,与直行之脉会合,而后下行至髀关,直抵伏兔,下至膝盖,沿胫骨外侧前缘下经足跗,入足第二趾外侧端。 胫部分支:从膝下3寸处 (足三里穴)分出 ,下行入中趾外侧端。 足跗分支:从足背上冲阳穴分出,前行入足大趾内侧端(隐白穴),交于足太阴脾经,3 The Stomach Channel of Foot-Yangming 1) The Main Course of the Channel Pertains to the stomach, links up to the spleen Mainly runs along the anterior bord
12、er of the lateral aspect of the lower limbs 2) Principal Indications Gastrointestinal diseases; diseases of the head, face, eye, nose and mouth; toothache; other diseases in the regions along the course of this channel 3) Commonly Used Points,2、地仓 定位: 口角旁0.4寸 主治: 面瘫,口角流 涎,语涩,三叉 神经痛 操作: 斜刺或平刺 0.5-0.8
13、寸,或 透刺颊车,3、颊车 定位:下颌角前上方一横指,咀嚼时咬肌隆起处 主治:面瘫,赤痛,颊肿,痄腮 操作:直刺0.3-0.5寸,或平刺0.5-1寸, 透刺地仓,4、天枢 定位:脐旁两寸。 主治:腹痛,腹胀,便秘、腹泻(双向调节) 操作:直刺1-1.5寸,5、犊鼻(外膝眼) 定位:屈膝,髌骨下缘,髌韧带外侧凹陷 主治:膝关节及周围软组织疾患。 操作:向内上方斜刺0.5-1寸,Sibai (S 2) LOCATION With the eyes looking straight forward, directly below the pupil, the point is in the depr
14、ession at the infraorbital foramen INDICATION Redness, pain and itching of the eye, twitching of eyelids, deviation of the mouth and eye, pain in face Tianshu (S 25) LOCATION 2 cun lateral to the umbilicus INDICATION Abdominal distension, pain around the navel, constipation, diarrhea, irregular mens
15、truation,5、足三里 定位: 犊鼻穴下3寸, 胫骨前嵴外一 横指 主治: 下肢痿痹,消 化系统各种病 变,虚劳羸瘦。 强壮保健要穴。 操作: 直刺0.5-1.5寸, 可灸,6、丰隆 定位: 足三里下5寸, 胫骨前嵴外二 横指 主治: 咳嗽痰多、眩 晕,下肢痿痹 操作: 直刺0.5-1寸,Dubi (S 35) LOCATION When the knee is flexed, the point is at the lower border of the patella, in the depression lateral to the patellar ligament INDICA
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