薄氏腹针疗法的临床应用AmericanTCMSociety美国中

薄氏腹针疗法的临床应用AmericanTCMSociety美国中第1页/共28页薄氏腹针疗法的

临床应用

Dr.ZhiYunBo’sAbdominalAcupunctureTherapyanditsClinicalApplication第2页/共28页概述Summary:AbdominalAcupunctureTherapy腹针AbdominalAcupuncture是通过刺激腹部穴位，调节脏腑失衡来治疗全身疾病的一种方法。是以神阙调控系统为核心的针灸疗法Itisamethodthattreatsthewholebodydiseasesthroughthestimulationoftheacupointsontheabdomen,andthroughtheregulationofthezangfuimbalances.ItisanacupuncturetherapythattakesShenQue(RN8)modulationsystemasitscore.第3页/共28页概述Summary:AbdominalAcupunctureTherapy内因性疾病，或久病及里的慢性病、疑难病适应症IndicationsIllnessduetointernalcause,chronicillnessthatdevelopsintointernaldiseases,anddifficulttotreatdiseases.第4页/共28页腹针适应症适应症：内因性疾病，或久病及里的慢性病、疑难病。如中风后遗症患者肢体功能恢复，椎基底动脉供血不足，抑郁症，功能性便秘，代谢性疾病，更年期综合症，肩周炎，网球肘，颈椎病，腰椎病等第5页/共28页腹针的禁忌症一切原因不明的急腹症急性腹膜炎肝脾肿大引起的脐静脉曲张腹腔内肿瘤并广泛转移大月份孕妇长期慢性病而致体质极度衰弱者，当慎针肝脾肿大患者不宜深刺第6页/共28页上腹部以神阙到中庭分为8寸下腹部以神阙到曲骨分为5寸腹针穴位的取穴方法（2）

MethodofPointLocationinAbdominalAcupunctureIntheepigastrium,mark8cunbetweenShenQue(RN8)andZhongTing(RN16).Inthelowerabdomen,mark5cunbetweenShenQue(RN)andQuGu(RN2).第7页/共28页腹部的横寸，传统针灸以双侧的乳中穴之间的距离分为8寸腹针疗法以神阙到平行的腹侧的外缘定为6寸腹针穴位的取穴方法（2）

MethodofPointLocationinAbdominalAcupunctureInconventionalacupuncture,horizontallythereare8cunbetweenthebilateralRuZhong(ST17).Inabdominalacupuncture,horizontallythereare6cunfromShenQue(RN8)tothelateraledgeoftheabdomen.第8页/共28页

取穴规范

NormofAcupointSelection传统针灸取穴以正中线确定为任脉，因此取穴时，以正中线为标记任脉为中心标记TaketheRenmeridianasthecentermarkInconventionalacupuncture,themidlineistheRenmeridian.Themidlineisthemarkinglineforacupointselection.第9页/共28页

取穴规范

NormofAcupointSelection腹针是把腹白线作为任脉的体表标志腹针取穴时，必须对腹白线进行准确的辨认，以免取穴的失误Inselectingacupointsinabdominalacupuncture,makesurethetolocatepreciselytheabdominalwhiteline,soasnottomakeanyerrorsinselectingtheacupoints.Inabdominalacupuncture,theRenmeridianislocatedattheabdominalwhitelineonthebodysurface.第10页/共28页腹针常用穴位

CommonlyUsedAbdominalAcupuncturePoints中脘RN12脐中上4寸，任脉上下脘RN10脐中上2寸，任脉上水分RN9脐中上1寸，任脉上神阙RN8脐中央气海RN6脐中下1.5寸，任脉上关元RN4脐中下3寸，任脉上第11页/共28页腹针常用穴位

CommonlyUsedAbdominalAcupuncturePoints商曲KD17下脘旁开0.5寸气穴KD13关元旁开0.5寸滑肉门ST24水分旁开2寸天枢ST25神阙穴旁开2寸。大肠募穴外陵ST26阴交穴旁开2寸大横SP15神阙穴旁开3.5寸第12页/共28页腹针常用穴位

CommonlyUsedAbdominalAcupuncturePoints气旁气海旁开0.5寸上风湿点滑肉门旁开0.5寸,上0.5寸上风湿外点滑肉门旁开1寸QiPang:0.5CunlateraltoQiHai(RN6)ShangFengShi（UpperRheumatic）point:0.5cunLateralandsuperiortoHuaRouMen(ST24)ShangFengShiWai(UpperRheumaticlateral)Point:1cunlateraltoHuaRouMen(ST24)第13页/共28页腹针常用穴位

CommonlyUsedAbdominalAcupuncturePoints下风湿点气海旁开2.5寸下风湿下点石门旁开3寸XiaFengShi(LowerRheumatic)point:2.5cunlateraltoQiHai(RN6)XiaFengShiXia(LowerRheumaticinferior)point:3cunlateraltoShiMen(RN5)第14页/共28页腹针针具的选择

NeedleSize

型号NeedleSize分型Type适应症indications34#(0.22mm-50mm)A1肥胖型Thicker头痛，面神经麻痹，颈椎病，肩周炎Headache,facialparalysis,cervicalspondylosis,frozenshoulder34#(0.22mm-40mm)A2正常型Normal网球肘，腕管综合症，腰椎病，坐骨神经痛Tenniselbow,carpaltunnelsyndrom,lumbago,sciatica34#(0.22mm-30mm)A3消瘦型Thinner骨关节病，风湿性关节炎，类风湿性关节炎等疼痛性疾病osteoarthropathy,rheumaticarthritis,rheumatoidarthritisandotherpaindisorders.第15页/共28页留针时间和疗程留针时间一般为20~30分钟对于病程短和体质较差的病人，留针时间稍短对于病程长和体质较好的病人，留针时间相对长一些腹针的治疗疗程为6~10次之间一般疾病6次为一疗程，慢性病10次为一疗程治疗的第1~3次，连续针灸，每日一次；第3次以后，隔日针灸一次第16页/共28页

落枕

StiffNeck落枕(stiffneck)：即颈部伤筋，是指急性单纯性颈项强痛、活动受限的一种病症。头多向患侧歪斜，可出现肩部和上臂疼痛，颈项部压痛明显StiffNeck,istheinjurytotheneckligaments.Itisanacutesymptomwithsimplestiffpainandmobilityobstructiontotheneck.Theheaddeviatestotheaffectedside,painoccursattheshoulderandupperarmarea.Thereisevidentpainwhenpressisappliedtotheneck.第17页/共28页中脘（深刺）商曲（患侧，浅刺）滑肉门（患侧，中刺）

落枕腹针处方

AAFormulaforstiffNeckShangQu(KD17,Affectedside,S),ZhongWan(RN12,D),HuaRouMen(ST24,Affectedside,M).

第18页/共28页肩周炎

FrozenShoulder(PeriarthritisofShoulder)肩周炎：肩关节周围肌肉、肌腱、韧带及关节囊损伤或退行性改变，导致慢性非特异性炎症肩周疼痛，功能受限，50岁以上，女多于男FrozenShoulder:Non-specificinflammationduetoinjuryordegeneratingchangeofthemuscles,tendons,ligaments,jointcapsuleoftheshoulderperipheralregion.Painoftheshoulderperiphralregion,withobstructionofshoulderfunctionl.Mostlyseeninpeopleover50yearsold,morefemalesthanmales.第19页/共28页分期Stages早期（也称做疼痛期，2-3个月以内）以疼痛为主，日轻夜重；中期（也称做粘连期，3个月以上）以功能障碍来主，外展、外旋及后伸等动作受限最明显晚期（也称做缓解期，半年至一年以上）临床表现肩部疼痛不甚,多可见肩部肌肉萎缩。Earlystage:(painfulperiod,lasts2-3months)painisevident,lightduringthedayandsevereatnight.Mid-stage:(adhesionperiod,exceeds3months)patientmainlyencounterfunctionalobstruction.Abduction,lateralrotationanddorsiflexionisevidentlyimpaired.Laterstage:(mitigatingperiod,overhalfayeartooverayear)clincallypatientdon’tfeelmuchpainontheshoulder,butismostlyseenshouldermuscleatrophy.第20页/共28页中脘（深刺）商曲（中刺，健侧）滑肉门（浅刺患侧）肩周炎腹针处方

AbdominalAcupunctureFormulaforFrozenShoulderZhongWan(RN12,D),ShangQu(KD17,healthyside,M),HuaRouMen(ST24,affectedside,M).第21页/共28页

网球肘

TennisElbow网球肘：或叫肱骨外上髁炎，是一种肘部常见疾病。是一种附着在肱骨外上髁的肌腱炎Tenniselbow,alsoknownasradio-humeralepicondylitis.Itisadiseasethatisoftenseen.Itisatendinitisoftheexternalhumeralepicondyle.第22页/共28页

网球肘

TennisElbow因手臂伸肌与屈肌肌力承受能力不一致，过度使用使伸肌受伤害。网球运动员反手击球Duetothedifferenceofbearingcapacityofmusclestrengthbetweenthearmextensorandflexormuscles,theexcessiveuseinjurestheextensormuscle.Tennisplayerhitstheballwithbackhandcausesthisdisorder.第23页/共28页中脘（深刺）商曲（健侧，中刺）滑肉门（患侧中刺）上风湿点（患侧，浅刺）

网球肘腹针处方

AbdominalAcupunctureFormulaforTennisElbowZhongWan(RN12,D),ShangQu(KD17,healthyside,M),HuaRouMen(ST24,affectedside,M),ShangFengShipoint(affectedside,S)第24页/共28页腕管综合征

CarpalTunnelSyndrom腕管综合征：是指人体正中神经在腕管内受到压迫所产生