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1、針灸穴位定位手太陰肺經(jīng)尺澤:肘橫紋中,肱二頭肌腱橈側(cè)緣。Onthecubitalcrease,andtheradialaspectofthetedonofthebicepsm.ofthearm.孔最:在太淵與尺澤連線上,腕橫紋上7寸。OnthelinejoiningChizeandTaiyuan,and7cunabovethecarpalcrease.列缺:在橈骨莖突上方,腕橫紋上1.5寸;或兩手虎口交叉,一手食指壓在另一手腕后橈骨莖突之上方,于食指尖下取穴。Superiortothestyloidprocessoftheradius,and1.5cunabovethecarpalcrease
2、;or,whentheindexfingerandthethumbsofbothhandsarecrossedwiththeindexfingerofonehandplacedonthestyloidprocessoftheradiusoftheother,thedepressionrightunderthetipoftheindexfingeristheacupoint.太淵:腕橫紋中,橈動(dòng)脈橈側(cè)凹陷中。Onthecarpalcrease,andinthedepressionoftheradialaspectoftheradiala.少商:拇指末節(jié)橈側(cè),距指甲角0.1寸處。Ontheradi
3、alsideofthethumbend,and0.1cunlateralandposteriortothecornerofthefingernail.手陽(yáng)明大腸經(jīng)商陽(yáng):食指末節(jié)橈側(cè),距指甲角0.1寸處。Ontheradialsideoftheindexfingerend,and0.1cunlateralandposteriortothecornerofthefingernail.合谷:第一二掌骨間,第二掌骨橈側(cè)中點(diǎn);或拇指、食指張開,以一手拇指的指骨間關(guān)節(jié)橫紋放在另一手拇指、食指之間的虎口上,于拇指尖下取穴。Betweenthe1stand2ndmetacarpalbones,andinthe
4、midpointoftheradialsideofthe2ndmetacarpalbone;or,thetransversecreaseofinterphalangealjointofonethumbareplacedonthestretchedhukoubetweenthethumbandindexfingeroftheotherhand,andtheacupointiswherethetipofthethumbtouches.陽(yáng)溪:腕背橫紋上,拇指翹起,當(dāng)拇短伸肌腱與拇長(zhǎng)伸肌腱之間的凹陷中。Atthedorsaltransversecreaseofthewrist,andinthedepr
5、essionbetweenthetendonsoftheshortextensorandlongextensorm.ofthethumbwhenthethumbisupward.曲池:屈肘,肘橫紋橈側(cè)端凹陷中。Inthedepressionoftheradialendofthecubitalcreasewhentheelbowisflexed.肩髃:肩峰與肱骨大結(jié)節(jié)之間凹陷中;或在肩關(guān)節(jié)上方,上臂向外平舉呈水平位時(shí),前方凹陷處取穴。Inthedepressionbetweentheacromialextremityoftheclavicleandthegreattuberosityofhume
6、rus;orwhenthearmisinfullabduction,theacupointisinthedepressionattheanteriorborderoftheacromioclavicularjoint,andsuperiortotheshoulderjoint.迎香:鼻翼外緣中點(diǎn)旁開,當(dāng)鼻唇溝中。Lateraltothemidpointofthenasalala,andinthenasolabialgroove.足陽(yáng)明胃經(jīng)承泣:瞳孔直下,當(dāng)眼球與眶下緣之間。Directlybelowthepupil,andbetweentheeyeballandtheinfraorbitalr
7、idge.四白:瞳孔直下,當(dāng)眶下孔凹陷處。Directlybelowthepupil,andintthedepressionoftheinfraorbitalforamen.地倉(cāng):瞳孔直下,口角外側(cè)0.4寸。Directlybelowthepupil,and0.4cunlateraltothecornerofthemouth.頰車:下頜角前上方1橫指,當(dāng)咀嚼時(shí)咬肌隆起高點(diǎn)處。Onefinger-breadthanterosuperiortothemandibularanglewherethemasseterm.iseasytoseeinclenchingtheteeth.下關(guān):顴弓下緣,下頜骨
8、髁突前方凹陷中。Belowthezygomaticarchandinthedepressionanteriortomandibularcondyloidprocess.天樞:平臍中,距前正中線2寸。Onthesameleveloftheumbilicus,and2cunlateraltotheanteriormidline.歸來(lái):臍中下4寸,距前正中線2寸。4cunbelowtheumbilicus,and2cunlateraltotheanteriormidline.梁丘:髁前上棘與髕底外側(cè)端連線上,髕底上2寸。Onthelinejoiningtheanterosuperioriliacsp
9、ineandlateralborderofthepatella,and2cunabovetheupperborderofthepatella.犢鼻:屈膝,髕韌帶外側(cè)凹陷中。Inthelateraldepressionofthepatellarligament,whenthekneeisflexed.足三里:犢鼻下3寸,距脛骨前緣外側(cè)一橫指。cundirectlybelowDubi,andonefinger-breadthlateraltotheanteriorborderofthetibia.上巨虛:犢鼻下6寸,距脛骨前緣外側(cè)一橫指。cundirectlybelowDubi,andonefin
10、ger-breadthlateraltotheanteriorborderofthetibia.下巨虛:犢鼻下9寸,距脛骨前緣外側(cè)一橫指。cundirectlybelowDubi,andonefinger-breadthlateraltotheanteriorborderofthetibia.豐?。簵l口外一橫指,約當(dāng)犢鼻與外踝尖連線的中點(diǎn)。Onefinger-breadthlateraltoTiaokou,andatthemidpointofthelinejoiningDubiandthetipoftheexternalmalleolus.解溪:足背與小腿交界處橫紋中央,當(dāng)拇長(zhǎng)伸肌腱與趾長(zhǎng)伸肌
11、鍵之間。Atthemidpointofthetransversecreaseofthejunctionbetweenthedorsumoffootandleg,andbetweenthetendonsoflongextensorm.ofgreattoeandlongextensorm.oftoes.足太陰脾經(jīng)隱白:大趾末節(jié)內(nèi)側(cè),距趾甲角0.1寸。Onthemedialaspectofthegreattoe,and0.1cunmedialtothecornerofthetoenail.太白:第一跖趾關(guān)節(jié)后下方,赤白肉際處。Prosteroinferiortothetheheadofthe1stm
12、etatarsalbone,andonthedorso-ventralboundary.商丘:內(nèi)踝前下方,當(dāng)舟骨結(jié)節(jié)與內(nèi)踝尖連線中點(diǎn)處。Anteroinferiortothemedialmalleolus,andatthemidpointofthelinejoiningthetipofthemedialmalleoulsandtuberosityofthenavicularbone.三陰交:內(nèi)踝尖上3寸,脛骨內(nèi)側(cè)緣后方。Posteriortothemesialborderofthetibia,and3cunabovethetipofthemedialmalleolus.陰陵泉:脛骨內(nèi)側(cè)髁后下方
13、。Posteroinferiortothemedialcondyleofthetibia.血海:髕底內(nèi)側(cè)端上2寸;或屈膝關(guān)節(jié)呈直角,醫(yī)者以右手掌按在患者左腿膝蓋上,掌心對(duì)準(zhǔn)髕骨中央,當(dāng)拇指尖下取穴(取右血海穴則用左手量取)。2cunabovetheupperborderofthemedialpatella;ortheacupointiswherethetipofthethumbwhendoctorputshisrightpalmontheleftkneeofpatientandwiththecentreofthepalmpointingtothecentreofpatellaofpatient
14、andthepatientflexeshiskneejointandmakesittobearightangle(rightXuehaiismeasuredbylefthand).周榮:第二肋間隙,距前正中線6寸。Inthe2ndintercostalspace,and6cunlateraltotheanteriormidline.手少陰心經(jīng)少海:屈肘,在肘橫紋尺側(cè)端與肱骨內(nèi)上髁連線的中點(diǎn)。Whentheelbowisflexed,atthemidpointofthelinejoiningthemedialendofthecubitalcreaseandthemedialepicondyleo
15、fthehumerus.通里:尺側(cè)腕屈肌腱橈側(cè)緣,腕橫紋上1寸。Ontheradialaspectofthetendonoftheulnarflexorm.ofthewrist,and1cunabovethecarpalcrease.神門:掌側(cè)腕橫紋尺側(cè)端,尺側(cè)腕屈肌腱橈側(cè)緣。Onthepalmarulnarendofthetransversecreaseofthewrist,andontheradialaspectofthetendonoftheulnarflexorm.ofthewrist.少?zèng)_:小指末節(jié)橈側(cè),距指甲角0.1寸。Ontheradialaspectofthesmallfing
16、er,and0.1cunlateraltothecornerofthefingernail.手太陽(yáng)小腸經(jīng)少澤:小指末節(jié)尺側(cè),距指甲角0.1寸。Ontheulnaraspectofthelittlefinger,and0.1cunlateraltothecornerofthefingernail.后溪:微握拳,第五掌指關(guān)節(jié)后橫紋頭,赤白肉際處。Slightlymakingafist,attheposteriorendofthedistalpalmarcreaseofthe5thmetacarpophalangealjoint,andatthedorso-ventralboundary.小海:屈肘
17、,尺骨鷹嘴與肱骨內(nèi)上髁之間凹陷處。Whentheelbowisflexed,inthedepressionbetweentheolecranonoftheulnaandthemedialepicondyleofthehumerus.肩貞:臂內(nèi)收時(shí),腋后紋頭上1寸。cundirectlyabovetheposteriorendoftheaxillaryfoldwhenthearmisabducted.聽宮:耳屏前,下頜骨髁突后方,張口呈凹陷處。Anteriortothetragus,posteriortothecondyloidprocessofthemandibleandinthedepres
18、sionappearingwhenopenmouth.足太陽(yáng)膀胱經(jīng)晴明:目?jī)?nèi)眥角稍外上方0.1寸凹陷中。Inthedepressionand0.1cunabovetheinnercanthus.攢竹:眉頭凹陷處。Onthemedialendoftheeyebrow.膈俞:第七胸椎棘突下,旁開1.5寸。1.5cunlateraltothedepressionbelowthespinousprocessofthet7hthoracicvertebra.委中:腘橫紋中點(diǎn),股二頭肌腱與半腱肌腱中間。Atthemidpointofthetransversecreaseofthepoplitealfoss
19、a,andbetweenthetendonsofthebicepsm.ofthethighandthesemitendinousm.承山:當(dāng)伸直小腿或上提足跟時(shí),腓腸肌腹下尖角凹陷處。Inthedepressionbelowthebellyofthegastrocnemiusm.whenstretchingthelegorliftingtheheel.昆侖:外踝尖與跟腱之間凹陷處。InthedepressionbetweenthelateralmalleolusandtheAchillestendon.申脈:外踝尖下方凹陷中。Inthedepressiondirectlybelowthetip
20、ofthelateralmalleolus.金山:申脈與京骨穴連線的中點(diǎn),骰骨下緣處。AtthemidpointofthelinejoiningJingguandShenmai,andinferiortothecuboidbone.至陰:足小趾末節(jié)外側(cè),距趾甲角0.1寸。Onthelateralaspectofthesmalltoe,and0.1cunlateralandposteriortothecornerofthetoenail.足少陰腎經(jīng)涌泉:躅足時(shí),足前部凹陷處,當(dāng)足二三趾趾縫紋頭端與足跟連線的前1/3,與后2/3交點(diǎn)上。Inthedepressionofanteriorsolewh
21、enthefootisflexed,betweenthen2dand3rdmetatarsalbones,andatthejunctionoftheanterior1/3andposterior2/3ofthesole.太溪:內(nèi)踝尖與跟腱之間凹陷處。(與昆侖相對(duì))InthedepressionbetweenthetipofthemedialmalleolusandtheAchillestendon.照海:內(nèi)踝尖下方凹陷處。(與申脈相對(duì))Inthedepressiondirectlybelowthetipofthemedialmalleolus.交信:太溪直上2寸,復(fù)溜前0.5寸,脛骨內(nèi)側(cè)面后緣
22、。cundirectlyaboveTaixi,0.5cunanteriortoFuliu,andposteriortothemedialborderofthetibia.手厥陰心包經(jīng)天池:第四肋間隙,乳頭外一寸,距前正中線五寸。Inthe4thintercostalspace,1cunlateraltothenipple,5cunlateraltotheanteriormidline.曲澤:肘橫紋上,當(dāng)肱二頭肌腱的尺側(cè)緣。Onthetransversecubitalcrease,attheulnaraspectofthetendonofbicepsbrachii.內(nèi)關(guān):曲澤與大陵連線上,掌長(zhǎng)肌
23、腱與橈側(cè)彎曲機(jī)件之間,腕橫紋上2寸。OnthelinejoiningDalingandQuze,betweenthetendonsofpalmarislongusandflexorcarpiradialis,2cunabovethetransversecreaseofthewrist.勞宮:第三掌骨橈側(cè),握拳屈指中指間下。Ontheradialaspectofthe3rdmetacarpalbones,atthetipofthemiddlefingerwhenmakeafistandthefingerisflexed.手太陽(yáng)三焦經(jīng)中渚:第四掌指關(guān)節(jié)后方,當(dāng)?shù)谒牡谖逭乒侵g凹陷處。Posteri
24、ortothemetacarpophalangealjoint,inthedepressionbetweenthe4thand5thmetacarpalbones.外關(guān):陽(yáng)池與肘間連線上,腕背橫紋上2寸,橈尺骨之間。OnthelinejoiningYangchiandthetipofelbow,2cunabovethedorsocarpaltransversecrease,betweentheulnaandradius.支溝:陽(yáng)池與肘尖連線上,腕背橫紋上3寸,橈,尺骨之間。OnthelinejoiningYangchiandthetipofelbow,3cunabovethedorsocarp
25、altransversecrease,betweentheulnaandradius.肩髎:當(dāng)臂外展是,肩峰后下方凹陷處。Inthedepressionpoteroinferiortotheacromionwhenarmisabducted.翳風(fēng):耳垂后方,乳突與下頜角之間。Posteriortotheearlobe,betweenthemastoidprocessandmandibleangle.角孫:折耳郭向前,耳尖直上入發(fā)際處。Directlyabovetheearapexwithinthehairlinewhentheearisfoldedforward.耳門:耳屏上切跡前方,下頜骨髁
26、突后緣,張口呈凹陷處。Anteriortothesupratragicnotch,posteriortothecondyloidprocessofthemandible,inthedepressionappearingwhenopenmouth.絲竹空:眉梢凹陷處。Inthedepressionatthelateralendoftheeyebrow.足少陽(yáng)膽經(jīng)瞳子髎:目外眥旁,當(dāng)眶外緣凹陷處。Lateraltooutercanthus,inthedepressionatthelateralaspectoftheorbit.聽會(huì):耳屏間切跡前方,下頜骨髁突后緣,張口呈凹陷處。Anteriorto
27、theintertragicnotch,posteriortothecondyloidprecessofthemandible,inthedepressionappearingwhenopenmouth.曲鬢:耳前上方入鬢發(fā)內(nèi),當(dāng)角孫前一橫指處。Onefinger-breathanteriortoJiaosunandabovethehairline.率谷:角孫直上,入發(fā)際1.5寸。DirectlyaboveJiaosun,1.5cunabovethehairline.陽(yáng)白:瞳孔直上,眉上1寸。Directlyabovethepupil,1cunabovethemidpointoftheeyeb
28、row.風(fēng)池:平風(fēng)府,胸鎖乳突肌與斜方肌上段之間凹陷處。AtthelevelofFengfu,inthedepressionbetweentheupperendsofthesternocleidomastoidtrapeziusmuscles.肩井:在肩上,當(dāng)大椎與肩胛骨肩峰連線的中點(diǎn)。Ontheshoulder,atthemidpointofthelinejoiningDazhuiandehacromion.環(huán)跳:股骨大轉(zhuǎn)子最高點(diǎn)連線的內(nèi)側(cè)交點(diǎn)處。Atthejuncitonofthemedial2/3andlateral1/3ofthelinejoiningtheprominenceofth
29、egreattrochanterandthesacralhistus.陽(yáng)陵泉:腓骨頭前下方凹陷中。Inthedepressionanteroinferiortotheheadofthefibula.懸鐘:外踝尖上3寸,腓骨前緣。cunabovethetipofthelateralmalleolus,anteriortothefibula.足厥陰肝經(jīng)太沖:第一二跖骨結(jié)合部前方凹陷中。Inthedepressionanteriortothejunctionof1stand2ndmetatarsalbones.章門:第十一肋游離端下方;或垂肩屈肘,于肘尖下側(cè)腹處取穴。Belowthefreeendo
30、fthe11thfloatingrib;oronthelateralregionofabdomen,underthetipoftheelbowwhentheshoulderisdroppedandtheelbowjointisflexed.期門:乳頭直下,第六肋間隙,距前正中線4寸。Directlybelowthenipple,inthe6thintercostalspace,4cunlateraltotheanteriormidline.督脈經(jīng)穴命門:正中線上,第二腰椎棘突下凹陷中。Ontheposteriormidline,inthedepressionbelowthespinouspre
31、cessofthe2ndlumbarvertebra.大椎:后正中線上,第七頸椎棘突下凹陷中。Ontheposteriormidline,inthedepressionbelowthespinousprocessofthe7thcervicalvertebra.風(fēng)府:后發(fā)際正中直上1寸,枕外隆凸下方凹陷中。cundirectlyabovethemidpointoftheposteriorhairline,inthedepressionbelowtheexternaloccipitalprotuberance.百會(huì):頭正中線上,后發(fā)際正中直上7寸。Onthemidlineofthehead,7cundirectlyabovethemidpointoftheposteriorhairline.水溝:人中溝上1/3與中1/3交點(diǎn)處。Atthejunctionoftheupper1/3andmiddle1/3ofthephiltrum.任脈經(jīng)穴關(guān)元:前正中線上,臍中下3寸。Ontheanteriormidline,3cunbelowtheumbilicus.氣海:前正中
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