薄氏腹針療法的臨床應(yīng)用AmericanTCMSociety美國中

薄氏腹針療法的

臨床應(yīng)用

Dr.ZhiYunBo’sAbdominalAcupunctureTherapyanditsClinicalApplication概述Summary:AbdominalAcupunctureTherapy腹針AbdominalAcupuncture是通過刺激腹部穴位，調(diào)節(jié)臟腑失衡來治療全身疾病的一種方法。是以神闕調(diào)控系統(tǒng)為核心的針灸療法Itisamethodthattreatsthewholebodydiseasesthroughthestimulationoftheacupointsontheabdomen,andthroughtheregulationofthezangfuimbalances.ItisanacupuncturetherapythattakesShenQue(RN8)modulationsystemasitscore.概述Summary:AbdominalAcupunctureTherapy內(nèi)因性疾病，或久病及里的慢性病、疑難病適應(yīng)癥IndicationsIllnessduetointernalcause,chronicillnessthatdevelopsintointernaldiseases,anddifficulttotreatdiseases.腹針適應(yīng)癥適應(yīng)癥：內(nèi)因性疾病，或久病及里的慢性病、疑難病。如中風(fēng)后遺癥患者肢體功能恢復(fù)，椎基底動脈供血不足，抑郁癥，功能性便秘，代謝性疾病，更年期綜合癥，肩周炎，網(wǎng)球肘，頸椎病，腰椎病等腹針的禁忌癥一切原因不明的急腹癥急性腹膜炎肝脾腫大引起的臍靜脈曲張腹腔內(nèi)腫瘤并廣泛轉(zhuǎn)移大月份孕婦長期慢性病而致體質(zhì)極度衰弱者，當(dāng)慎針肝脾腫大患者不宜深刺上腹部以神闕到中庭分為8寸下腹部以神闕到曲骨分為5寸腹針穴位的取穴方法（2）

MethodofPointLocationinAbdominalAcupunctureIntheepigastrium,mark8cunbetweenShenQue(RN8)andZhongTing(RN16).Inthelowerabdomen,mark5cunbetweenShenQue(RN)andQuGu(RN2).腹部的橫寸，傳統(tǒng)針灸以雙側(cè)的乳中穴之間的距離分為8寸腹針療法以神闕到平行的腹側(cè)的外緣定為6寸腹針穴位的取穴方法（2）

MethodofPointLocationinAbdominalAcupunctureInconventionalacupuncture,horizontallythereare8cunbetweenthebilateralRuZhong(ST17).Inabdominalacupuncture,horizontallythereare6cunfromShenQue(RN8)tothelateraledgeoftheabdomen.

取穴規(guī)范

NormofAcupointSelection傳統(tǒng)針灸取穴以正中線確定為任脈，因此取穴時，以正中線為標(biāo)記任脈為中心標(biāo)記TaketheRenmeridianasthecentermarkInconventionalacupuncture,themidlineistheRenmeridian.Themidlineisthemarkinglineforacupointselection.

取穴規(guī)范

NormofAcupointSelection腹針是把腹白線作為任脈的體表標(biāo)志腹針取穴時，必須對腹白線進(jìn)行準(zhǔn)確的辨認(rèn)，以免取穴的失誤Inselectingacupointsinabdominalacupuncture,makesurethetolocatepreciselytheabdominalwhiteline,soasnottomakeanyerrorsinselectingtheacupoints.Inabdominalacupuncture,theRenmeridianislocatedattheabdominalwhitelineonthebodysurface.腹針常用穴位

CommonlyUsedAbdominalAcupuncturePoints中脘RN12臍中上4寸，任脈上下脘RN10臍中上2寸，任脈上水分RN9臍中上1寸，任脈上神闕RN8臍中央氣海RN6臍中下1.5寸，任脈上關(guān)元RN4臍中下3寸，任脈上腹針常用穴位

CommonlyUsedAbdominalAcupuncturePoints商曲KD17下脘旁開0.5寸氣穴KD13關(guān)元旁開0.5寸滑肉門ST24水分旁開2寸天樞ST25神闕穴旁開2寸。大腸募穴外陵ST26陰交穴旁開2寸大橫SP15神闕穴旁開3.5寸腹針常用穴位

CommonlyUsedAbdominalAcupuncturePoints氣旁氣海旁開0.5寸上風(fēng)濕點滑肉門旁開0.5寸,上0.5寸上風(fēng)濕外點滑肉門旁開1寸QiPang:0.5CunlateraltoQiHai(RN6)ShangFengShi（UpperRheumatic）point:0.5cunLateralandsuperiortoHuaRouMen(ST24)ShangFengShiWai(UpperRheumaticlateral)Point:1cunlateraltoHuaRouMen(ST24)腹針常用穴位

CommonlyUsedAbdominalAcupuncturePoints下風(fēng)濕點氣海旁開2.5寸下風(fēng)濕下點石門旁開3寸XiaFengShi(LowerRheumatic)point:2.5cunlateraltoQiHai(RN6)XiaFengShiXia(LowerRheumaticinferior)point:3cunlateraltoShiMen(RN5)腹針針具的選擇

NeedleSize

型號NeedleSize分型Type適應(yīng)癥indications34#(0.22mm-50mm)A1肥胖型Thicker頭痛，面神經(jīng)麻痹，頸椎病，肩周炎Headache,facialparalysis,cervicalspondylosis,frozenshoulder34#(0.22mm-40mm)A2正常型Normal網(wǎng)球肘，腕管綜合癥，腰椎病，坐骨神經(jīng)痛Tenniselbow,carpaltunnelsyndrom,lumbago,sciatica34#(0.22mm-30mm)A3消瘦型Thinner骨關(guān)節(jié)病，風(fēng)濕性關(guān)節(jié)炎，類風(fēng)濕性關(guān)節(jié)炎等疼痛性疾病osteoarthropathy,rheumaticarthritis,rheumatoidarthritisandotherpaindisorders.留針時間和療程留針時間一般為20~30分鐘對于病程短和體質(zhì)較差的病人，留針時間稍短對于病程長和體質(zhì)較好的病人，留針時間相對長一些腹針的治療療程為6~10次之間一般疾病6次為一療程，慢性病10次為一療程治療的第1~3次，連續(xù)針灸，每日一次；第3次以后，隔日針灸一次

落枕

StiffNeck落枕(stiffneck)：即頸部傷筋，是指急性單純性頸項強痛、活動受限的一種病癥。頭多向患側(cè)歪斜，可出現(xiàn)肩部和上臂疼痛，頸項部壓痛明顯StiffNeck,istheinjurytotheneckligaments.Itisanacutesymptomwithsimplestiffpainandmobilityobstructiontotheneck.Theheaddeviatestotheaffectedside,painoccursattheshoulderandupperarmarea.Thereisevidentpainwhenpressisappliedtotheneck.中脘（深刺）商曲（患側(cè)，淺刺）滑肉門（患側(cè)，中刺）

落枕腹針處方

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

肩周炎

FrozenShoulder(PeriarthritisofShoulder)肩周炎：肩關(guān)節(jié)周圍肌肉、肌腱、韌帶及關(guān)節(jié)囊損傷或退行性改變，導(dǎo)致慢性非特異性炎癥肩周疼痛，功能受限，50歲以上，女多于男FrozenShoulder:Non-specificinflammationduetoinjuryordegeneratingchangeofthemuscles,tendons,ligaments,jointcapsuleoftheshoulderperipheralregion.Painoftheshoulderperiphralregion,withobstructionofshoulderfunctionl.Mostlyseeninpeopleover50yearsold,morefemalesthanmales.分期Stages早期（也稱做疼痛期，2-3個月以內(nèi)）以疼痛為主，日輕夜重；中期（也稱做粘連期，3個月以上）以功能障礙來主，外展、外旋及后伸等動作受限最明顯晚期（也稱做緩解期，半年至一年以上）臨床表現(xiàn)肩部疼痛不甚,多可見肩部肌肉萎縮。Earlystage:(painfulperiod,lasts2-3months)painisevident,lightduringthedayandsevereatnight.Mid-stage:(adhesionperiod,exceeds3months)patientmainlyencounterfunctionalobstruction.Abduction,lateralrotationanddorsiflexionisevidentlyimpaired.Laterstage:(mitigatingperiod,overhalfayeartooverayear)clincallypatientdon’tfeelmuchpainontheshoulder,butismostlyseenshouldermuscleatrophy.中脘（深刺）商曲（中刺，健側(cè)）滑肉門（淺刺患側(cè)）肩周炎腹針處方

AbdominalAcupunctureFormulaforFrozenShoulderZhongWan(RN12,D),ShangQu(KD17,healthyside,M),HuaRouMen(ST24,affectedside,M).

網(wǎng)球肘

TennisElbow網(wǎng)球肘：或叫肱骨外上髁炎，是一種肘部常見疾病。是一種附著在肱骨外上髁的肌腱炎Tenniselbow,alsoknownasradio-humeralepicondylitis.Itisadiseasethatisoftenseen.Itisatendinitisoftheexternalhumeralepicondyle.

網(wǎng)球肘

TennisElbow因手臂伸肌與屈肌肌力承受能力不一致，過度使用使伸肌受傷害。網(wǎng)球運動員反手擊球Duetothedifferenceofbearingcapacityofmusclestrengthbetweenthearmextensorandflexormuscles,theexcessiveuseinjurestheextensormuscle.Tennisplayerhitstheballwithbackhandcausesthisdisorder.中脘（深刺）商曲（健側(cè)，中刺）滑肉門（患側(cè)中刺）上風(fēng)濕點（患側(cè)，淺刺）

網(wǎng)球肘腹針處方

AbdominalAcupunctureFormulaforTennisElbowZhongWan(RN12,D),ShangQu(KD17,healthyside,M),HuaRouMen(ST24,affectedside,M),ShangFengShipoint(affectedside,S)腕管綜合征

CarpalTunnelSyndrom腕管綜合征：是指人體正中神經(jīng)在腕管內(nèi)受到壓迫所產(chǎn)生的癥狀，食指中指疼痛、麻木和拇指肌肉無力感累積性創(chuàng)傷疾病Carpaltunnelsyndrome,isasyndr