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 医学全在线 > 医学英语 > 中医英语 > 针灸英语 > 正文
痹证针灸治疗方法,针灸治疗痹证处方
来源:医学全在线 更新:2008/10/11 字体:
:: 行痹 Wandering Bi ::

主症

肢体关节酸痛,游走不定,上下左右走窜疼痛,以腕、肘、膝、踝等处为甚,关节运动不利,或见恶寒发热,舌苔薄腻,脉多浮紧或浮缓。

 

 
Main Manifestations

Wandering pain in the joints, especially the wrists, elbows, knees and ankles, limitation of movement chills and fever, thin and sticky tongue coating, superficial and tight or superficial and slow pulse.

 


:: 痛痹 Painful Bi ::

主症

遍身或局部关节疼痛剧烈,痛有定处,得热则减,遇寒则甚,局部不红不热,舌苔薄白,脉浮紧。

 

 
Main Manifestations

Severe pain in all of the body or in the joints, alleviated by warmth and aggravated by cold, with fixed localization, but no local redness and hotness, thin and while tongue coating, string -tout and tense pulse.


:: 着痹 Fixed Bi ::

主症

肌肤麻木不仁,肢体关节酸痛,沉重,痛有定处,遇阴雨天则加重,苔白腻,脉濡缓。

 

 
Main Manifestations

Numbness and heavy sensation of the limbs, soreness and fixed pain of the joints, aggravated on cloudy and rainy days, while and sticky coating and soft pulese.


:: 热痹 Heat Bi ::

主症

关节疼痛,痛不可触,痛处灼热红肿,活动受限,可涉及一个或多个关节,兼有发热,口渴,苔黄,脉滑数。

 

 

 
Main Manifestations

Arthragra involving one or several joints, local redness, swelling and excruciating pain with limitation of morement, accompanied by fever and thirst, yellow tongue coating rolling and rapid pulse.


:: 随证配穴 Additional Points ::

治法

及局部取穴,循经取穴和按病证取穴为主,辅以阿是穴。行痹、热痹用毫针刺,泻法浅刺,亦可用皮肤针叩刺;痛痹深刺留针,多灸,或温针灸;着痹针灸并施,并配以拔火罐法。

 

 
Treatment

The selection of the local points along the meridians is applied and points according to the syndrome are mainly selected, Ashi points are used together. Filiform needles are used for wandering Bi and heat Bi syndromes, reducing manipulation with shallow method. Subcutaneous needles may also be applied. For painful Bi, it needs prolonged retaining of the needles. It is better to use moxibustion of warm needles. Fixed Bi may also be treated by combined acupuncture and moxibistion, or together with cupping.线网站www.med126.com

 

处方

肩部:肩
肘臂:曲池 合谷 天宗 尺泽 外关
腕部:阳池 外关 阳溪 腕骨
背脊:水沟 身柱 腰阳关
髀部:环跳 居 悬钟
股部:秩边 承扶 阳陵泉
膝部:犊鼻 梁丘 阴陵泉 膝阳关
踝部:申脉 照海 昆仑 丘墟

 

Prescription

Pain in the scapula: Jianyu(LI 15), Jianliao(TE 14), Naoshu(SI 10).
Pain in the elbow: Quchi(LI 11), Hegu(LI14), Tianzong(SI 11), Chize(LU 5), Waiguan(TE 5).
Pain in the wrist: Yangchi(TE 4), Waiguan(TE 5), Yangxi(SI 5), Wangu(GB 12).
Pain in the lumbar region: Shuigou(GV 26), Shenzhu (LI 5), Yaoyangguan(GV 3).
Pain in the hip joint: Huantiao (GB 30), Juliao(GB 29), Xuanzhong(GB 39).
Pain in the thigh region: Zhibain(BL 54), Chengfu(BL 36), Yanglingquan(GB 34).
Pain in the knee joint: Dubi (ST 35), Liangqin(ST 34), Yanglingquan(GB 34), Xiyangguan(GB 33).
Pain in the ankle: Shenmai (BL 62), Zhaohai (KI 6), Kunlun(BL 60), Qiuxu(GB 40).

随证配穴

行痹加膈俞、血海、三阴交;
痛痹加肾俞、关元;
着痹加足三里、商丘、阳陵泉;
热痹加足大椎、曲池。

 

Additional Points

Wandering Bi: Geshu (BL 17), Xuehai(SP 10), Sanyinjiao(SP 6).
Painful Bi: Shenshu (BL 23 ), Guanyuan(CV 4).
Fixed Bi: Zusanli(ST 36), Shangqin(SP 5), Yanglingquan (GB 34).
Heat Bi: Dazhui(GV 14), Quchi(LI 11)

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