项背肩痛针灸处方分享(三)——理气缓急方,祛风化湿方

项背肩痛针灸处方分享(三)——理气缓急方,祛风化湿方

理气缓急方《针灸大成》

【处方】二间、商阳、委中、昆仑

二间

经穴名。出《灵枢·本输》。别名间谷。属手阳明大肠经。荥(水)穴。

微握拳,在第二掌指关节前,桡侧凹陷处。布有桡神经的指背神经,正中神经的指掌侧固有神经,桡动、静脉的指背及指掌侧固有动、静脉。主治咽喉肿痛,齿痛,鼻衄,目昏,口,颔肿,热病等。直刺0.2-0.3寸。艾炷灸3壮;或艾条灸5-10分钟。

项背肩痛针灸处方分享(三)——理气缓急方,祛风化湿方

二间穴

商阳

经穴名。出《灵枢·本输》。别名绝阳。属手阳明大肠经。井(金)穴。

在手食指末节桡侧,距指甲角0.1寸。布有来自正中神经的指掌侧固有神经和指背动、静脉网。主治中风昏迷,发热,耳聋,齿痛,咽喉肿痛,青盲,颔肿,胸满,喘咳,手指麻木等。斜刺0.1-0.2寸,或点刺出血。艾炷灸1-3壮;或艾条灸3-5分钟。

项背肩痛针灸处方分享(三)——理气缓急方,祛风化湿方

商阳穴

委中

经穴名。出《灵枢·本输》。别名郄中、血郄、中郄。属足太阳膀胱经。合(土)穴。

在腘横纹中点,当股二头肌腱与半腱肌肌腱的中间。布有股后皮神经,胫神经,皮下有股腘静脉,深层内侧为腘静脉,最深层为腘动脉。主治中暑,衄血,癫痫,疟疾,下肢痿痹,膝肿痛,腰脊强痛,及急性胃肠炎,坐骨神经痛,腓肠肌痉挛等。直刺1-1.5寸,或点刺出血。针灸穴位名。属足太阳膀胱经。位于腘窝横纹正中。主治急性腰扭伤,腰背疼痛,下肢痿痹,转筋等。

歌曰:委中曲瞅里,横纹脉中央,腰痛不能举,沉沉引脊梁,痠痛筋莫展,风痹复无常,足膝难伸屈,针入即安康。

项背肩痛针灸处方分享(三)——理气缓急方,祛风化湿方

委中

昆仑

出《灵枢·本输》。别名下昆仑。属足太阳膀胱经。经(火)穴。

在足部外踝后方,当外踝尖与跟腱之间的凹陷处。布有腓肠神经,小隐静脉及外踝后动、静脉。主治头痛,目眩,项强,鼻衄,腰痛,脚跟痛,小儿癫痫,难产,胞衣不下,下肢麻痹或瘫痪,及坐骨神经痛,足踝关节及周围软组织疾患等。直刺0.5-1寸。艾炷灸3-5壮;或艾条灸5-10分钟。

项背肩痛针灸处方分享(三)——理气缓急方,祛风化湿方

昆仑

【功用】疏经通络、理气缓急

【主治】肩背相引疼痛

【操作】针刺用泻法,留针20分钟,每日1次。

【方义】二间,又名间谷,闻谷,周谷,手阳明经之荥穴,大肠经气血在天部不太高的层次冷凝化水;商阳为手阳明经所出为“井”,大肠经经气由体内外出体表,此处气血物质为纯阳之气,性凉;委中属足太阳膀胱经,为膀胱经之合穴,又称郄中、血郄,委,堆积也。中,指穴内气血所在为天人地三部的中部也。本穴物质为膀胱经膝下部各穴上行的水湿之气,为吸热后的上行之气,在本穴为聚集之状,主治急性腰扭伤,腰背疼痛,下肢痿痹,转筋等;昆仑为足太阳膀胱经之经穴,为足太阳膀胱经气血逐渐盛大之处,可以治疗头痛,项强,目眩,癫痫,难产,腰骶疼痛,脚跟肿痛等疾患;二间、商阳去泻阳气,疏通经络,委中善治腰背部的疾患,有“腰背委中求”之说,昆仑疏通膀胱经气,引气下行,四穴上下配穴,泻实与补虚相应,穴力直达病所,疗效显著。


祛风化湿方《针灸大成》

【处方】风门、肩井、中渚、支沟、后溪、腕骨、委中

风门

经穴名。亦称风门热府。出《针灸甲乙经》。别名热府。属足太阳膀胱经。督脉、足太阳之会。

在背部,当第2胸椎棘突下,旁开1.5寸。布有第二、三胸神经后支的内侧皮支,深层为外侧支,第二肋间动、静脉后支的内侧支和颈横动脉降支。主治伤风咳嗽,头痛发热,胸背彻痛,项强,痈疽发背等。斜刺0.3-0.5寸。艾炷灸3-7壮;或艾条灸5-15分钟。

项背肩痛针灸处方分享(三)——理气缓急方,祛风化湿方

风门穴

肩井穴

经穴名。出《针灸甲乙经》。别名膊井、肩解。属足少阳胆经。手足少阳、阳维之会。

在肩上,前直乳中,当大椎与肩峰端连线的中点上。或以手拼拢,食指靠颈,中指尖到达处是穴。布有锁骨上神经后支,副神经,及颈横动、静脉。主治项强,肩背痛,手臂不举,中风偏瘫,滞产,产后血晕,乳痈,瘰疬,及高血压,功能性子宫出血等。直刺0.3-0.5寸,不宜深刺。艾炷灸3-7壮;或艾条灸5-10分钟。

项背肩痛针灸处方分享(三)——理气缓急方,祛风化湿方

肩井穴

中渚

经穴名。出《灵枢·本输》。属手少阳三焦经。输(木)穴。

在手背部,当环指本节(掌指关节)的后方,第4、5掌骨间凹陷处。布有来自尺神经的手背支,以及手背静脉网和第四掌背动脉。主治头痛,目赤,耳鸣,耳聋,咽喉肿痛,手臂红肿疼痛,以及肘间神经痛等。直刺0.5-0.8寸。艾炷灸3-5壮;或艾条灸5-10分钟。

项背肩痛针灸处方分享(三)——理气缓急方,祛风化湿方

中渚穴

支沟

经穴名。出《灵枢·本输》。别名飞虎。属手少阳三焦经。经(火)穴。

在前臂背侧,当阳池与肘尖的连线上,腕背横纹上3寸,尺骨与桡骨之间。布有前臂背侧皮神经,深层有桡神经之前臂骨间背侧神经、正中神经之骨间掌侧神经,以及前臂骨间背侧动脉和前臂骨间掌侧动脉。主治胁肋痛,肘臂痛,暴瘖,呕吐,便秘,耳鸣,耳聋等。直刺0.5-1寸。艾炷灸3-5壮;或艾条灸5-10分钟。

项背肩痛针灸处方分享(三)——理气缓急方,祛风化湿方

支沟穴

后溪

经穴名。出《灵枢·本输》。属手太阳小肠经。输(木)穴。八脉交会穴之一,通督脉。

在手掌尺侧,微握拳,当第5掌指关节后的远侧掌横纹头赤白肉际处。布有尺神经手背支,指背动、静脉及手背静脉网。主治头痛项强,落枕,目赤肿痛,耳聋,耳鸣,鼻衄,癫痫,疟疾,黄疸,盗汗,腰背腿痛,肘、臂、手指挛急等。直刺0.5-1寸。艾炷灸3-5壮;或艾条灸5-10分钟。

项背肩痛针灸处方分享(三)——理气缓急方,祛风化湿方

后溪穴

腕骨

腕骨穴是手太阳小肠经上的腧穴之一,在手掌尺侧,当第5掌骨基底与钩骨之间,赤白肉际凹陷处,在手背尺侧,小指展肌起点外缘;有腕背侧动脉,手背静脉网;布有尺神经手背支。主治指挛腕痛、头项强痛; 目翳; 黄疸; 热病、疟疾。操作方法为直刺0 .3~0.5寸。

项背肩痛针灸处方分享(三)——理气缓急方,祛风化湿方

腕骨

【功用】疏经通络、祛风散寒

【主治】肩背酸疼等症

【操作】针刺用泻法,针0. 5-1寸,留针20分钟,每日1次。

【方义】风门,属足太阳膀胱经,为足太阳经与督脉之交会穴,别名热府,背俞,热府俞。能运化膀胱经气血上达头部,可以宣肺解表,益气固表。肩井,出《针灸甲乙经》,别名膊井、肩解,属足少阳胆经,为手足少阳、阳维之会。可以祛风清热,活络消肿。中渚,五输穴之一,本经之输穴,属木,可以清热通络,开窍益聪。支沟,是手少阳三焦经脉气所行之经穴,能通畅三焦气机,消导瘀滞,祛浊生新,通腑降逆。后溪,出《灵枢·本输》,属手太阳小肠经,输木穴,八脉交会穴之一,通督脉。可以清心安神,通经活络。腕骨,出《灵枢·本输》,小肠经之原穴,功可增液舒筋止渴,祛湿退黄,可用于治疗头项强痛,耳鸣,目翳,指挛腕痛。委中,属足太阳膀胱经,为膀胱经之合穴,位于腘窝横纹正中,又称郄中、血郄,委,堆积也。中,指穴内气血所在为天人地三部的中部也。指膀胱经的委中属足太阳膀胱经的湿热水气在此聚集。本穴物质为膀胱经膝下部各穴上行的水湿之气,为吸热后的上行之气,在本穴为聚集之状,主治急性腰扭伤,腰背疼痛,下肢痿痹,转筋等,可以分清降浊。诸穴配伍,可以疏经通络、祛风湿散风寒,治疗肩背酸疼等症。

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    Team tasks motivate students to ask concerns, to look into ideas, to join dialogues,
    and also to connection with others. Learners discover
    well, having said that, when trainers assist all of them in their
    group experiences. When trainers are reactive
    and also insightful, people find out best.

    Most individuals learn well when teachers provide clear,
    succinct paths as well as when they listen to what the students need to claim and when they do traits according
    to the paths. Instructors additionally need to have to be
    reactive. In the course of team scenarios, if a inquiry
    is actually talked to that carries out not fit in to the
    lesson planning, teachers must respond to the
    inquiry immediately. Similarly, instructors need to be sure
    they are in a placement to promote concerns as well as to address all of
    them. On top of that, if a attendee performs not get a concern addressed, the instructor needs to require time to hear what the
    person must say and also to reply to the individual’s questions.

    Classical conditioning as well as operant conditioning both entail the procedures of lowering a response to a stimulus
    ( ailment) and also of changing a behavior (operant).

    Individuals discover better, having said that, when they are
    shown what to perform (classical conditioning), when they are shown what they ought
    to perform (operant conditioning), or when they
    experience an motivation (habituation). Based upon these guidelines, it seems likely that timeless conditioning will be
    actually very most effective for people discovering exactly how to ride a
    bike. People know most ideal, nonetheless, when they are encouraged to
    perform so. This may be obtained, partly, by delivering all of them along with the option to get self-worth by showing their ability
    (habituation) or their competence (operant conditioning).

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