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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