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项背肩痛针灸处方分享(四)——益肾通经方,涵水滋脉方-
项背肩痛针灸处方分享(四)——益肾通经方,涵水滋脉方

项背肩痛针灸处方分享(四)——益肾通经方,涵水滋脉方

益肾通经方《证治准绳》

【处方】涌泉、昆仑

涌泉

经穴名。出《灵枢·本输》。别名地冲。属足少阴肾经。井(木)穴。在足底部,卷足时足前部凹陷处,约当足底2、3趾趾缝纹头端与足跟连线的前三分与后三分交点上。布有第二趾底总神经,深层为足底弓。主治昏厥,头顶痛,眩晕,喉痹,衄血,舌平,失音,小儿惊风,癫痫,足心热,五趾尽痛,及休克,中暑,神经衰弱,高血压,精神分裂症等。直刺0.5-1寸,艾炷灸3-5壮;或艾条灸5-15分钟。

项背肩痛针灸处方分享(四)——益肾通经方,涵水滋脉方

涌泉

昆仑

在外踝尖与跟腱之间凹陷处。皮肤、皮下组织、腓骨短肌腱与跟腱之间;穴区内有腓肠神经分支和小隐静脉属支及腓肠神经与小隐静脉本干经过,深层有外踝后动脉分支分布。

项背肩痛针灸处方分享(四)——益肾通经方,涵水滋脉方

昆仑穴

【功用】通经止痛

【主治】肾气上逆而致肩背冷痛

【操作】针灸用平补平泻法,留针20分钟,每日1次。两穴均直刺0. 5一1寸,本方还可用灸法,每穴灸21壮。针与灸法可交替使用,10次为1疗程。

【方义】涌泉为唯一一个人体足底的经穴,为全身脸穴的最下部,乃是肾经的首穴。《黄帝内经》中说:“肾出于涌泉,涌泉者足心也。”主治神经衰弱、精力减退、倦怠感、妇女病、失眠、多眠症、高血压、晕眩、焦躁、糖尿病、过敏性鼻炎、更年期障碍、怕冷症、肾脏病等;昆仑位于外踝后方,当外踝尖与跟键之间的凹陷处,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;涌泉为肾经之井穴,可益肾泻热,引经气下行,昆仑为膀胱经经穴,可通利腰背部之经气,两穴均用灸法,可温经通络,井可降肾气,直达病所,功效专著。


涵水滋脉方《针灸逢源》

【处方】肩井、曲池、中渚

肩井

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(四)——益肾通经方,涵水滋脉方

肩井穴

曲池

经穴名。出《灵枢·本输》。别名阳泽、鬼臣、鬼腿。属手阳明大肠经。合(土)穴。在肘横纹外侧端,屈肘,当尺泽与肱骨外上髁连线中点。布有前臂背侧皮神经,内侧深层为桡神经,并有桡侧返动、静脉的分支通过。主治发热,咽喉肿痛,目赤,齿痛,臂肘疼痛,上肢不遂,腹痛,吐泻,痢疾,瘰疬,丹毒,疮疡,湿疹,荨麻疹,及中暑,高血压,神经衰弱等。直刺1-1.5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(四)——益肾通经方,涵水滋脉方

曲池

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(四)——益肾通经方,涵水滋脉方

中渚穴

【功用】通络止痛

【主治】臂膊痛连肩背

【操作】针刺用泻法,留针20分钟。

【方义】肩井为足少阳胆经之穴位,在大椎穴与肩峰连线之中点,肩部最高处,系手少阳、足少阳与阳维脉之交会穴;曲池是手阳明大肠经脉气所入之合穴,五行属土,为手阳明大肠经之母穴。阳明经多气多血,手足阳明经交会于任脉,曲池能疏通经络,旺盛阳明经气;中渚又名下都,为手少阳三焦经之穴位,为本经脉气之所注,具有疏散少阳气机,解三焦之邪热,活络止痛之功;三穴同居肩臂部,肩井疏通肩部之气血,中渚、曲池调和臂部之气血,上下贯通,肩臂同治,共奏通络止痛之功效。

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