一针疗法的临床应用

一针疗法临床应用ClinicalApplicationoftheOne-needleTherapy

一针疗法的临床应用1/44一、头痛

(Headache)

1.头维点刺出血Touwei(ST8)prickthepoint治疗经前头痛(totreatheadachebeforemenstruation)2.肓俞Huangshu(KI16),治疗用脑过分等所致肾虚冲逆引发血管性头痛，喜欢重按者(totreatkidney-deficiencyvascularheadachecausedbybrainoverstrain,andthepaincangetrelievedbypressing).在头侧部，当额角发际上0.5寸，头正中线旁开4.5寸。

腹中部，当脐中旁开０.５寸。一针疗法的临床应用2/44二、眉棱骨痛

(PainintheSupraorbitalRegion)1．昆仑Kunlun(SJ17)风邪所致fortreatingpaininthesupraorbitalregioncausedbypathogenicwind2．解溪Jiexi(ST41)胃经浊热上攻所致fortreatingpaininthesupraorbitalregioncausedbyascendingofturbidheatofstomachmeridian在足部外踝后方，当外踝尖与跟腱之间凹陷处。在足背与小腿交界处横纹中央凹陷中，当拇长伸肌腱与趾长伸肌腱之间一针疗法的临床应用3/44三、麦粒肿

(Stye)1.肩胛区红点放血上眼睑（uppereyelid:bleedredspotsinscapularregion）2.足中趾点刺出血下眼睑（lowereyelid:bleedthemiddletoe）若足大、次、中趾刺血，疗效更佳（Bettercurativeresultscanbeachievedifprickingthebig,secondandmiddletoesatthesametime)一针疗法的临床应用4/44四、牙痛

(Toothache)1.翳风风火牙痛

YiFeng(SJ17)fortreatingwind-firetoothache2.内庭胃火牙痛

NeiTing(ST44)fortreatingstomach-firetootheache3.太溪肾虚牙痛，入暮发作或加重者

Taixi(KI3)(totreattoothache,causedbykidney-deficiency,attackingoraggravatingatdusk)4.大杼龋齿和虚火牙痛Dazhu(LI5)fortreatingdecayedteethandtoothacheduetodeficiencytype5.偏历尤其龋齿牙痛

Pianli(LI6)especiallyfrotreatingdecayedtoothache

在耳垂后方，当乳突与下颌角之间凹陷处。当乳突与下颌角之间凹陷处。在足内侧，内踝后方，当内踝尖与跟腱之间凹陷处。在前臂后面桡侧，当阳溪与曲池连上，腕横纹上3寸；一针疗法的临床应用5/44五、落枕

(Stiffneck)1．后溪Houxi(SI3)或束骨Shugu(BL65)太阳经(Tai-yangmeridian)2．悬钟Xuanzhong(GB39)少阳经(Shao-yangmeridian)在手掌尺侧，微握拳，当手太阳小肠经穴。小指本节（第5掌指关节）后远侧掌横纹头赤白肉际。在足外侧，足小趾本节（第5跖趾关节）后方，赤白肉际处。在小腿外侧，当外踝尖上3寸，腓骨前缘。一针疗法的临床应用6/44六、颈椎病

（Cervicalspondylosis）1.束骨Shugu(BL65)2.昆仑Kunlun(BL60)3.后溪Houxi(SI3)4.腕骨Wangu(SI4)5.太溪Taixi(KI3)6.大钟Dazhong(KI4)7.足跟腱中点Achillestendon在手掌尺侧，当第5掌骨基底与钩骨之间凹陷处，赤白肉际。

在足内侧，内踝后下方，当跟腱附着部内侧前方凹陷中。一针疗法的临床应用7/44七、肩周炎

(Peripheralshoulderarthritis)1．对侧阳陵泉下半寸左右压痛点(tendernessabout0.5cuninferiortothecontralateralYanglingquanGB37)2．条口透承山(fromTiaokouST38penetrating

toChengshanBL57)3．鱼肩Yujian我发觉、命名新穴(ItisthenewpointthatIfoundandnamed.)4.三间Sanjian(LI3)5．后溪Houxi(SI3)

6．束骨Shugu(BL65)经筋病“肩不举”(Themeridiantendonandmusclediseases,eg:failuretoraisethehand)在小腿前外侧，当犊鼻下8寸，距胫骨前缘一横指（中指）。在小腿后面正中，委中与昆仑之间，当伸直小腿或足跟上提时腓肠肌肌腹下出现三角形凹陷处。微握拳,在手食指本节(第2掌指关节)后,桡侧凹陷处。一针疗法的临床应用8/44八、中风手指拘挛

(FingersConstrictionduetoApoplexy)

腕骨Wangu(SI4)一针疗法的临床应用9/44九、乳腺增生病

（Breastlump）

人迎（RenyingST9）在颈部，结喉旁，胸锁乳突肌前缘，颈总动脉搏动处。一针疗法的临床应用10/44十、急性腰扭伤

(Acutelumbarmusclesprain)

1．人中Renzhong(DU26)“人中除腰脊之强痛”腰部正中（腰椎）扭伤(“RenzhongDU26canalleviateseriouslumbago,especiallylumbagointhemiddleoftheback”)2．后溪Houxi(SI3)

督脉扭伤(Du-meridiansprain)

3.龈交异点Yinjiao(DU28)

督脉扭伤例门诊女病人(Du-meridiansprain)一针疗法的临床应用11/44十、急性腰扭伤

(Acutelumbarmusclesprain)4．手三里Shousanli(LI10)

《针灸甲乙经》：“腰痛不得卧，手三里主之。”原因：手阳明经筋挟脊内。(A-BClassicofAcupunctureandMoxibustion：“ShousanliLI10isusedtotreatseriouslumbago.”Reason:thetendonandmuscleregionofHand-Yangmingdistributesonspinalcolumn)

5．太冲穴处压痛点(thepressurepainpointofTaichongLR3)马丹阳天星十二穴主治杂病歌：“亦能疗腰痛，针下有神功”。(Tianxingtwelveacupoints’mainindicationsby

MaDanyang:“TaichongLR3canbeusedforlumbagoandachievegoodresults”.)在前臂后面桡侧，当阳溪与曲池连线上，肘横纹下2寸。在足背侧，当第1跖骨间隙后方凹陷处。一针疗法的临床应用12/44十、急性腰扭伤

(Acutelumbarmusclesprain)6．腰痛穴使用方法(theapplicationofacupointsforlumbago)

腰1(theL1region)（第五掌骨全息腰穴）(holographiclumbaracupointsat5thmetacarpal) 腰2(theL2region)（第四、五掌骨之间全息腰穴）(holographiclumbaracupointsbetween4thand5thmetacarpals) 腰3(theL3region)（第三、四掌骨之间全息腰穴）(holographiclumbaracupointsbetween3thand4thmetacarpals) 腰4(theL4region)（第二、三掌骨之间全息腰穴）(holographiclumbaracupointsbetween2thand3thmetacarpals)一针疗法的临床应用13/44十一、膝骨关节炎

(Kneeosteoarthritis)1．大杼Dazhu(BL11)

2．对侧尺泽穴处压痛点

thetendernessaroundChize(LU5)onthecontralateralside一针疗法的临床应用14/44十二、腓肠肌痉挛

(Systremma)

承山Chengshan（BL57）在小腿后面正中，委中与昆仑之间，当伸直小腿或足跟上提时腓肠肌肌腹下出现三角形凹陷处。一针疗法的临床应用15/44十三、癔病性失语

（Hystericalanepia）

涌泉Yongquan(KI1)一针疗法的临床应用16/44十四、胃脘痛

（stomachache）1.至阳Zhiyang(DU9)或灵台Lingtai(DU10)2.中脘Zhongwan(RN12)3.内关Neiguan(PC7)4.足三里Zusanli(ST36)5.公孙Gongsun(SP4)6.尺胃(孔最下1寸)

Chiwei(onecunbelowKongzui(LU6)7.脐胃（肚脐左上方0.5～1寸压痛点）

Qiwei(tendernesspointontheleftuppercornerofnavelabout0.5to1cun)一针疗法的临床应用17/44十五、腹痛

（Abdominalpain）

1.足三里Zusanli(ST36)或中脘Zhongwan(RN12)2.上巨虚Shangjuxu(ST37)3.下巨虚Xiajuxu(ST39)4.曲泉Ququan(LR6)在膝内侧，屈膝，当膝关节内侧面横纹内侧端，股骨内侧髁后缘，半腱肌、半膜肌止端前缘凹陷处。一针疗法的临床应用18/44十六、膈肌痉挛

（Convulsionofdiaphragmmuscles）1．攒竹Cuanzhu(BL2)

2．翳风Yifeng(SJ17)3．太渊Taiyuan(LU9)4.乳中Ruzhong(ST17)5.中魁Zhongkui(EX-UE4)(在中指背侧近侧指间关节中点处)6.太溪Taixi（KI3）

7.脐疗umbilicustreatment

：神阙Shenque(RN8）

麝香放脐内putShe-xiang(musk)intoumbilicus一针疗法的临床应用19/44十七、急性胰腺炎

（AcutePancreatitis）

地机Diji（SP8）当内踝尖与阴陵泉穴连线上，阴陵泉穴下3寸。一针疗法的临床应用20/44十八、支气管哮喘

（Bronchialasthma）1．鱼际Yuji(LU10)2．孔最Kongzui(LU6)一针疗法的临床应用21/44十九、心绞痛

(AnginaPectoris)

1．

内关Neiguan(PC6)2．

至阳Zhiyang(DU9)一针疗法的临床应用22/44二十、喜笑不休

(CompulsiveLaughter)

神门Shenmen(HT7)一针疗法的临床应用23/44二十一、脏躁

(Hysteria)

少海Shaohai(HT3)一针疗法的临床应用24/44二十二、慢性胆囊炎

(ChronicCholecystitis)

1．

阳陵泉（GB34）或胆囊穴DannangPoint(EX-LE6)2.丘墟透照海(fromQiuxuGB40penetratingtoZhaohaiKI6)

一针疗法的临床应用25/44二十三、痛经

(Dysmenorrhea)

1．十七椎Shiqizhui(EX-B7)2．脐疗：神阙用药Shenque(RN8）umbilicustreatment一针疗法的临床应用26/44二十四、急性扁桃体炎

(AcuteTonsillitis)

1.少商Shaoshang(LU11)实热证fortreatingexcess-heatsyndrome2.商阳Shangyang(LI1)胃热火毒上攻fortreatingadverseridingofstomach-heatandfire-toxin一针疗法的临床应用27/44二十五、美容

（Cosmetology）

1.足三里Zusanli(ST36)2.人迎Renying(ST9)一针疗法的临床应用28/44二十六、养生保健

（Healthcare）1.足三里Zusanli（ST36）2.涌泉指揉Yongquan(KI1)fingerkneading3.太溪Taixi(KI3)4.气海Qihai（RN6）5.关元Guanyuan（RN4）灸法moxibustion6.神阙Shenque(CV8)灸法moxibustion一针疗法的临床应用29/44时间病症一针疗法

1.太冲治疗丑时病症

1.Taichong(LR3)forthediseasesoccurringatthesecondtwelveEarthlyBrancheshour(1amto3a.m)（1）丑时失眠insomniaoccurringatthesecondtwelveEarthlyBrancheshour（2）丑时肩痛shoulderpainoccurringatthesecondtwelveEarthlyBrancheshour（3）丑时腰腿疼痛

lumbarandlegpainoccurringatthesecondtwelveEarthlyBrancheshour（4）丑时烦躁

dysphoriaoccurringatthesecondtwelveEarthlyBrancheshour

子时丑时寅时卯时辰时巳时午时未时申时酉时戌时亥时23~11~33~55~77~99~1111~1313~1515~1717~1919~2121~23胆肝肺大肠胃脾心小肠膀胱肾心包三焦一针疗法的临床应用30/44时间病症一针疗法2.太渊治疗寅时病症

2.Taiyuan（LU9）fordiseasesandsymptomsoccurringatthethirdtwelveEarthlyBrancheshour(3a.m.to5a.m.)

（1）寅时哮喘

asthmaoccurringatthethirdtwelveEarthlyBrancheshour

（2）寅时胃痛

stomachacheoccurringatthethirdtwelveEarthlyBrancheshour（3）寅时下肢木胀不适

numbnessanddistendingoflowerextremitiesoccuringatthethirdtwelveEarthlyBrancheshour

（4）变异性心绞痛

variabilityofanginaoccurringatthethirdtwelveEarthlyBrancheshour

一针疗法的临床应用31/44时间病症一针疗法3.三间治疗卯时病症

3.Sanjian(LI3)fordiseasesoccurringatthefourthtwelveEarthlyBrancheshour(5a.m.~7a.m.)（1）卯时肩痛

shoulderarthralgiaoccurringatthefourthtwelveEarthlyBrancheshour（2）卯时腹痛腹泻无效病例

anineffectivecaseofabdominalpainanddiarrheaoccuringatthefourthtwelveEarthlyBrancheshour

一针疗法的临床应用32/44时间病症一针疗法4.陷谷治疗辰时病症

4.Xiangu(ST43)fordiseasesoccuringatthefifthtwelveEarthlyBrancheshour(7a.m.to9a.m.)辰时双下肢疼痛

bothlowerlimbspainoccuringatthefifthtwelveEarthlyBrancheshour

一针疗法的临床应用33/44时间病症一针疗法5.太白治疗巳时病症

Taibai(SP3)fordiseasesoccuringatthesixthtwelveEarthlyBrancheshour(9a.m.to11a.m.)

巳时头痛

headacheoccuringatthesixthtwelveEarthlyBrancheshour

一针疗法的临床应用34/44时间病症一针疗法6.神门治疗午时病症

Shenmen(HT7)forthediseasesoccurringattheseventhtwelveEarthlyBrancheshour(11a.m.to1p.m.)午时心悸

palpitationoccurringattheseventhtwelveEarthlyBrancheshour

一针疗法的临床应用35/44时间病症一针疗法7.太溪治疗酉时病症

7.Taixi(KI3)fordisordersoccurringatthetenthtwelveEarthlyBrancheshour(5p.m.to7p.m.)（1）酉时四肢疼痛麻木加重

numbnessandpainaggravationoffourlimbsatthetenthtwelveEarthlyBrancheshour（2）酉时腹痛

abdominalpain(FuTong)occuringatthetenthtwelveEarthlyBrancheshour

一针疗法的临床应用36/44时间病症一针疗法（3）酉时头痛

headache(TouTong)atthetimeofthetenthofthetwelveEarthlyBrancheshour（4）酉时齿痛

gum-acheandtoothache(ChiTong)occurring

atthetimeofthetenth

ofthe

twelveEarthlyBrancheshour

（5）酉时双目上窜感无效病例

Ineffectivecaseof

feelingofgoingupwardofbinoculusoccurringatthetenthtwelveEarthlyBranches

一针疗法的临床应用37/44时间病症一针疗法8.中渚治疗亥时病症

Zhongzhu(TE3)forthediseasesoccurringatthelasttwelveEarthlyBrancheshour（1）亥时坐骨神经