天柱华佗夹脊刺.ppt

针刺治疗痛证
Acupuncture Analgesia
石学敏教授
Shi xue min Professor
针法特点5
Characteristic of the theraphy
强调调神,治病求本
Regulate the vitality
刺络疗法,祛瘀通络
Blood-letting puncture
临证加减,辨证论治
Select the points according to
differential diagnosis
止痛要穴
上肢:外关
Arm: Waiguan(s5
下肢:飞扬
Leg: Feiyang(BL58)
腰部:大肠俞
Lumbus: Dachangshu(BL25)
全身:人中
The Whole
body: Renzhong( dU26)
1. Painful disease of cephalofacial and somatic region

1. 1 Headache

1. 1 Vascular headache
治则:疏解少阳、活血化瘀。
Principle: Regulate Shaoyang meridian, Activate blood flow and dispel blood stasis
配方:风池、完骨、太阳、头维透率谷、中封、阳辅
Prescription: Fengchi(GB20), Wangu(GB12),Taiyang(EX-HN5)
Touwei(ST8) to Shuaigu(GB8), Zhongfeng(LR4) Yangfu(GB38)

Nervous headache
治则:调神理气、通络止痛
Principle: Regulate the Vitality and Qi, Activate the collaterals and relieve
配方:内关、人中、太冲、百会、四神聪、风池、完骨、天柱
Prescription: Neiguan(PC6), Renzhong (DU26), Taichong (LR3)
Baihui(dU20), Sishencong(EX-HNI), Fengchi(GB20)
Wangu(GB 12), Tianzhu(BL10)

Ocular headache
治则:通络止痛。
Principle: Activate the collaterals and relieve pain
配方:风池、太阳、睛明、球后、四白
Prescription: Fengchi(GB20),Taiyang(EX-HN5)Jingming(BL1),
Qiuhou(EX-HN7), Sibai(ST2)

Cervical headache
治则:通络止痛。
Principle: Activate the collaterals and relieve pain
配方:风池、完骨、天柱、颈椎夹脊刺
Prescription: Fengchi(GB20), Wangu(GB 12), Tianzhu(BL1O), cervical Jiaji(EX-B2)

Ocular headache
治则:醒神开窍、滋阴潜阳、通络止痛
Principle: XNKQ, Nourish yin and yang, Activate the collaterals and relieve pain
配方:上星透百会、太阳、风池、完骨、三阴交、合谷、太冲。
Prescription: Shangxing (DU23)to Baihui(DU20), Taiyang(EX-HN5), Fengchi(GB20)
Wangu(GB12), Sanyinjiao(SP6), Hegu(L14), Taichong(LR3)
(三叉神经痛)
1. 2 Prosopalgia
治则:活血化瘀、通络止痛。
Principle: Activate blood flow and dispel blood stasis, Clear the collaterals to
relleve paIn
主方:下关、四白、风池、翳风,痛点刺络拔罐。
Prescription: Xiaguan(ST7),Sibai(ST2), Fengchi(GB20), Yifeng(SJ17)
And blood-cuping on