藍字“五味古法中醫” →點擊右上角“...”→點選(xuan)“設為星標(biao)★”就不會錯過每篇好文章啦!
什么穴位如此神奇?
不賣關(guan)(guan)(guan)子,這就告訴你——內(nei)(nei)(nei)(nei)(nei)(nei)關(guan)(guan)(guan)一(yi)(yi)(yi)、從俞穴(xue)(xue)(xue)特性來(lai)看(kan)內(nei)(nei)(nei)(nei)(nei)(nei)關(guan)(guan)(guan)是心(xin)(xin)(xin)(xin)(xin)包(bao)經(jing)(jing)(jing)的(de)(de)絡穴(xue)(xue)(xue),別走三(san)(san)焦(jiao)(jiao)經(jing)(jing)(jing)。心(xin)(xin)(xin)(xin)(xin)包(bao)經(jing)(jing)(jing)經(jing)(jing)(jing)脈(mo):起(qi)于(yu)心(xin)(xin)(xin)(xin)(xin)中(zhong)、下膈、歷絡三(san)(san)焦(jiao)(jiao)。三(san)(san)焦(jiao)(jiao)經(jing)(jing)(jing)經(jing)(jing)(jing)脈(mo):散絡心(xin)(xin)(xin)(xin)(xin)包(bao),下膈,偏屬(shu)三(san)(san)焦(jiao)(jiao)。由(you)此(ci)看(kan)來(lai),上(shang)、中(zhong)、下三(san)(san)焦(jiao)(jiao)部位(wei),凡是胸腔(qiang)、腹腔(qiang)及五臟六腑(fu)的(de)(de)間(jian)隙,皆為(wei)心(xin)(xin)(xin)(xin)(xin)包(bao)與三(san)(san)焦(jiao)(jiao)兩(liang)(liang)經(jing)(jing)(jing)所(suo)(suo)走遍(bian)。因(yin)此(ci),內(nei)(nei)(nei)(nei)(nei)(nei)關(guan)(guan)(guan)穴(xue)(xue)(xue)對于(yu)一(yi)(yi)(yi)切(qie)內(nei)(nei)(nei)(nei)(nei)(nei)臟疾(ji)病(bing)(bing),凡是屬(shu)于(yu)實證、熱證都可(ke)以(yi)考慮應用(yong),所(suo)(suo)以(yi)有(you)“一(yi)(yi)(yi)切(qie)內(nei)(nei)(nei)(nei)(nei)(nei)癥(zheng)針內(nei)(nei)(nei)(nei)(nei)(nei)關(guan)(guan)(guan)”的(de)(de)論點。內(nei)(nei)(nei)(nei)(nei)(nei)關(guan)(guan)(guan)又為(wei)八脈(mo)交會(hui)之(zhi)一(yi)(yi)(yi),通于(yu)陰(yin)維(wei)脈(mo)。而陰(yin)維(wei)脈(mo)則發(fa)于(yu)腎經(jing)(jing)(jing)的(de)(de)筑賓穴(xue)(xue)(xue),上(shang)行入腹,循(xun)脅(xie)(xie)肋(lei),上(shang)胸膈,故內(nei)(nei)(nei)(nei)(nei)(nei)關(guan)(guan)(guan)能治(zhi)(zhi)胸、脅(xie)(xie)、腹部疾(ji)病(bing)(bing);但(dan)如(ru)屬(shu)虛(xu)寒證,宜加灸膻中(zhong)、中(zhong)脘、氣海等穴(xue)(xue)(xue),以(yi)助陽(yang)溫中(zhong)散寒。二、從病(bing)(bing)候(hou)來(lai)看(kan)內(nei)(nei)(nei)(nei)(nei)(nei)關(guan)(guan)(guan)穴(xue)(xue)(xue)屬(shu)于(yu)心(xin)(xin)(xin)(xin)(xin)包(bao)經(jing)(jing)(jing),而心(xin)(xin)(xin)(xin)(xin)包(bao)經(jing)(jing)(jing)病(bing)(bing)候(hou)是主脈(mo)所(suo)(suo)生(sheng)病(bing)(bing),心(xin)(xin)(xin)(xin)(xin)包(bao)為(wei)心(xin)(xin)(xin)(xin)(xin)之(zhi)外圍,代心(xin)(xin)(xin)(xin)(xin)受(shou)邪(xie),心(xin)(xin)(xin)(xin)(xin)主血(xue)(xue)脈(mo),因(yin)而,內(nei)(nei)(nei)(nei)(nei)(nei)關(guan)(guan)(guan)能通脈(mo)活血(xue)(xue)以(yi)治(zhi)(zhi)心(xin)(xin)(xin)(xin)(xin)痛。內(nei)(nei)(nei)(nei)(nei)(nei)關(guan)(guan)(guan)為(wei)心(xin)(xin)(xin)(xin)(xin)包(bao)經(jing)(jing)(jing)的(de)(de)絡穴(xue)(xue)(xue),別走三(san)(san)焦(jiao)(jiao)經(jing)(jing)(jing),而三(san)(san)焦(jiao)(jiao)經(jing)(jing)(jing)病(bing)(bing)候(hou)是主氣所(suo)(suo)生(sheng)病(bing)(bing),所(suo)(suo)以(yi)內(nei)(nei)(nei)(nei)(nei)(nei)關(guan)(guan)(guan)穴(xue)(xue)(xue)又能調氣開(kai)郁,以(yi)治(zhi)(zhi)五臟六腑(fu)之(zhi)氣滯血(xue)(xue)瘀的(de)(de)實證熱證。三(san)(san)、從厥(jue)(jue)陰(yin)主風(feng)(feng)(feng)來(lai)看(kan)心(xin)(xin)(xin)(xin)(xin)包(bao)與肝兩(liang)(liang)臟同屬(shu)厥(jue)(jue)陰(yin)經(jing)(jing)(jing)。按《素問(wen)·六微旨大論》:“厥(jue)(jue)陰(yin)之(zhi)上(shang),風(feng)(feng)(feng)氣治(zhi)(zhi)之(zhi)”,心(xin)(xin)(xin)(xin)(xin)包(bao)代心(xin)(xin)(xin)(xin)(xin)行令,表達喜樂,心(xin)(xin)(xin)(xin)(xin)藏神(shen),肝藏魂(hun)。心(xin)(xin)(xin)(xin)(xin)情舒暢則心(xin)(xin)(xin)(xin)(xin)包(bao)與肝兩(liang)(liang)臟之(zhi)氣機如(ru)春風(feng)(feng)(feng)之(zhi)拂煦(xu),神(shen)魂(hun)寧靜,心(xin)(xin)(xin)(xin)(xin)平氣和(he);若情志抑郁則心(xin)(xin)(xin)(xin)(xin)包(bao)與肝兩(liang)(liang)臟最易化(hua)火生(sheng)風(feng)(feng)(feng),風(feng)(feng)(feng)火迫使神(shen)魂(hun)妄動不寧,可(ke)以(yi)形成癲(dian)、狂(kuang)(kuang)、癇癥(zheng)。故取內(nei)(nei)(nei)(nei)(nei)(nei)關(guan)(guan)(guan)功能舒肝熄風(feng)(feng)(feng),寧心(xin)(xin)(xin)(xin)(xin)安神(shen)。但(dan)癲(dian)、狂(kuang)(kuang)、癇的(de)(de)發(fa)病(bing)(bing)原因(yin)復雜,多由(you)于(yu)氣滯痰凝,痰郁化(hua)火,或陰(yin)虛(xu)火炎,故治(zhi)(zhi)宜滌痰、清火、滋陰(yin)等法,因(yin)此(ci)臨證時獨取內(nei)(nei)(nei)(nei)(nei)(nei)關(guan)(guan)(guan)亦(yi)難獲全功。
四、針刺(ci)得氣(qi)與神(shen)經分(fen)布(bu)的關系
內(nei)(nei)關(guan)(guan)穴(xue)(xue)(xue)(xue)的(de)(de)得氣針(zhen)感(gan),如觸電樣(yang)(yang)傳導(dao)(dao)到(dao)(dao)四個(ge)手(shou)指(小指除外),療(liao)效(xiao)顯著。臨床上,常見(jian)的(de)(de)胸悶,善太息(呼吸不暢(chang))的(de)(de)患者,針(zhen)刺內(nei)(nei)關(guan)(guan)后,呼吸即(ji)刻得到(dao)(dao)通(tong)暢(chang),表明(ming)(ming)了內(nei)(nei)關(guan)(guan)穴(xue)(xue)(xue)(xue)善能(neng)(neng)“調(diao)氣開(kai)郁”的(de)(de)療(liao)效(xiao)。內(nei)(nei)關(guan)(guan)穴(xue)(xue)(xue)(xue)的(de)(de)針(zhen)感(gan),有(you)個(ge)別的(de)(de)也能(neng)(neng)傳導(dao)(dao)到(dao)(dao)整個(ge)五(wu)(wu)個(ge)手(shou)指,是通(tong)過尺神經吻合支(zhi)實現的(de)(de)。但需注意(yi),體質較弱者,若針(zhen)感(gan)如電擊樣(yang)(yang)傳導(dao)(dao)到(dao)(dao)手(shou)指,則針(zhen)后留有(you)反應,手(shou)指活動時,仍出現觸電樣(yang)(yang)針(zhen)感(gan),在持物及手(shou)按動作時,更為明(ming)(ming)顯;有(you)的(de)(de)須經三至五(wu)(wu)天(tian),方可(ke)自然恢復;如恢復遲慢者,宜須針(zhen)刺后溪穴(xue)(xue)(xue)(xue),能(neng)(neng)可(ke)促其(qi)早日恢復。五(wu)(wu)、內(nei)(nei)關(guan)(guan)的(de)(de)配(pei)伍(wu)作用及釋義
內(nei)關(guan)(guan)配(pei)(pei)(pei)建(jian)里(li)(li)(li)——治(zhi)(zhi)(zhi)(zhi)胸(xiong)(xiong)中(zhong)(zhong)(zhong)(zhong)苦(ku)悶(men)(men)內(nei)關(guan)(guan)配(pei)(pei)(pei)公(gong)孫(sun)——治(zhi)(zhi)(zhi)(zhi)肚痛(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)內(nei)關(guan)(guan)配(pei)(pei)(pei)三(san)(san)(san)里(li)(li)(li)、中(zhong)(zhong)(zhong)(zhong)脘(wan)(wan)——治(zhi)(zhi)(zhi)(zhi)腹(fu)(fu)(fu)(fu)痛(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)內(nei)關(guan)(guan)配(pei)(pei)(pei)委(wei)(wei)(wei)中(zhong)(zhong)(zhong)(zhong)——頭(tou)(tou)痛(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)、胸(xiong)(xiong)、脅、腹(fu)(fu)(fu)(fu)痛(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)、經(jing)(jing)(jing)(jing)閉(bi)一(yi):內(nei)關(guan)(guan)配(pei)(pei)(pei)建(jian)里(li)(li)(li)所(suo)治(zhi)(zhi)(zhi)(zhi)的(de)(de)胸(xiong)(xiong)中(zhong)(zhong)(zhong)(zhong)苦(ku)悶(men)(men),是由于(yu)憂(you)(you)思過度(du),氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)郁(yu)(yu)不(bu)(bu)(bu)舒,脾(pi)(pi)(pi)胃(wei)(wei)(wei)(wei)運化(hua)不(bu)(bu)(bu)及所(suo)致,或伴有(you)胸(xiong)(xiong)脘(wan)(wan)痞滿,痰凝食(shi)積等癥(此(ci)刻檢查中(zhong)(zhong)(zhong)(zhong)脘(wan)(wan)、建(jian)里(li)(li)(li)穴(xue)(xue),常可(ke)(ke)(ke)(ke)出(chu)現反(fan)應(ying)點)。取(qu)(qu)(qu)內(nei)關(guan)(guan)配(pei)(pei)(pei)建(jian)里(li)(li)(li)有(you)調(diao)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)開(kai)(kai)郁(yu)(yu),消積導(dao)滯(zhi)作(zuo)用(yong)。二:內(nei)關(guan)(guan)配(pei)(pei)(pei)公(gong)孫(sun)治(zhi)(zhi)(zhi)(zhi)腹(fu)(fu)(fu)(fu)痛(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong),腹(fu)(fu)(fu)(fu)痛(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)的(de)(de)病(bing)(bing)(bing)(bing)因(yin)(yin),牽(qian)涉范圍(wei)很廣,不(bu)(bu)(bu)論外感風、寒、暑、濕,或內(nei)傷飲食(shi)、氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)滯(zhi)、血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)瘀(yu)(yu)以(yi)(yi)(yi)(yi)(yi)(yi)(yi)及積聚、癃閉(bi)、蟲病(bing)(bing)(bing)(bing)等,都可(ke)(ke)(ke)(ke)能(neng)導(dao)致腹(fu)(fu)(fu)(fu)痛(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)。公(gong)孫(sun)為(wei)(wei)(wei)(wei)脾(pi)(pi)(pi)經(jing)(jing)(jing)(jing)的(de)(de)絡穴(xue)(xue),別走胃(wei)(wei)(wei)(wei)經(jing)(jing)(jing)(jing),脾(pi)(pi)(pi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)經(jing)(jing)(jing)(jing)脈(mo)(mo)(mo),入腹(fu)(fu)(fu)(fu),屬脾(pi)(pi)(pi),絡胃(wei)(wei)(wei)(wei),脾(pi)(pi)(pi)經(jing)(jing)(jing)(jing)病(bing)(bing)(bing)(bing)候(hou)有(you)食(shi)則(ze)(ze)嘔(ou)、胃(wei)(wei)(wei)(wei)脘(wan)(wan)痛(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)、腹(fu)(fu)(fu)(fu)脹、善噫,公(gong)孫(sun)穴(xue)(xue)又(you)通(tong)(tong)(tong)(tong)于(yu)沖脈(mo)(mo)(mo),沖脈(mo)(mo)(mo)起于(yu)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)街(jie),并(bing)少陰之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)經(jing)(jing)(jing)(jing),挾臍上(shang)行(xing)(xing)(xing)(xing)(xing)(xing),至胸(xiong)(xiong)中(zhong)(zhong)(zhong)(zhong)而(er)(er)(er)(er)(er)散,沖脈(mo)(mo)(mo)為(wei)(wei)(wei)(wei)病(bing)(bing)(bing)(bing),逆(ni)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)里(li)(li)(li)急。故(gu)取(qu)(qu)(qu)公(gong)孫(sun)功(gong)能(neng)健脾(pi)(pi)(pi)和胃(wei)(wei)(wei)(wei),以(yi)(yi)(yi)(yi)(yi)(yi)(yi)治(zhi)(zhi)(zhi)(zhi)胃(wei)(wei)(wei)(wei)脘(wan)(wan)痛(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)、腹(fu)(fu)(fu)(fu)脹,理中(zhong)(zhong)(zhong)(zhong)降(jiang)逆(ni)以(yi)(yi)(yi)(yi)(yi)(yi)(yi)治(zhi)(zhi)(zhi)(zhi)嘔(ou)、噫、逆(ni)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)。更(geng)有(you)內(nei)關(guan)(guan)調(diao)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)以(yi)(yi)(yi)(yi)(yi)(yi)(yi)開(kai)(kai)郁(yu)(yu),通(tong)(tong)(tong)(tong)脈(mo)(mo)(mo)以(yi)(yi)(yi)(yi)(yi)(yi)(yi)活(huo)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue),故(gu)凡是上(shang)腹(fu)(fu)(fu)(fu)痛(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)或下腹(fu)(fu)(fu)(fu)痛(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong),皆(jie)可(ke)(ke)(ke)(ke)應(ying)用(yong);但“急腹(fu)(fu)(fu)(fu)癥”,應(ying)在確診后,再進行(xing)(xing)(xing)(xing)(xing)(xing)治(zhi)(zhi)(zhi)(zhi)療。三(san)(san)(san):內(nei)關(guan)(guan)配(pei)(pei)(pei)中(zhong)(zhong)(zhong)(zhong)脘(wan)(wan)、三(san)(san)(san)里(li)(li)(li)所(suo)治(zhi)(zhi)(zhi)(zhi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)腹(fu)(fu)(fu)(fu)痛(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong),多為(wei)(wei)(wei)(wei)肝(gan)(gan)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)郁(yu)(yu)逆(ni),胃(wei)(wei)(wei)(wei)失和降(jiang)所(suo)致之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)胃(wei)(wei)(wei)(wei)脘(wan)(wan)痛(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)。中(zhong)(zhong)(zhong)(zhong)脘(wan)(wan)為(wei)(wei)(wei)(wei)胃(wei)(wei)(wei)(wei)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)募、腑(fu)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)會,手太(tai)(tai)陽(yang)、少陽(yang)、足(zu)(zu)陽(yang)明、任(ren)脈(mo)(mo)(mo)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)會穴(xue)(xue),為(wei)(wei)(wei)(wei)胃(wei)(wei)(wei)(wei)病(bing)(bing)(bing)(bing)的(de)(de)反(fan)應(ying)點,故(gu)能(neng)治(zhi)(zhi)(zhi)(zhi)六(liu)腑(fu)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)疾(ji)病(bing)(bing)(bing)(bing);足(zu)(zu)三(san)(san)(san)里(li)(li)(li)為(wei)(wei)(wei)(wei)胃(wei)(wei)(wei)(wei)經(jing)(jing)(jing)(jing)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)合(he)(he)穴(xue)(xue),合(he)(he)主(zhu)(zhu)(zhu)逆(ni)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)而(er)(er)(er)(er)(er)泄。故(gu)中(zhong)(zhong)(zhong)(zhong)脘(wan)(wan)與(yu)(yu)(yu)足(zu)(zu)三(san)(san)(san)里(li)(li)(li)并(bing)用(yong),功(gong)能(neng)理中(zhong)(zhong)(zhong)(zhong)降(jiang)逆(ni)。加(jia)內(nei)關(guan)(guan)以(yi)(yi)(yi)(yi)(yi)(yi)(yi)舒肝(gan)(gan)和胃(wei)(wei)(wei)(wei),可(ke)(ke)(ke)(ke)治(zhi)(zhi)(zhi)(zhi)上(shang)腹(fu)(fu)(fu)(fu)部(bu)胃(wei)(wei)(wei)(wei)脘(wan)(wan)痛(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong);虛寒證(zheng)(zheng)宜灸中(zhong)(zhong)(zhong)(zhong)脘(wan)(wan)、三(san)(san)(san)里(li)(li)(li)以(yi)(yi)(yi)(yi)(yi)(yi)(yi)溫中(zhong)(zhong)(zhong)(zhong)散寒。四:內(nei)關(guan)(guan)配(pei)(pei)(pei)委(wei)(wei)(wei)中(zhong)(zhong)(zhong)(zhong)的(de)(de)作(zuo)用(yong):內(nei)關(guan)(guan)的(de)(de)主(zhu)(zhu)(zhu)要(yao)功(gong)能(neng),調(diao)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)以(yi)(yi)(yi)(yi)(yi)(yi)(yi)開(kai)(kai)郁(yu)(yu)、通(tong)(tong)(tong)(tong)脈(mo)(mo)(mo)以(yi)(yi)(yi)(yi)(yi)(yi)(yi)活(huo)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)。而(er)(er)(er)(er)(er)太(tai)(tai)陽(yang)為(wei)(wei)(wei)(wei)諸陽(yang)主(zhu)(zhu)(zhu)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi),氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)為(wei)(wei)(wei)(wei)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)帥(shuai),氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)行(xing)(xing)(xing)(xing)(xing)(xing)則(ze)(ze)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)行(xing)(xing)(xing)(xing)(xing)(xing),因(yin)(yin)此(ci),“血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)郄”獨(du)在足(zu)(zu)太(tai)(tai)陽(yang)經(jing)(jing)(jing)(jing)委(wei)(wei)(wei)中(zhong)(zhong)(zhong)(zhong)穴(xue)(xue),善能(neng)行(xing)(xing)(xing)(xing)(xing)(xing)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)活(huo)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)。委(wei)(wei)(wei)中(zhong)(zhong)(zhong)(zhong)在五俞(yu)(yu)穴(xue)(xue)中(zhong)(zhong)(zhong)(zhong)為(wei)(wei)(wei)(wei)合(he)(he)穴(xue)(xue),而(er)(er)(er)(er)(er)合(he)(he)主(zhu)(zhu)(zhu)逆(ni)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)而(er)(er)(er)(er)(er)泄,與(yu)(yu)(yu)內(nei)關(guan)(guan)相(xiang)配(pei)(pei)(pei),功(gong)能(neng)調(diao)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)降(jiang)逆(ni),活(huo)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)逐(zhu)瘀(yu)(yu)以(yi)(yi)(yi)(yi)(yi)(yi)(yi)治(zhi)(zhi)(zhi)(zhi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)滯(zhi)、血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)瘀(yu)(yu)、逆(ni)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)上(shang)沖等實證(zheng)(zheng)、熱證(zheng)(zheng),如頭(tou)(tou)痛(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)、胸(xiong)(xiong)、脅、腹(fu)(fu)(fu)(fu)痛(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)、經(jing)(jing)(jing)(jing)閉(bi)。六(liu)、病(bing)(bing)(bing)(bing) 案一(yi)、胸(xiong)(xiong)痛(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)李××,男,24歲。因(yin)(yin)搬機器用(yong)力過猛(meng)而(er)(er)(er)(er)(er)努傷岔(cha)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi),呼(hu)吸則(ze)(ze)胸(xiong)(xiong)部(bu)作(zuo)痛(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong),將近一(yi)月,曾注油質(zhi)青霉素20支,毫(hao)無效(xiao)果,舌(she)(she)苔薄白、脈(mo)(mo)(mo)弦(xian)(xian)滑。素無其他(ta)病(bing)(bing)(bing)(bing)史,有(you)人(ren)伴隨攙扶(fu),屈(qu)胸(xiong)(xiong)彎腰(yao)來診。胸(xiong)(xiong)為(wei)(wei)(wei)(wei)肺(fei)、心(xin)(xin)、心(xin)(xin)包(bao)三(san)(san)(san)臟所(suo)居。肺(fei)主(zhu)(zhu)(zhu)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi),心(xin)(xin)主(zhu)(zhu)(zhu)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue),心(xin)(xin)包(bao)代(dai)心(xin)(xin)行(xing)(xing)(xing)(xing)(xing)(xing)令。氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)為(wei)(wei)(wei)(wei)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)帥(shuai),氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)行(xing)(xing)(xing)(xing)(xing)(xing)則(ze)(ze)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)行(xing)(xing)(xing)(xing)(xing)(xing),努傷岔(cha)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)則(ze)(ze)肺(fei)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)機滯(zhi)而(er)(er)(er)(er)(er)不(bu)(bu)(bu)暢(chang),以(yi)(yi)(yi)(yi)(yi)(yi)(yi)致心(xin)(xin)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)行(xing)(xing)(xing)(xing)(xing)(xing)瘀(yu)(yu)阻,故(gu)呼(hu)吸則(ze)(ze)胸(xiong)(xiong)中(zhong)(zhong)(zhong)(zhong)作(zuo)痛(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong),治(zhi)(zhi)(zhi)(zhi)宜調(diao)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)行(xing)(xing)(xing)(xing)(xing)(xing)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)。胸(xiong)(xiong)痛(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)與(yu)(yu)(yu)心(xin)(xin)包(bao)、三(san)(san)(san)焦兩經(jing)(jing)(jing)(jing)關(guan)(guan)系(xi)(xi)密切。內(nei)關(guan)(guan)為(wei)(wei)(wei)(wei)心(xin)(xin)包(bao)經(jing)(jing)(jing)(jing)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)絡穴(xue)(xue),別走三(san)(san)(san)焦經(jing)(jing)(jing)(jing)。故(gu)取(qu)(qu)(qu)內(nei)關(guan)(guan)調(diao)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)以(yi)(yi)(yi)(yi)(yi)(yi)(yi)治(zhi)(zhi)(zhi)(zhi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)機之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)滯(zhi),通(tong)(tong)(tong)(tong)脈(mo)(mo)(mo)以(yi)(yi)(yi)(yi)(yi)(yi)(yi)治(zhi)(zhi)(zhi)(zhi)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)行(xing)(xing)(xing)(xing)(xing)(xing)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)瘀(yu)(yu)。針(zhen)(zhen)(zhen)刺內(nei)關(guan)(guan),當時即(ji)覺呼(hu)吸舒暢(chang),胸(xiong)(xiong)痛(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)減輕。又(you)配(pei)(pei)(pei)膀胱足(zu)(zu)太(tai)(tai)陽(yang)經(jing)(jing)(jing)(jing)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)委(wei)(wei)(wei)中(zhong)(zhong)(zhong)(zhong),合(he)(he)穴(xue)(xue)兼血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)郄穴(xue)(xue),合(he)(he)主(zhu)(zhu)(zhu)逆(ni)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)而(er)(er)(er)(er)(er)泄,血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)郄能(neng)降(jiang)呼(hu)吸之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)逆(ni),并(bing)可(ke)(ke)(ke)(ke)活(huo)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)以(yi)(yi)(yi)(yi)(yi)(yi)(yi)逐(zhu)瘀(yu)(yu)。針(zhen)(zhen)(zhen)后呼(hu)吸更(geng)覺通(tong)(tong)(tong)(tong)暢(chang),胸(xiong)(xiong)痛(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)又(you)減,即(ji)能(neng)挺胸(xiong)(xiong)伸腰(yao),不(bu)(bu)(bu)用(yong)攙扶(fu),自(zi)能(neng)行(xing)(xing)(xing)(xing)(xing)(xing)走。共針(zhen)(zhen)(zhen)四次而(er)(er)(er)(er)(er)痊愈(yu)。二、郁(yu)(yu)證(zheng)(zheng)某(mou)一(yi)新婚少婦,年20余。因(yin)(yin)郁(yu)(yu)怒難伸,胸(xiong)(xiong)悶(men)(men)不(bu)(bu)(bu)舒,臥床(chuang)不(bu)(bu)(bu)能(neng)言語,亦不(bu)(bu)(bu)能(neng)進食(shi),但神智(zhi)清(qing)楚,睜眼(yan)看人(ren),發(fa)病(bing)(bing)(bing)(bing)僅一(yi)日而(er)(er)(er)(er)(er)來診,因(yin)(yin)不(bu)(bu)(bu)能(neng)張口,舌(she)(she)苔難辨(bian),診其脈(mo)(mo)(mo)緩而(er)(er)(er)(er)(er)澀。本(ben)例(li)系(xi)(xi)內(nei)傷七情所(suo)致之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)病(bing)(bing)(bing)(bing),以(yi)(yi)(yi)(yi)(yi)(yi)(yi)憂(you)(you)、思、怒三(san)(san)(san)者為(wei)(wei)(wei)(wei)主(zhu)(zhu)(zhu)。故(gu)取(qu)(qu)(qu)內(nei)關(guan)(guan)以(yi)(yi)(yi)(yi)(yi)(yi)(yi)調(diao)五臟六(liu)腑(fu)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)滯(zhi),又(you)能(neng)通(tong)(tong)(tong)(tong)脈(mo)(mo)(mo)活(huo)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)以(yi)(yi)(yi)(yi)(yi)(yi)(yi)解郁(yu)(yu)。因(yin)(yin)此(ci)當針(zhen)(zhen)(zhen)內(nei)關(guan)(guan)捻(nian)針(zhen)(zhen)(zhen)時,即(ji)能(neng)發(fa)言。又(you)配(pei)(pei)(pei)任(ren)脈(mo)(mo)(mo)建(jian)里(li)(li)(li)穴(xue)(xue)以(yi)(yi)(yi)(yi)(yi)(yi)(yi)理中(zhong)(zhong)(zhong)(zhong)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi),胃(wei)(wei)(wei)(wei)經(jing)(jing)(jing)(jing)合(he)(he)穴(xue)(xue)足(zu)(zu)三(san)(san)(san)里(li)(li)(li)以(yi)(yi)(yi)(yi)(yi)(yi)(yi)降(jiang)逆(ni)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi),針(zhen)(zhen)(zhen)刺后即(ji)思食(shi)。三(san)(san)(san)、心(xin)(xin)痛(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)俞(yu)(yu)××,女,68歲。素有(you)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)郁(yu)(yu)不(bu)(bu)(bu)舒,胸(xiong)(xiong)悶(men)(men)脅脹,煩(fan)躁易(yi)怒等證(zheng)(zheng),突然心(xin)(xin)痛(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)發(fa)作(zuo),痛(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)連左肩背(bei),胸(xiong)(xiong)悶(men)(men)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)短。苔薄黃、舌(she)(she)質(zhi)紅,脈(mo)(mo)(mo)弦(xian)(xian)滑而(er)(er)(er)(er)(er)數。本(ben)例(li)系(xi)(xi)肝(gan)(gan)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)郁(yu)(yu)滯(zhi)而(er)(er)(er)(er)(er)化(hua)火,則(ze)(ze)脅脹煩(fan)躁而(er)(er)(er)(er)(er)易(yi)怒,郁(yu)(yu)火上(shang)犯(fan)心(xin)(xin)肺(fei),肺(fei)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)滯(zhi)則(ze)(ze)胸(xiong)(xiong)悶(men)(men)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)短。舌(she)(she)苔薄黃、質(zhi)紅,脈(mo)(mo)(mo)弦(xian)(xian)滑數,均(jun)為(wei)(wei)(wei)(wei)肝(gan)(gan)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)郁(yu)(yu)而(er)(er)(er)(er)(er)化(hua)火之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)征象。故(gu)取(qu)(qu)(qu)內(nei)關(guan)(guan)以(yi)(yi)(yi)(yi)(yi)(yi)(yi)調(diao)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)通(tong)(tong)(tong)(tong)脈(mo)(mo)(mo),舒肝(gan)(gan)解郁(yu)(yu)而(er)(er)(er)(er)(er)治(zhi)(zhi)(zhi)(zhi)心(xin)(xin)痛(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong),又(you)配(pei)(pei)(pei)心(xin)(xin)經(jing)(jing)(jing)(jing)神門俞(yu)(yu)兼原穴(xue)(xue)(俞(yu)(yu)主(zhu)(zhu)(zhu)體重(zhong)節痛(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong),原穴(xue)(xue)虛實皆(jie)主(zhu)(zhu)(zhu)),心(xin)(xin)主(zhu)(zhu)(zhu)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)脈(mo)(mo)(mo),故(gu)取(qu)(qu)(qu)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)能(neng)活(huo)血(xue)(xue)(xue)(xue)(xue)(xue)(xue)(xue)行(xing)(xing)(xing)(xing)(xing)(xing)瘀(yu)(yu)、清(qing)火寧心(xin)(xin)。針(zhen)(zhen)(zhen)后即(ji)痛(tong)(tong)(tong)(tong)(tong)(tong)(tong)(tong)止(zhi)。品牌(pai)傳(chuan)播 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