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懸鐘穴的應用及定位考證

醫案日記 2023-05-16 17:20:12

,別名(ming)絕(jue)骨(gu)(gu)(gu),屬足(zu)少(shao)陽膽(dan)經。其臨床(chuang)應用(yong)(yong)(yong)(yong)(yong)(yong)范圍相當廣泛。筆者(zhe)(zhe)(zhe)(zhe)從以下三(san)個角度(du)加以總(zong)結(jie)(jie)(jie):1獨(du)穴(xue)(xue)(xue)《主(zhu)穴(xue)(xue)(xue)》運(yun)用(yong)(yong)(yong)(yong)(yong)(yong) 崔嵩山采(cai)(cai)(cai)用(yong)(yong)(yong)(yong)(yong)(yong)懸(xuan)(xuan)(xuan)(xuan)(xuan)鐘(zhong)穴(xue)(xue)(xue)治(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)落枕。患(huan)(huan)(huan)(huan)者(zhe)(zhe)(zhe)(zhe)取(qu)(qu)端坐位(wei),取(qu)(qu)病(bing)(bing)側懸(xuan)(xuan)(xuan)(xuan)(xuan)鐘(zhong)穴(xue)(xue)(xue),刺(ci)(ci)入穴(xue)(xue)(xue)位(wei)得(de)氣(qi)(qi)(qi)后(hou),留(liu)(liu)針(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)10~20min.期(qi)(qi)間(jian)運(yun)針(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)一(yi)次(ci),針(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)后(hou)患(huan)(huan)(huan)(huan)者(zhe)(zhe)(zhe)(zhe)癥(zheng)狀明(ming)顯(xian)改(gai)善或消失(shi)。個別病(bing)(bing)例(li)(li)(li)(li)(li)(li),可(ke)局(ju)部(bu)(bu)(bu)輔以按(an)摩手法(fa)(fa),一(yi)般一(yi)次(ci)可(ke)治(zhi)(zhi)(zhi)(zhi)愈(yu)(yu)。有(you)(you)(you)關懸(xuan)(xuan)(xuan)(xuan)(xuan)鐘(zhong)穴(xue)(xue)(xue)治(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)落枕的(de)(de)(de)病(bing)(bing)例(li)(li)(li)(li)(li)(li)很多。柴恒彬采(cai)(cai)(cai)用(yong)(yong)(yong)(yong)(yong)(yong)巨刺(ci)(ci)方(fang)法(fa)(fa),即左(zuo)病(bing)(bing)針(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)右,右病(bing)(bing)針(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)左(zuo)。朱(zhu)興中(zhong)配阿(a)(a)是(shi)(shi)穴(xue)(xue)(xue),姜守信配合局(ju)部(bu)(bu)(bu)按(an)摩,另外肖明(ming)靜和(he)朱(zhu)紅影采(cai)(cai)(cai)用(yong)(yong)(yong)(yong)(yong)(yong)指(zhi)針(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)的(de)(de)(de)方(fang)法(fa)(fa)。其他學者(zhe)(zhe)(zhe)(zhe)也(ye)有(you)(you)(you)報(bao)道(dao),這里(li)不一(yi)一(yi)列舉。總(zong)之,各(ge)家的(de)(de)(de)療(liao)(liao)(liao)(liao)(liao)效(xiao)(xiao)(xiao)較(jiao)好(hao),治(zhi)(zhi)(zhi)(zhi)法(fa)(fa)大同(tong)(tong)小(xiao)異(yi)。只是(shi)(shi)取(qu)(qu)穴(xue)(xue)(xue)位(wei)置略有(you)(you)(you)不同(tong)(tong),見后(hou)文論述(shu)。郭學梅以絕(jue)骨(gu)(gu)(gu)穴(xue)(xue)(xue)為主(zhu)治(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)偏頭(tou)痛(tong)。方(fang)法(fa)(fa):治(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)組取(qu)(qu)患(huan)(huan)(huan)(huan)側絕(jue)骨(gu)(gu)(gu)穴(xue)(xue)(xue),配阿(a)(a)是(shi)(shi)穴(xue)(xue)(xue),對(dui)照組取(qu)(qu)懸(xuan)(xuan)(xuan)(xuan)(xuan)顱、率(lv)谷、風(feng)池、阿(a)(a)是(shi)(shi)。患(huan)(huan)(huan)(huan)者(zhe)(zhe)(zhe)(zhe)側臥,進(jin)(jin)針(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)(zhen),用(yong)(yong)(yong)(yong)(yong)(yong)提(ti)(ti)插(cha)手法(fa)(fa),若針(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)感差者(zhe)(zhe)(zhe)(zhe)可(ke)配1~2個阿(a)(a)是(shi)(shi)穴(xue)(xue)(xue)。留(liu)(liu)針(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)均為30min,每(mei)(mei)10min行針(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)一(yi)次(ci);1天1次(ci),10次(ci)為1療(liao)(liao)(liao)(liao)(liao)程(cheng)。結(jie)(jie)(jie)果:治(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)組有(you)(you)(you)效(xiao)(xiao)(xiao)率(lv)為100%,對(dui)照組有(you)(you)(you)效(xiao)(xiao)(xiao)率(lv)為83%,經統計學處(chu)理有(you)(you)(you)顯(xian)著(zhu)性(xing)(xing)差異(yi)。趙臣來獨(du)取(qu)(qu)絕(jue)骨(gu)(gu)(gu)治(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)急(ji)(ji)性(xing)(xing)腰(yao)扭(niu)傷(shang)(shang)。方(fang)法(fa)(fa):患(huan)(huan)(huan)(huan)者(zhe)(zhe)(zhe)(zhe)取(qu)(qu)合適體(ti)位(wei),快速(su)進(jin)(jin)針(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)(zhen),緩(huan)(huan)慢(man)捻轉(zhuan)(zhuan)(zhuan),得(de)氣(qi)(qi)(qi)后(hou)行鳳凰展翅之法(fa)(fa);并囑(zhu)患(huan)(huan)(huan)(huan)者(zhe)(zhe)(zhe)(zhe)保護腰(yao)部(bu)(bu)(bu)。50例(li)(li)(li)(li)(li)(li)病(bing)(bing)例(li)(li)(li)(li)(li)(li),治(zhi)(zhi)(zhi)(zhi)愈(yu)(yu)49例(li)(li)(li)(li)(li)(li),好(hao)轉(zhuan)(zhuan)(zhuan)l例(li)(li)(li)(li)(li)(li)。其中(zhong)針(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)刺(ci)(ci)一(yi)次(ci)痊(quan)(quan)(quan)(quan)愈(yu)(yu)31例(li)(li)(li)(li)(li)(li),占(zhan)(zhan)(zhan)62%,兩(liang)次(ci)痊(quan)(quan)(quan)(quan)愈(yu)(yu)16例(li)(li)(li)(li)(li)(li),占(zhan)(zhan)(zhan)32%,針(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)五次(ci)痊(quan)(quan)(quan)(quan)愈(yu)(yu)2例(li)(li)(li)(li)(li)(li),占(zhan)(zhan)(zhan)4%。一(yi)例(li)(li)(li)(li)(li)(li)經五次(ci)治(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)未愈(yu)(yu),改(gai)用(yong)(yong)(yong)(yong)(yong)(yong)他法(fa)(fa)治(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)。趙海音采(cai)(cai)(cai)用(yong)(yong)(yong)(yong)(yong)(yong)巨刺(ci)(ci)絕(jue)骨(gu)(gu)(gu)穴(xue)(xue)(xue)治(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)下肢(zhi)(zhi)(zhi)截肢(zhi)(zhi)(zhi)殘端痛(tong),取(qu)(qu)得(de)較(jiao)好(hao)效(xiao)(xiao)(xiao)果。取(qu)(qu)健側絕(jue)骨(gu)(gu)(gu)穴(xue)(xue)(xue),進(jin)(jin)針(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)(zhen),得(de)氣(qi)(qi)(qi)后(hou),快速(su)捻轉(zhuan)(zhuan)(zhuan)1~2min,每(mei)(mei)10--15min運(yun)針(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)一(yi)次(ci),留(liu)(liu)針(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)45min,隔(ge)日1次(ci),10次(ci)為一(yi)療(liao)(liao)(liao)(liao)(liao)程(cheng)。留(liu)(liu)針(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)期(qi)(qi)間(jian),囑(zhu)患(huan)(huan)(huan)(huan)者(zhe)(zhe)(zhe)(zhe)在針(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)感強(qiang)時(shi)做膝(xi)關節的(de)(de)(de)屈伸運(yun)動(dong)。結(jie)(jie)(jie)果:顯(xian)效(xiao)(xiao)(xiao)[疼痛(tong)完全消失(shi)或基本消失(shi)]1例(li)(li)(li)(li)(li)(li),有(you)(you)(you)效(xiao)(xiao)(xiao)[疼痛(tong)明(ming)顯(xian)減(jian)輕]15例(li)(li)(li)(li)(li)(li),無(wu)效(xiao)(xiao)(xiao)[一(yi)個療(liao)(liao)(liao)(liao)(liao)程(cheng),疼痛(tong)無(wu)明(ming)顯(xian)的(de)(de)(de)緩(huan)(huan)解(jie)]0例(li)(li)(li)(li)(li)(li)。胡(hu)海燕總(zong)結(jie)(jie)(jie)出懸(xuan)(xuan)(xuan)(xuan)(xuan)鐘(zhong)穴(xue)(xue)(xue)可(ke)治(zhi)(zhi)(zhi)(zhi)下肢(zhi)(zhi)(zhi)痿(wei)痹(bi),中(zhong)風(feng)后(hou)遺(yi)癥(zheng),脅痛(tong),肩周炎,偏頭(tou)痛(tong),落枕和(he)婦兒疾病(bing)(bing),并附(fu)有(you)(you)(you)案例(li)(li)(li)(li)(li)(li)。2雙穴(xue)(xue)(xue)應用(yong)(yong)(yong)(yong)(yong)(yong) 蔣海英(ying)采(cai)(cai)(cai)用(yong)(yong)(yong)(yong)(yong)(yong)針(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)刺(ci)(ci)懸(xuan)(xuan)(xuan)(xuan)(xuan)鐘(zhong)透(tou)三(san)陰(yin)交(jiao)治(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)肩周炎。方(fang)法(fa)(fa):取(qu)(qu)患(huan)(huan)(huan)(huan)肩同(tong)(tong)側懸(xuan)(xuan)(xuan)(xuan)(xuan)鐘(zhong)穴(xue)(xue)(xue),進(jin)(jin)針(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)至(zhi)三(san)陰(yin)交(jiao)以不透(tou)出皮膚為度(du)。強(qiang)刺(ci)(ci)激提(ti)(ti)插(cha)捻轉(zhuan)(zhuan)(zhuan),同(tong)(tong)時(shi)囑(zhu)患(huan)(huan)(huan)(huan)者(zhe)(zhe)(zhe)(zhe)作上舉、外旋、后(hou)伸等(deng)(deng)動(dong)作,得(de)氣(qi)(qi)(qi)后(hou)留(liu)(liu)針(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)30min,每(mei)(mei)10min行針(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)一(yi)次(ci),l天1次(ci),3次(ci)為1療(liao)(liao)(liao)(liao)(liao)程(cheng)。結(jie)(jie)(jie)果:經過1~2個療(liao)(liao)(liao)(liao)(liao)程(cheng),60例(li)(li)(li)(li)(li)(li)中(zhong)痊(quan)(quan)(quan)(quan)愈(yu)(yu)48例(li)(li)(li)(li)(li)(li),占(zhan)(zhan)(zhan)80%;顯(xian)效(xiao)(xiao)(xiao)7例(li)(li)(li)(li)(li)(li),占(zhan)(zhan)(zhan)11.7%;有(you)(you)(you)效(xiao)(xiao)(xiao)4例(li)(li)(li)(li)(li)(li),占(zhan)(zhan)(zhan)6.6%;無(wu)效(xiao)(xiao)(xiao)1例(li)(li)(li)(li)(li)(li),占(zhan)(zhan)(zhan)1.7%。總(zong)有(you)(you)(you)效(xiao)(xiao)(xiao)率(lv)為98.3%。鄭建寧(ning)[13]采(cai)(cai)(cai)用(yong)(yong)(yong)(yong)(yong)(yong)三(san)陰(yin)交(jiao)透(tou)刺(ci)(ci)懸(xuan)(xuan)(xuan)(xuan)(xuan)鐘(zhong)穴(xue)(xue)(xue)治(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)痛(tong)經。56例(li)(li)(li)(li)(li)(li),年(nian)齡(ling)最(zui)(zui)(zui)小(xiao)16歲(sui),最(zui)(zui)(zui)大30歲(sui);未婚46例(li)(li)(li)(li)(li)(li),已婚10例(li)(li)(li)(li)(li)(li);病(bing)(bing)程(cheng)最(zui)(zui)(zui)短半年(nian)。最(zui)(zui)(zui)長15年(nian)。方(fang)法(fa)(fa):從三(san)陰(yin)交(jiao)透(tou)刺(ci)(ci)懸(xuan)(xuan)(xuan)(xuan)(xuan)鐘(zhong)穴(xue)(xue)(xue),行捻轉(zhuan)(zhuan)(zhuan)瀉法(fa)(fa),得(de)氣(qi)(qi)(qi)后(hou)留(liu)(liu)針(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)30min,1個周期(qi)(qi)為1個療(liao)(liao)(liao)(liao)(liao)程(cheng)。結(jie)(jie)(jie)果:痊(quan)(quan)(quan)(quan)愈(yu)(yu)35例(li)(li)(li)(li)(li)(li),占(zhan)(zhan)(zhan)62.5%;顯(xian)效(xiao)(xiao)(xiao)19例(li)(li)(li)(li)(li)(li),占(zhan)(zhan)(zhan)33.9%;無(wu)效(xiao)(xiao)(xiao)2例(li)(li)(li)(li)(li)(li)。占(zhan)(zhan)(zhan)3.6%。李義蓉采(cai)(cai)(cai)用(yong)(yong)(yong)(yong)(yong)(yong)三(san)陰(yin)交(jiao)及(ji)懸(xuan)(xuan)(xuan)(xuan)(xuan)鐘(zhong)治(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)急(ji)(ji)性(xing)(xing)腰(yao)扭(niu)傷(shang)(shang)。方(fang)法(fa)(fa):患(huan)(huan)(huan)(huan)者(zhe)(zhe)(zhe)(zhe)坐位(wei),取(qu)(qu)患(huan)(huan)(huan)(huan)者(zhe)(zhe)(zhe)(zhe)雙下肢(zhi)(zhi)(zhi)三(san)陰(yin)交(jiao)及(ji)懸(xuan)(xuan)(xuan)(xuan)(xuan)鐘(zhong)穴(xue)(xue)(xue)針(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)刺(ci)(ci)并留(liu)(liu)針(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)(zhen),然后(hou)扶患(huan)(huan)(huan)(huan)者(zhe)(zhe)(zhe)(zhe)慢(man)慢(man)站立做軀干(gan)的(de)(de)(de)環轉(zhuan)(zhuan)(zhuan)動(dong)作2~5min,直至(zhi)腰(yao)部(bu)(bu)(bu)疼痛(tong)減(jian)輕或消失(shi)。1天1次(ci),連續治(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)2~3次(ci)。結(jie)(jie)(jie)果:30例(li)(li)(li)(li)(li)(li)中(zhong),28例(li)(li)(li)(li)(li)(li)痊(quan)(quan)(quan)(quan)愈(yu)(yu),占(zhan)(zhan)(zhan)93.3%;2例(li)(li)(li)(li)(li)(li)好(hao)轉(zhuan)(zhuan)(zhuan),占(zhan)(zhan)(zhan)6.6%。陳隨社(she)采(cai)(cai)(cai)用(yong)(yong)(yong)(yong)(yong)(yong)懸(xuan)(xuan)(xuan)(xuan)(xuan)鐘(zhong)穴(xue)(xue)(xue)治(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)急(ji)(ji)性(xing)(xing)腰(yao)扭(niu)傷(shang)(shang)。方(fang)法(fa)(fa):患(huan)(huan)(huan)(huan)者(zhe)(zhe)(zhe)(zhe)取(qu)(qu)坐位(wei)。快速(su)進(jin)(jin)針(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)(zhen),反復提(ti)(ti)插(cha),彈擊針(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)頭(tou),得(de)氣(qi)(qi)(qi)后(hou),囑(zhu)患(huan)(huan)(huan)(huan)者(zhe)(zhe)(zhe)(zhe)慢(man)慢(man)站起(qi),兩(liang)手抱頭(tou),前后(hou)左(zuo)右緩(huan)(huan)慢(man)擺動(dong)腰(yao)部(bu)(bu)(bu)。結(jie)(jie)(jie)果:94例(li)(li)(li)(li)(li)(li)患(huan)(huan)(huan)(huan)者(zhe)(zhe)(zhe)(zhe),痊(quan)(quan)(quan)(quan)愈(yu)(yu)75例(li)(li)(li)(li)(li)(li),顯(xian)效(xiao)(xiao)(xiao)lO例(li)(li)(li)(li)(li)(li),好(hao)轉(zhuan)(zhuan)(zhuan)9例(li)(li)(li)(li)(li)(li),總(zong)有(you)(you)(you)效(xiao)(xiao)(xiao)率(lv)為100%。楊志新(xin)提(ti)(ti)及(ji)懸(xuan)(xuan)(xuan)(xuan)(xuan)鐘(zhong)與三(san)陰(yin)交(jiao)配合治(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)腳(jiao)癬、癔病(bing)(bing)性(xing)(xing)癱(tan)瘓、白細胞減(jian)少(shao)癥(zheng)、紅斑性(xing)(xing)肢(zhi)(zhi)(zhi)痛(tong)、頭(tou)痛(tong)、偏頭(tou)痛(tong)、痛(tong)經、鼻(bi)衄、落枕等(deng)(deng)病(bing)(bing)證,療(liao)(liao)(liao)(liao)(liao)效(xiao)(xiao)(xiao)都頗為滿(man)意。鄧柏穎作了灸(jiu)(jiu)足(zu)三(san)里(li)和(he)懸(xuan)(xuan)(xuan)(xuan)(xuan)鐘(zhong)治(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)高脂血癥(zheng)的(de)(de)(de)療(liao)(liao)(liao)(liao)(liao)效(xiao)(xiao)(xiao)觀察。方(fang)法(fa)(fa):取(qu)(qu)穴(xue)(xue)(xue)懸(xuan)(xuan)(xuan)(xuan)(xuan)鐘(zhong)、足(zu)三(san)里(li)。材料:麥粒樣大小(xiao)圓(yuan)錐形艾(ai)(ai)炷。醫用(yong)(yong)(yong)(yong)(yong)(yong)膠布。穴(xue)(xue)(xue)位(wei)表面涂抹大蒜汁(zhi)(或蘆薈汁(zhi)),將艾(ai)(ai)炷置于(yu)穴(xue)(xue)(xue)位(wei)上,點燃,待(dai)艾(ai)(ai)炷燃盡,去灰,貼(tie)上膠布,并于(yu)灸(jiu)(jiu)后(hou)2周內酌進(jin)(jin)豆類等(deng)(deng)發(fa)物促灸(jiu)(jiu)瘡早發(fa)。若半月(yue)內膠布脫落需(xu)重新(xin)貼(tie)上。對(dui)灸(jiu)(jiu)瘡化(hua)膿后(hou)局(ju)部(bu)(bu)(bu)反應明(ming)顯(xian)者(zhe)(zhe)(zhe)(zhe),給予針(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)(zhen)灸(jiu)(jiu)處(chu)理(炎性(xing)(xing)化(hua)膿者(zhe)(zhe)(zhe)(zhe)除外)。每(mei)(mei)次(ci)每(mei)(mei)穴(xue)(xue)(xue)只灸(jiu)(jiu)1壯,1次(ci)為1療(liao)(liao)(liao)(liao)(liao)程(cheng)。觀察時(shi)限為60天。治(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)后(hou)TC、TG、LDL較(jiao)治(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)前明(ming)顯(xian)改(gai)善,但HDL變化(hua)不明(ming)顯(xian)。參照中(zhong)華人民共和(he)國衛(wei)生(sheng)部(bu)(bu)(bu)制定頒(ban)發(fa)的(de)(de)(de)

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