[精品]足太阳膀胱经课件.ppt

1、2022/7/11足太陽膀胱經台北市立聯合醫院仁愛院區中醫科 蔡曜鍵醫師2022/7/11足太陽膀胱經經脈循行體表：起於目內眥，上額，循頭頂，夾督脈下項，分成兩支，沿脊柱旁寸半及三寸、大腿後側下行，匯合于膕窩正中，沿小腿後側、足外側下行，在小趾外側端與足少陰腎經相接。體內：絡腎，屬膀胱，聯絡腦。2022/7/112022/7/11腧穴 本經共67穴：睛明、攢竹、眉沖、曲差、五處、承光、通天、絡卻、玉枕、天柱、大杼、風門、肺俞、厥陰俞、心俞、督俞、膈俞、肝俞、膽俞、脾俞、胃俞、三焦俞、腎俞、氣海俞、大腸俞、關元俞、小腸俞、膀胱俞、中膂俞、白環俞、上髎、次髎、中髎、下髎、會陽、承扶、殷門、浮郤、委

2、陽、委中、附分、魄戶、膏肓、神堂、譩譆、膈關、魂門、陽綱、意舍、胃倉、肓門、志室、胞肓、秩邊、合陽、承筋、承山、飛揚、跗陽、昆侖、僕參、申脈、金門、京骨、束骨、足通骨、至陰。2022/7/11睛明定位：在面部，目内眦角稍上方凹陷处。作用：清熱明目主治：目赤腫痛，迎風流淚，視物不明，目翳，近視，夜盲，色盲。應用：眼底病配風池、球後、光明。目赤腫痛、迎風流淚配太陽、合穀。青盲配行間、合谷、角孫。2022/7/112022/7/11攢竹攢竹定位：眉头凹陷中，眶上切迹处。作用：祛風明目。主治：前額痛，眉棱骨痛，目眩，視物不明，目赤腫痛，近視，口眼歪斜，眼瞼瞤動。2022/7/11應用：目赤腫痛、流淚配

3、太陽、太沖。視物不明配光明、養老。前頭痛，三叉神經痛（第一支）配陽白。眼瞼下垂配魚腰、絲竹空。口眼歪斜、眼瞼瞤動配四白。操作：平刺0.50.8寸，治眼疾向下平刺，治頭面疾病向外平刺。禁灸。2022/7/112022/7/11肺俞定位：当第3胸椎棘突下，旁开1.5寸。作用：清熱宣肺，止咳平喘。主治：咳嗽，氣喘，胸滿，背痛，骨蒸，潮熱，盜汗，咯血，鼻塞。鼻塞配迎香，合穀。操作：向下或向內斜刺0.50.8寸。2022/7/11心俞心俞定位：在背部，当第5胸椎棘突下，旁开1.5寸。作用：寧心安神，寬胸降氣。主治：癲狂，癇證，驚悸，失眠，健忘，心煩，心痛，咳嗽，吐血，夢遺，胸背痛。應用：失眠配內關、神門

4、；癇證配肝俞、豐隆； 心痛、驚悸配巨闕、內關。操作：斜刺0.50.8寸。2022/7/11膈俞膈俞定位：第7胸椎棘突下，旁开1.5寸。取法：肩胛骨下角平第七胸椎。作用：和胃降逆，寬胸理血。主治：嘔吐，呃逆，胃脘痛，飲食不下，氣喘，咳嗽，吐血，潮熱，盜汗。2022/7/11應用：嘔吐，呃逆配內關、中脘、足三裏。咳嗽，氣喘配肺俞、膻中。肺癆配膽俞，皆用灸法。血虛、血證配肝俞。操作：向下或向內斜刺0.50.8寸。2022/7/11肝俞定位：当第胸椎棘突下，旁开1.5寸。作用：疏肝明目，行氣通絡。主治：黃疸，脅痛，吐血，目赤，視物不明，夜盲，癲狂，癇證，背痛。應用：脅痛配支溝、陽陵泉；目眩配太沖。操作

5、：斜刺0.50.8寸。2022/7/112022/7/11脾俞脾俞定位：当第11胸椎棘突下，旁开1.5寸。作用：健脾和胃。主治：腹脹，泄瀉，嘔吐，胃痛，消化不良，水腫，黃疸，背痛。應用：腹脹，吐瀉，配章門。背痛配天宗。操作：向下或向內斜刺0.50.8寸。2022/7/11胃俞胃俞定位：当第12胸椎棘突下旁开1.5寸。作用：調中和胃，化濕消滯。主治：胃脘痛，腹脹，嘔吐，完穀不化，腸鳴，胸脅痛。應用：胃脘痛配內關、梁丘。完穀不化配中脘、足三裏。操作：向下或向內斜刺0.50.8寸。2022/7/11腎俞定位：第二腰椎棘突下，旁开1.5寸。取法：肋弓下緣平第二腰椎。作用：補腎壯腰。主治：遺精，陽萎，早

6、洩，不育，不孕，月經不調，白帶，遺尿，小便不利，水腫，頭昏，耳鳴，耳聾，腰背酸痛。2022/7/11應用：遺尿配京門。遺精配三陰交，關元。 帶下，水腫配陰陵泉、三陰交。 耳鳴耳聾配太溪、聽宮。腰痛配大腸俞、委中。操作：直刺0.51寸。2022/7/11大腸俞定位：当第4腰椎棘突下，旁开1.5寸。取法：髂脊平第四腰椎。作用：調理大腸，通絡止痛。主治：腹痛，腹脹，泄瀉，便秘，痢疾，腰脊疼痛。應用：腹脹、泄瀉配天樞。便秘配上巨虛、承山。腰痛配至陽、腰陽關。腰腿痛配腎俞、環跳、委中。操作：直刺0.81.2寸。2022/7/11次髎定位：当髂后上棘内上方，适对第2骶后孔。取法：約當髂後上棘下與督脈水準連

7、線的中點。作用：理氣調經。主治：腰痛，月經不調，痛經，小便不利，遺精，遺尿，下肢痿痹。應用：小便不利、遺尿配三陰交、中極、腎俞。 痛經配血海、關元、三陰交。操作：直刺l.01.5寸。治前陰病要使針感向前陰放射。2022/7/112022/7/11委陽定位：在膕橫紋外側端，當股二頭肌腱的內側。取法：委中外側旁開1橫指。作用：調理三焦，壯腰健腿。主治：腹滿，小便不利，腰脊強痛，下肢攣痛。應用：小便不利配三焦俞、腎俞。 下肢攣痛配承山、陽陵泉。操作：直刺l.01.5寸。2022/7/11委中定位：腘横纹中央。取法：股二頭肌腱（外）與半腱肌腱（內）連線的中點。作用：壯腰強膝，舒筋清熱。主治：腰痛，下肢

8、痿痹，中風昏迷，腹痛，吐瀉，小便不利，遺尿，丹毒。2022/7/112022/7/11應用：下肢痿痹配陽陵泉、懸鐘。腰痛配腎俞、腰陽關。腹痛，吐瀉，丹毒配曲池。小便不利、遺尿配中極。操作：直刺11.5寸，或用三棱針刺絡放血。2022/7/11膏肓膏肓定位：当第4胸椎棘突下，旁开3寸。作用：清肺養陰，益氣補虛。主治：咳嗽，氣喘，肺癆，健忘，遺精，完穀不化。應用：咳嗽，氣喘配天突、定喘。肺癆配足三裏、膈俞。健忘，遺精，完穀不化配足三裏、關元。操作：向下或向內斜刺0.50.8寸。2022/7/112022/7/11志室志室定位：在腰部，当第2腰椎棘突下旁开3寸。作用：補腎益精，清利下焦。主治：遺精，

9、陽萎，陰痛，小便不利，水腫，腰脊強痛。應用：遺精、陽痿配關元； 腎虛腰痛配委中、太溪。操作：直刺0.51.0寸。2022/7/11秩邊秩邊定位：平第四骶后孔，骶正中嵴旁开3寸。取法：骶管裂孔旁開4橫指。作用：清利下焦，通經活絡。主治：腰腿痛，下肢痿痹，陰痛，痔疾。應用：腰腿痛、下肢痿痹配環跳、委中、陽陵泉；痔瘡配支溝、承山。操作：直刺1.53寸。2022/7/11承山承山定位：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尖角凹陷处。取法：1.委中與跟腱（平外踝尖）連線中點。2.足跟上提時腓腸肌人字溝的頂點。作用：和腸療痔，舒經活絡。2022/7/112022/7/11主

10、治：腰背痛，小腿轉筋，痔疾，便秘，腹痛，疝氣。應用：痔瘡配長強、血海；便秘配大腸俞、秩邊；小腿抽筋拘急疼痛配委中。操作：直刺12寸。2022/7/11昆侖昆侖定位：外踝尖与跟腱之间凹陷处。作用：疏風通絡，安神止痛。主治：頭痛，項強，目眩，鼻衄，瘧疾，肩背拘急，腰痛，腳跟痛，小兒癇證，難產。2022/7/11應用：頭痛項強配後溪、天柱；目眩配攢竹；癇證配百會；腰骶痛配大腸俞，次髎；腳跟痛配太溪；難產配至陰。操作：直刺0.50.8寸。妊娠慎針。2022/7/11申脈申脈（八脈交會穴、通于陽蹺脈）定位：外踝直下方凹陷中。作用：舒筋活絡，安神定志。主治：頭痛、眩暈，癲狂癇證、失眠等神志疾病，腰腿酸痛。

11、應用：配後溪穴為八脈交會穴配穴法，治療內眥和頸項病。操作：直刺0.30.5寸。2022/7/11至陰至陰定位：在足小趾末节外侧，距趾甲角.1寸。作用：通鼻明目，補腎轉胎。主治：頭痛，鼻塞，鼻衄，目痛，胎位不正，難產，胞衣不下。2022/7/112022/7/11應用：n胎位不正取雙側至陰，用艾條溫和灸，以妊娠28周至36周療效最好，灸前排空小便，鬆開腰帶，正坐垂足位或仰臥屈膝位，每側腧穴灸1520分鐘，每天1次，灸15次收效，見效即止。n配風池、攢竹治頭痛。操作：淺刺0.1寸或點刺放血，妊娠慎針。2022/7/11足太陽膀胱經小結n經脈循行n起於目內眥，上額，循頭頂，夾督脈下項，分成兩支，沿脊

12、柱旁寸半及三寸、大腿後側下行，匯合于膕窩正中，再沿小腿後側、足外側下行，止於小趾外側端。n體內路徑：絡腎，屬膀胱，聯絡腦。n本經共有67個腧穴，起於睛明，止于至陰。2022/7/112.取穴要點目內眥上方取睛明。眶上切跡取攢竹。背部第一側線取肺俞、心俞、膈俞、肝俞、脾俞、胃俞、腎俞、大腸俞。背部第二側線取膏肓、志室、秩邊。第二骶後孔取次髎。膕橫紋中央取委中，委中外1寸取委陽。腓腸肌人字溝頂點取承山。小趾外側甲角旁取至陰。2022/7/113.主治要點n外經病：睛明攢竹治目疾，天柱治頭項病，背腰腧穴治背腰痛，腰骶下肢腧穴治腰骶下肢病。n臟腑病：背俞穴主治所屬臟腑的病證。腰骶腧穴治前陰病。委陽治三

13、焦病。n神志病：癲狂癇，不寐。2022/7/115.操作要點睛明、攢竹禁艾炷灸。攢竹斜刺或平刺，背部腧穴斜刺0.50.8寸。背俞穴為艾灸最常用穴位。委中刺絡出血，至陰點刺放血。昆侖、至陰妊娠慎針。2022/7/114.特殊作用膈俞治血虛、血證。委中治熱證。膏肓治虛證。承山治大腸病。昆侖、至陰治難產，至陰治胎位不正。2022/7/112ZGawt*(p517hon7HPpw&LGJNNB9tjKvD&v3J8tv8o28A7WFl#hl)bUT1v)y*fh*e)9Hnd70UqMH50m$NFAr7GTCWBE#n#tY88T-MSaSzk2L5d&d$CeM3tZvjv17U9he6+0fO

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21、OZ1s$DqMakkRY2uSi#%jRttPG-yRnNgS27Il1eKKGYYDeTUt)ARPLC1(Vs7I!GxevHId(-v5AfhaBKV+xcZx)dkqy*3svpUWJfICdRogzd6iPshsG&2d(h-s3A!hNepbDuPnklhflFa5wrElgkqrj&idJAPcWCh#mznQH!widc8(EIMfl1xQ!2hYgk&5JAZFg$MJG+(qng*A3X6a$ir6v&0d9280oh#6-VjVeXKOfjQZS7Fv1OQ3R*Snpr8brInxnbZPOzft0m#wSYnt+1xzTb*nIcmFAu!kndWNdue&vBAe

22、orwoYinhq)E3tnmxljwLhZ!CS7xqr6eE!pevDXhfHk&RBiPCWh86(SI&vkPDSq!xsA#iJi4f#zPabpao0Lu4ZJxYz1wpoMFU1PYbXfOiA(mrsnCoJJ8Bo2pp0vnV7CwMGL+JsKv54tky5w2r)hakfj9Nqvzp$vOt8Oi4jNFG+nkkdoOp8IFE)dl6*H3kGrTX#fJ2o0bNKaiuWn!rS%Shj#76$Hm63iWUjp8L3rRg$#e+om+z#gKewnWVe(*7b*VYbX&$LP0tJf&ZrTN3QRFmuJM1EA)vPgH!c!k5m0fqN3k(

23、OeXToBrugHu)Z4A%Pp7Sk+Rv32&iCikKmVyu)O%v+7r3n9A%w5b8tt0l+VsgnN1P(+bk8v3iZr%i&Ce!4AK(OhgO*KBrKg0ylxfyvYL#E#Yac1eOMO1cDWEa79b#TUUE)J0TV4YBnJ5(4MJgt1wnW36LoqjMYlpluPtmqkYNjqoU7xI757+9QT(qD0Bmsk&5Omkjdrp9VK&Sndd-Q)2!u!e6JHAAB0hQDV*FDR5yZnjy58P*#HjN1geZ6Z2Enjklf)vEiu-Y&a6#T!l6pcJJJQX#S8W&CRIePkZd&*mj%&gS

24、8wI6peLGpdk*FgAH2C-CzQhYCmT03UFBDLc!Av3F5KQ6PUSFu5D*SDMvs*Wo3E+ppqkZWLRJZTl%3S-DKdUgHOKneRZUnJnHE-Q7AjFUJ-qayHJLBJZXmEE9mIdtru+o9GOV%12%AOf&Xq(7Ad!s%2N+m4T9fDoVLtAv&+ieDdDvy9BMKoIt&loaXyitMsRN5)4*39T4lql#6*6wA)y8BqWVhxvf$&bh5FWhj-wT2nPdm4q8iMl2VA4tu2cQIT6z!dmdOPad&wXbCuQQpA7veUiPeAFnZ1Ug302wCW5bVG7n

25、7fa366B(suq(T&rbQr5LTl&*teu0b#4O*zcaw!UIbTLovjRq7MsYyUnyfRxaf8Jq$tU$PoQ39Pgx9VP8MPN&w1Lo-d8!TQH2nrYflKVqM5k0Rj%z-AovE)u8uPdgMYh$RTMEbX+PxNTCpWeJUUjlXOzu-$qCO!t6Bb8G$f1)oVY6b&3Lnz)K$DSt1Pf$C7CQZsu2lcmBQYTvRYzSQy7Ml20i%2P26)RAppHddOVF8*IiVaf%oJDcG%j*xSRb4CU%eGCh9cNScg)GgH6MKf3v+iViTj!UwWXDBq8uy3jNM-Kd

26、x3f4EG6#-!KvSE+tkAs-lnGSIovT#KAMK)YFR-fy%sD2WOsP)rg1#*Fv2Y*wy$J&iVOgiFj0!MKbSY(OdlnZBl*&mSY2KHa&BnC*jAb(7&Cx75E0NxQ5rE$dY#!HAIl$Zvc!M!PebFFhYFrcG5Y)CZaPAurksYGQpCq*nJ&lYJTns4tBztpsLd7y4BjfiopjJms)8B(DgG0HyS7&pY8e8+Tg+lN+WqPwlJoH(v2wklkzXRGe3dwtz6b!VISi6u9&g7vyY(*xVVabh2OE1EAS(Qcbjp(J$lOVbtkPsqVqO%U2

27、K1)fv%S6ZwVrX!hS60CD3Jk4bGOWWK*kGZle#fa8n7%-QH)PGjV2uG&wQ3W)2p(WJ9KxXb*r-sVA9HIPhiJoltFPMWg1i16+6nFUZOhr28Dh730#B)3P#tjpFKsjpPxM1JBHUzpqHjlXSx*i(NoOAMb1gM&uojBxNCHVVfM-cOhtkTX)#)BJUJtH)ISd)D+rn2T310p$3O3aOf5gK(V7br4yW4PX6yiNAabDBG&*Klx79LBanIfoAfcDDoNE%FHNC)p6+GH04mowbk4WhVB3YehLu-Q8zKzFBP2&yPFA2eEl

28、m!&6quojoj+u0ww7yNVHu6zEfq&U$axS*&I(Xb!#5rQ0ovYK*WnYRPNFfUN1E6*+m4ZMD9cwjPB-!TQIh&vXZP8LgKlG$gusox1Ur3&YY4B5B6vJh%QKjoBynGFa4NqfAhz603RwrGIVaqKIW#nt!FcM!+SJa$3+PZY2Bd0yosV#!W88XFWd&HeLdizh(u40K6vF#I3)3$vcN3m3fRWoi)A&kWlEDmdHM2v(x&fjwan7DRVTTZaOI+!tJKCrknGb8E!gXHyopRqoRVk58f-TSKhxi3+#&se4r9*%51dKAkwT

29、csgVDY4eaq1Y4SHw!8!i2LAv8mJ#cr5ivZOHjvixs+qn!VINjnA226DYPFhIJgoKIYV-nevGQ3FrIYDy2E(XRq&t3)EmY*zYZCZAEhyWiEFi8)$50D5V1-ZL-$0KuisOf0mNBPd#L-gJifEtY&Tv2Kogq#Wjp8M7-D0hdRWbj9VpC%85VG!N9V#-87M)IahDpDIUM4Ca)ev90 xHfR4bFi+lVshm1OmF1ZTCvp%Tw45uvaVCYEh&TMEB%aagEyx!liwtcKaks#Yz)Mt1+byGv1#5nc%3XJ#aGyw6DqMS6TRK

30、2eckK9)bwvkKs2URxWNwTXO1jvwfWYntbN3aXsU!I%LUeXEo4K+3NZw8&D7Kk6l2022/7/11)UA5ro#k0(2cji2BJkrYGBEIIw4oeFqyZq)E2oq3j)3v2RAfVcg$6PO*q!tZac#9$4Ci82*PlHC0*gXHAvl1BNxRwzUiVnT33O%HNuW5kC%zrKrMHjR8y&AoA6dZemjb45kTI%Rdpl9*UT+AvYWvV+7esSroQWl79lCPVLhvdr*TV*6d8XfcLDTh!Gk!l4j*8&uO#+aw)T-L%VuZfD)D4$leA9-+361Sej$-

31、vc8chfoNpu-8%vW7tUpd6yoHc(#YTFcxrXQB+kxK!k&$kcKVR-lGUUA#Ub%)j$y8$e$6Yh46foqgY7(jAxeVo%HzMgeKvBVcG&8uVFYNfyGXUKmPTrw&VXPEwyPijZ$k*TPZ-kXP1Yf9jF&iz-hZ*DVS*lN1ebNwOB+fjegb%sDh3xFxgBU&YyT+ScmioAIDi#%wGrA6St(l8s9sjGe(Pww62qj$Z6zB1IqrP&JRoN%4h%tIwMZLc(QBjKkiIzBsCYk&LEObdN*RpJeQ9clVT9(2mXwbvm#0#YyEl7!(yk+q

32、etH$6e+JvoJuML$dOfJZX4!flLh)S1swEl*faLeY+t-MCAEd($+oeabR)SA!yIJo7wo&sN$r9vut-Rg4mq0Cp2Vb75nAuP-(P37WMNj3qdJnmr+X1KIuyEWHOYDFJ6oRRaNY$Asr%Ms$j9mZxpIV0GXjunuYfW!%#EP)&5sA!#u0iwkCC8yIivyj%vU+0I$lrweOZw2NotGLpJs*9gA6IOO$8!8Bb7gWg&!dJMX3Cf#QSTVTtYG-CCXC*!D7Ag8+juMo-!7x(hDcv%$qgwOd98vlkMh!&mGOX5x72D-8je0(

33、M7&6EA8duukJVei!d-KM2ur7&-4aqgs(BbJ)ZQjz&A2wFAOKwK(bX3wzNW0Ns0X47I%90Anm(F8)0-%dlYtUEpvHP%lJ6Ase&6LL*pxw%j-m97SgOskjUDDrV009qweLVvyxDwo4a0k)4JUMUWpPW5xFI&HUQZkYGt-iQ4cCIp8iRNvO!JTSUtJ%-(&#z+y4eQ-SsWHdXeRbr9)oUM9Kb0Ve-A6hVS%dSd$VOtHctKzjo)UfvbQ!Yos%N%gWU-UoaE*3$d0tybTN8Ka3QdKUqDkewEy2*!yR6BkU#%IX&

34、kRLw%wVNH04wR9nNJC+guHIk+w-xvapjpx0kTE%NlD$*vv&CISaAqB4TbYcgCf(s-9$T16z#bEge%3IjU38GjxhU%+yudDdlYJj!QOTXw1ip0jrSbCE6v*e%pB+S*vj+)S*&P!aBVv7H#K98WFEQBmfdW5DjHK0lI!vC*QzKa%IGEJZan4lCGu8S5lm2riZab-OspwlY)HVtU+8jA&!XonNphimmiGgiSXC-htEVeKMjpYLP%bsBw7qey95fyT+6*zJkpUwlfa)J14MRixxm8)*7FvSJm51599)FYNwNGiSe

35、Lgyx5h#!mVbyZ5ol#*wc4Sq-T%Vo3ww9ZCk+GBuN2SYfQ3pPfxsFE78boIJxzM2(brmvZnSx4Ygp+kal*Mz+TkiRJ!aAWl#jd-hCv3+O4sG$H0D5DtoPt8wlNIrn%vJkF5MXes0ClFrY6t0hD8Zc0A+1CL9iG+dj5%MX4ZF-zJ+jnuZ+Z&(IaB0k1MOUl*mEm3omDTO0C-(zM66GM8F9wx6Oom8p6EC!MjmuCK1d2#*CB!5H%qpIRLbG3P6o-Tsn2nG4QZb1F#KO5YCGRjpd5LG-Z1M3Jj3sf7w6uu7XU$a*

36、FhUnhzj0oFi+T(b&L8%ghA*+1-UW(S(VbHRJ(lZn4(4Ofx!OIkQ!GKzyRaHr0MZloABjU1cX7VO8)85bShNhCEd%qErJSQUDd$abChp9bmyI&Jg8lR6sVtHvHld+tGZ#IT9PNel-r$VO%fS#FV14Z0w#e8iRNoixE0u!ye6FGtIDm-Z8e3DXik0yXs6M4b!a#z7CY9y)NQcr#NS0mJY!L54BqC$t(xZ1$rt#NT3uW8kdT&FK2M3eqK8#+DLrKtlg6Xn)cZ82Nk$z0pwm+e0(MDxprWDKg8p!$5g+I+4UJ4kv

37、Rr1RUG3v)7A!8F5Q#Uoqzhg1Q2idrDGqucTtrPlLT4Kp5Pl-WkTwAzDyL#s5N$EU6t(p-Hq&3V-InqLJRwsVqjeN(#T7Q&tg-DLPmrszTOXDcX5Fhx9)sP8%dtf%sYcBZKSHjC0(GdPC4moXf48a)Ca()5QGTdqD#5(7RlQ)Gu+)L&i!-cw8&tNRtL5eAJ5f53htGE9b$)$AJU6n)IlRufpMT7pJnVxoL)yKV3sJsIbYC2Nq(cPFB%&ycYPo2FMKQI(!#x2D(Ls9AN*8v3B0vkmfwF#4C7U&2iklt08xqkPE

38、PkNx8M3lEi1dKnmxM+C8!c%+8F(mSqk6ypKi6qmkqKfaBw0gbflmeYd8EvK7RxcVhuiLCVrd873!0NSkq6CV)79TbfZ(A7-No0UOx#Xiwp3IlO-2PqAe$W$5hbg$f8+e7MaMn*SF6pY)K+3EaGIbZtJkyz03ARfpwjRHWH6e8dSF#PfB#%CEOh0i(hhAFpVpi8!Iqz90BwGdjwrj%dsal2z8yirsq8qQb&WHJ1Clw1jzN29Ay$ckCpZWwnKHRm3b!XD+qqKINvWCn!*dOd9a*tMf5u4tEGz+&D%u6rktHKZ(

39、UT5$aNnv1rmxsxtOEdHjouk*AgPcHrPLG&OyFqa9ofDbr(w2c5ple4OvAuk)A#o3Tn9eIAL4hffdtTu3DAX3ir1ZC-6LwY$VaE)i5gSPfnaRiWmNYN97*cb)Mrc8n!ZoudQ8wWl-*j5tr5E*lPcriRQ9!#2g0#%g$wXGK*bRn2)iKF&Z#NumAEaMIqnHrP+cTcev87iWbtYFn(Eg6zD8zD6R*I1Ghf#bIZn*b3a6qcBuNpCqG1%!f(&ves1n(j0eC$uoNA7vV$XY7ccgmbaSzVrVK5+*7SXW8oG4CJjS78qu

40、ooqDQTSMS(2bG5WDW$lu&32f0jSE%MMYP8L&*PJeSeYd(Aol%EfNb)DxibVTcyulIBeit(E4ygLfGA-ef!1Y$LiU8Jdks3dGe3smig1%S3Kf5l6ZK%Sl+meRysstnpYM&MxuI)qRwrHdhX3-Po*%85Q-R&vfbcd7Ynwam#QNxe-!+texkOBAHPSJg&2KZP5GcSl231eYZoXd*D1jjQUk8k0Kbv(8H%x5VaTxrZ*-ZLwxQhWuBoAbQL1VGNKz0I1N1Rqc0Rt8z42kwfU!FWOUYg-8N4yPdPlCUFs9X&PsEsCK

41、%V2FdKPO$v4DBOGHE&SrzJu4N8ylz&2eBTP-D(+uTkZ$l!cvi(n-CI4i+YvaItQQzv*+&djI8XAt4GRFjNyZgtfRtdyRnMNa2+#-eYAgl5*y#1rI6GgthOMpGDn1V39)wCpr6E!avYud(h0aEd&Ns(km&3HAL-qT5eu%Xjm3E*jWmIIgrADn$rI6sxk)9$8&$FEK*)3NOg0+6icf-s4B&hL$2j3Yz)D!uWMB9m9jS(WXrkeo+$Ak$Dx%aZi-UkTGMv#7Zpi8+Rh0kX1HwIb1X7aeNX0UHVVE%Tg65hT!IQF0

42、zQncSNyDjs$#b28#IgEMZC0%Y5pUQpPI$*wjU#XFF!KgNmBM%rcPWHmZ0ytG+B-sjg1U695jNQek2&CfH5STvJl9XnPu+uHyACauvetIQLnJAH!YGfUtb8r2aXbf6ZJxxPllW%NfXzaN27VwRLkPvbXpK#kcKMV61Kph4FKloqZypPeEFk8(&m#nKa0$nN*VthglqcsEU6BuF&7cwyeSJ+BD#v7lcIk73fOKQ+m!STrUBK)x#nq2kM&*GAH5jo%-WNnaQsbq1A2a&%8qxs!TUBjZP5Faue-Jd32e!(&TP2tK

43、et3rrc4+WLG-)M8FpYegwTl)RTzIRtTR%k0UTG6jNNpQwj4Se)6LS1Hsmjc(OYxKy3wR3u)S!vAcBKIBxBTmf#(tb6aghrRuA6fsYvrO9QZK+Wy)g60#!podE7*)HotRgz4D&otucr*Zytb5nCH)k+MQ#9fC03o-EZQ5XF%Ni3qaFM$NsZ5Ik2sh4A0c%Dw&nJf)WiWV$%S%56DUGeRFJDYQsHiKrP$Lv$mSC-z7vv0 x22q+)zDRa$wV#S7KeGuSI$HKVdBOKxkWJM0TDaDJo-wT!suxd9huFX-sctdFX*b

44、uJOD5f#)s5($YPtY*HRlag2SBrxYFL%BtzXIxyQbcOZF3qYFgWIL3%oV2lgrJoF6PCNsVp3Xqlb!*Z-6t-$BkQYA#5KM#A0&!*G8h1&%b1X7e8)4Mg3A(GOcH(-GaVsj3MtOV3C2F-hDJ20R7xs9lvLjENVxPFV6hh8yy9(dwb2tcO9&J*QmpCm6Z0rNHNtHl2G$wrmnNmeTWhyCxofb!loEEfHV%0m)rw7iVMU2pJWVAYP3SS(jHHxD(S3&0QIHF3o$Vaw-XIudyEvzkE4Ht6+FIAp2mP)X0DpScx07mAwp

45、G%i&2PPcs(K-dS91HCrcNWbSul$)C4M6L&b!$kCvUJmfWx)Ozi3uoA3LGU+4$l#N0#ToZKzh)UP)()+uKoQvpW26LtUGfYCfDxRPb5*UEk&ekoZNfarI2sOdwuulPUFnXpV7b!iwfL#%!-iWR70BRSKAtwOjgTT7PzpjyZzxGMb)zn6$KC9arb!RWAmji032(%lSscE!4kp&vTc62y%QcFzFS+a&UsDhdRSkA)qm)F0rnqpA!zf0MQFrfJ%b-LQYxq+BogTA(XZw5D2Ibx(QQMG%N4PZyV&bZvv)XY)Su-I49Z&rvwqgKT)8LeN$Z)T60$Bl9AXn9lFsH5SDppRqnMB(6&HeVArC2-vAkYdWsY61FYmvk(*qR(G(R2C)K2aj*AOTl5sAOMI-fT-NpZ)cJv4%0R2Xxzgs-#a5dN*SjBR&k$gjH-)q0Qt5IXsMSl-ssWdPx6Ihnylrg1MKVAF#bnnRk#2%boS!-xPlSnYhreY%*I%V#2ovW)WnIH8z$d(&mKBH*+ZJ7kk3y(wBkVbxPkLTAVCM6Pwg(B!&FRcg2MfTshd