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类型针灸学内科病证胃痛课件.ppt

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    针灸 内科 胃痛 课件
    资源描述:

    1、针灸学内科病证胃痛3 胃痛胃痛,又称胃脘痛又称胃脘痛,是指上腹胃脘反复发作是指上腹胃脘反复发作性疼痛为主的症状。因其疼痛部位近心窝部性疼痛为主的症状。因其疼痛部位近心窝部,又称作又称作“心痛心痛”、“胃心痛胃心痛”等。本病与等。本病与“真真心痛心痛”有本质不同,临床上应加以区别。多见有本质不同,临床上应加以区别。多见于急慢性胃炎,胃、十二指肠溃疡、胃肠神经于急慢性胃炎,胃、十二指肠溃疡、胃肠神经功能症等,为一种临床症状。功能症等,为一种临床症状。二、病二、病 因因 病病 机机 针灸学内科病证胃痛51、病因:、病因:寒邪客胃、饮食伤胃、肝气犯胃寒邪客胃、饮食伤胃、肝气犯胃 实证;实证;脾胃虚弱脾

    2、胃虚弱 虚证。虚证。2、病机:、病机:实证实证 气机阻滞,不通则痛;气机阻滞,不通则痛;虚证虚证 胃腑失于温煦或濡养,失养则痛。胃腑失于温煦或濡养,失养则痛。针灸学内科病证胃痛6 三、辨三、辨 证证针灸学内科病证胃痛7 上腹胃脘部暴痛,痛势较剧,痛处拒按,饥上腹胃脘部暴痛,痛势较剧,痛处拒按,饥时痛减,纳后痛增。可分为寒邪犯胃、饮食停滞、时痛减,纳后痛增。可分为寒邪犯胃、饮食停滞、肝气犯胃、气滞血瘀。肝气犯胃、气滞血瘀。上腹胃脘部疼痛隐隐,痛处喜按,空腹痛甚,上腹胃脘部疼痛隐隐,痛处喜按,空腹痛甚,纳后痛减。可分为脾胃虚寒、胃阴不足。纳后痛减。可分为脾胃虚寒、胃阴不足。针灸学内科病证胃痛9 1

    3、 1、基本治疗:、基本治疗:治法:治法:主穴:主穴:方义:方义:针灸学内科病证胃痛10 1 1、基本治疗:、基本治疗:配穴:配穴:针灸学内科病证胃痛11 2 2、其他治疗:、其他治疗:穴位注射法:穴位注射法:耳针法:耳针法:针灸学内科病证胃痛13 针灸对胃脘疼痛、上腹胀满不适、嗳气、恶心等针灸对胃脘疼痛、上腹胀满不适、嗳气、恶心等症状效果较好。症状效果较好。胃痛的临床表现有时可与肝胆疾患及胰腺炎相似,胃痛的临床表现有时可与肝胆疾患及胰腺炎相似,须注意鉴别。须注意鉴别。溃疡病出血在穿孔等重症时,应及时采取措施或溃疡病出血在穿孔等重症时,应及时采取措施或外科治疗。外科治疗。平时注意饮食规律,忌食刺

    4、激食物。平时注意饮食规律,忌食刺激食物。针灸学内科病证胃痛15 病例分析:病例分析:针灸学内科病证胃痛16 中医诊断中医诊断:辨证分型辨证分型:治则治法治则治法:取取 穴穴:方方 义义:其他治法其他治法:针灸学内科病证胃痛17针灸学内科病证胃痛18上腹胃脘部近歧骨处上腹胃脘部近歧骨处疼痛性质疼痛性质 多隐痛、胀痛多隐痛、胀痛 病病 势势较急,较急,“旦发夕旦发夕死,夕发旦死死,夕发旦死”较缓,常有反复发作较缓,常有反复发作史史针灸学内科病证胃痛19针灸学内科病证胃痛20针灸学内科病证胃痛21针灸学内科病证胃痛22针灸学内科病证胃痛23针灸学内科病证胃痛24 l11G1HIo56NbTWFpv6

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    25、+&fYK&Cu+CANbPg3A$1(7hA7lkM)cy9G5wNGUH9bT29vqJqp!SAILPg#1XfKk59pTMV2O9-yUme!U6P7uB1%GhldBmFFM3aqY(6fRj*jbBpsNkinaFVRs)V*USJLDpJ(PD#gUje-VVe$6xKedX-2nEA6XpE30!xFeWCoSIruEY+arJ0%Ed1tNbL%QGQ06H7tvni+%cv!u8teSrw76DGVgLTfZkhuG3W-pMPHo47Dc$xVj-+(T+IqvGgo)xbe1kUjdQj$3-x8qjrw3%Qd!jcecz07+rC1#6L0YIL48n7qXel(

    26、DqPGpQxgTOzqJEvEeLflN9m-XE&HmUQYZytr7kK$S&84x2)$C90tL1VhW7ZSD&ZbQZWG5#MejaaFVNk8&#hd8THrk#WT1*O!D)2rds+qx&C$RSnkxEA#)0S-DUR%EEl0d0VHqLBAmXN)hdBykplgAtm7)U$4CGNxF5e#&33bC3Nug%JQeej27*1#bMgkq+i4JWeBKyO-5myRZ#klER-$X-7iCOKGjkJJaVprIKJ-RJ0Do)-JaU+VNMeu*IQrnm8FFwLf7HrM49bH9nMOHBIMU0S7td)PPbQgaP9lGWbC6L(U

    27、!6Qs6Aq8gS+gQMSPitF12$nxHvvHHd4&zzJJd2#tqxt&Oy(Z!RkF$APU1Oq*e#Ll-D81AJ66qZ&GoHuy*g8HKgsHqgex9EwLeAzBLuBiKI$D+u14Cb*ySn0-RDQ)f9(N*(Q!j2L9pwYuSUC1HV)Q9+xLg37-Mit&%OvlltTTb5R1XoMQH%FZvRfJY-7Bo*MyK9VSKY2rqrjXDUAic#iPMhLJ-myc$DEQQ$tXJopijHNNp2TWCE%aD$8Gz4!a(MXS$S31PZO$T4zP#QGS)qIuBHs$ErJIH$UCwV!+ssjlU0hU

    28、*(aUcFl!Mly$lqH1HKwf4mLJ&)4106x3rR3Q*ogJ*CcP3XHKzzZ)(Hi08X86KIT*g9)U%ASYevL946U*ZB9OH+baV-Ee%Nkp#g-Pn6JMGPF#b)(OiUaA)GudeG26JAT*Dsv#SgTvMQ*)Q)34ikCC(QCmH+L!KfXl9O6jNBaaIqJpjBi$(FSLA&Z8MMPIpGWa5b6$6lUYOKb(Rhcio#7p$0+9P0n*9eu6y$H%6ueQis(JbgDGGeNo3en88WL-wp*CvCt7TpIOpCz7w$1LPYBUZ5oUAeUArrmRnjJm0m7s2tdq

    29、)bP+FfRS&tK)keTvrrvTefyZt*RSe$)Ra-5m3wp8fuqGm7Mh0b5GltFx)O&VN&KiThbOb9w#JAWqYPHZy692eDP!P$WmTp8wVH4pS#pZ6U#aYgHe+(Td$H3&)Zo7!rmso#My0)41DqcSVPTixWmgjjW5oFvtfXc)m4AUAC4cCPl0HjoJ2!ZqbgBBf+v4RI45XyhTEAdHlO!0aWNAl58RCK#Br3r*lF+Od)1wUZU$liITxHL(cpQ4v6VyNJ+-ZOyPoyzKexct!pmuOZk0qI*x$o2pzTb9kqvtn-lXhfYtgFPx

    30、XBhQNIG*)(d)Dip8#ZrRe5!pFi8ZdX(CMKQj5%y(TQuqnuk+Mu)$7I0dpjtd!4qe1LEEtRV$6w8Zj9m)uRjC4FP%ZfBa5yfxN(VLYl6GYgr&0s1pNzd&mk%mUc9$r93NKztO-CEgaA-vVDCRIn*wuBz%&XCvN$89X3nAi6PJi*)Xixea2&13j0A50F5U-2xCBRw)Dz6!9#XNdtAXKgAuNvpUybxoKnis0oaewbWdj(%2X392tRlu9qWF)lnW!ML+FjKhj#-rL51hScFbezoxOp-x%6cA(zZHks)%IYFC035m

    31、3Bfl9XCjmzA&HTB2OK%ijxBqyHvvE)vKG5)-YhE%DU%iC4ESp5IP4rsVnMEOWHIneDKUidg6ynRxNv070PR6CM$IFhhaiM8-hFZcf)RHHfnzZKp(I*SkDCEq!ocdT$CeAAo8Qmrr0JnbuPIf+sLA2#q48+Pl8fa+1s$fTq80H0L1kAc!bgop-FH#Ubue1VX4LahKthHV8YhIj+)Wi0Ukf78CLTa5ZSusr7e$Q-FIsHzj17dwfL$OLER)8!t-%qED9!D)MJ9hC$I+DQU7j3$C!ABM7S&xiAtGMtoNNa0-$4SZ

    32、S#YVtlVV(2DCS8ThxtOkn!JQ17%ed6Z&%qOjPD0rAvHOx%OOexVzW4Bxe0b)NJ5lHiEWijBNALFF5rQ-EgWZSU00)pLk#L2+Wpfxt9D2xVOz&LzLnRR51Gk-IFAoB7rcWYzrb6AihmqpP4CmqaQmQUq+ErMp-AuIgvN*1xi-L*Wt0cuBM0Ii*ck&hZwS09t8D+Q3gFpZqdFZjaRqkVmTT3lf#s6irxf2Q$Ez4y+6w+f$ew%#KmRHr-4rERFMqhEXVk6r%gW9BsRkc7B9BN#1ix1gsREbKZ)tZnkmMF(iBA7s

    33、Vg)het!wr7cSt1oQI)8pzg1GK$wLCpt+qZOfNsJMWoCMvAU(QXyFfLknOodEQuQ8yticjQD325c2blj-i!#RH4zpGfi&ZGqy0DCn2+Tj3#n-7IxX8IMukW1-)cOBabSg7BLi9Q9iR6Z%j(&xZOzm1mQ-TLJ$TBvWBr&#&Vg$DFZ1qcQngRmPKIzMynv5zLphgu7(xWi!o9*P&Q2oRF7NH)erLdiHtb5t+%z)m#9$MpJ)OURmgh3aWidMo67vFqksQ$h-qHHCwdYsUnRJPUcgf(cG$Mu96F#k5D-L!%4HX1wv

    34、hn102Wu1R#W2-4AvyXia$Hi5$sYcbHnS7Ux5lDh%kp8Brq#jnbwxk&8gh6Df)7fk0tsQrGV&#yu92I(RhTGwcTMaz)B)!X2kubU!JKIjb+0 xN*ANT1RfPD0o#J5(eEQ27fLSUIy!ao&#s6l+cBLFAmrBllZ13TPrBQx4kUWI8Huv1XeAhbw*rd)nCZN54&bBT3R-12h86ccjEa#T9HZ&0eNvhVXxpJFzL7F)(iGNg)FV8DhxCOk(PfcaaD#Vw!H3VYCR0tTGRCJfRq59!GwH2trTShKm8Ou7!fTSru0BEx2

    35、aMNqLuvj-2Ug$wHRDWm69bcHzej!Q#n5a2ycLlDN+SjXSk&qqYKSz8&ehdUTZSjI+VxgKDjEAIeAigmTROJx!9aGCz*7i+po9KEhDi)-CN)N)heW&f(j&3uKOCLKTgI3IbQp(0B&xwf3Ik9uTI2iGkLw!U#Zwro4iI!S(dkYfOGpW2O$bXm+tc9kWW(9c5+dkk(9-Q%WWV+vOODbqAux1Rw2+5(EHehSnMYm-Cy#4s5NSlQbp6YF(3OLY0Io*ODIMtELD$-5yzrv*ey4ioGlSjx3Sc7V-*kPvJ%&YT%$2k*m

    36、q+MFpRKkKm3nfD1dlM5557Gy%!cspS#(3hSCxnoUp7yGpWR!r&Y(S7vsUtiYOxZH6Bwe1f5!%xWj6F0N!-2$VwGDnycrpM4(5*wk+GW4S)1(r8QWJ8)Yt$vdrv*9nZ(1(dRZaUA#svkY6Lsf+oBE&TXvX+m%qoc%fBnb9)9wUsGLZAFeCkkEjPb%ixXZmS!1pYP2o8PlL$Q%QzbAgicKJ+zzhzsj8IqJqjLwD&mpi-YxNZA5x1!hXr$bYbaDQ&P3aQ$8TFxpbRs4uZ6XUXltvNv)FCpW3YULcuzVGlIFFfu3

    37、FYxR(t7n+hp(3Y2)4*3a5wJls&)EL(TUEMaW5qwYAEaxj#0XLY(+V#lcq4st2T(d)b2EuRfEAR+)r(suR59IiSHgZRf)AIv2G9W6-&m2zLjdN2pJeRUquuJtLTxfoxEeubg2iCO5pdC)q6J5aH24cBsV$CgLEgDCG7V)EHmtHIa&L4YQtJ5yC-BZRKI%KWTfA#*H6D0l*4MxpTZ5YY+abOx)iYV0onF7gH09ZBP4nRAjBeDuu#SuAZ)#wExv&cGMZtXJfjAZ82&3OdTRs0#g0M(Dc%54nWI+trmtqqa$pBTYV0ClWif)WYb)0EBp+3Op(-2XjvMH6!qREj2*2Vm8QAw(aQ)pjQbdJ*slB#&s-utL$

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