天柱华佗夹脊刺课件.ppt

1、1 石学敏石学敏 教授教授 Shi Xue Shi Xue Min ProfessorMin Professor 针刺治疗痛证针刺治疗痛证 Acupuncture Analgesia 针针 法法 特特 点点Characteristic of the theraphy 强强 调调 调调 神，治神，治 病病 求求 本本 Regulate the vitality 刺刺 络络 疗疗 法，祛法，祛 瘀瘀 通通 络络 Blood-letting puncture 临临 证证 加加 减，辨减，辨 证证 论论 治治 Select the points according to differential di

2、agnosis 止 痛 要 穴上上 肢：外肢：外 关关 Arm:Waiguan(SJ5)下下 肢：飞肢：飞 扬扬 Leg:Feiyang(BL58)腰腰 部：大部：大 肠肠 俞俞 Lumbus:Dachangshu(BL25)全全 身：人身：人 中中 The Whole body:Renzhong(DU26)41.1.头头 面面 躯躯 体体 痛痛 证证1.Painful disease of cephalofacial and somatic region 1.11.1头痛头痛1.1 Headache1.1.1血管性头痛血管性头痛 1.1.1 Vascular headache 治则：疏解少阳

3、、活血化瘀。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。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)1.1.2 神经性头痛神经性头痛 1.1.2 Nervous headache 治则：调

4、神理气、通络止痛治则：调神理气、通络止痛。Principle:Regulate the Vitality and Qi,Activate the collaterals and relieve pain 配方：内关、人中、太冲、百会、四神聪、风池、完骨、天柱。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-HN1),Fengchi(GB20),Wangu(GB12),Tianzhu(BL10)1.1.3 眼性头痛眼性头痛 1

5、.1.3 Ocular headache 治则：通络止痛。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。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)1.1.4 颈性头痛颈性头痛 1.1.4 Cervical headache 治则：通络止痛治则：通络止痛。Principle:Activate the collaterals and

6、relieve pain 配方：风池、完骨、天柱、颈椎夹脊刺。配方：风池、完骨、天柱、颈椎夹脊刺。Prescription:Fengchi(GB20),Wangu(GB12),Tianzhu(BL10),cervical Jiaji(EX-B2)1.1.5 高颅压性头痛高颅压性头痛 1.1.5 Ocular headache 治则：醒神开窍、滋阴潜阳、通络止痛。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、

7、合谷、太冲。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(LI4),Taichong(LR3)1.2 面颊痛（三叉神经痛）面颊痛（三叉神经痛）1.2 Prosopalgia 治则：治则：活血化瘀、通络止痛。活血化瘀、通络止痛。Principle:Activate blood flow and dispel blood stasis,Clear the collaterals

8、 to relieve pain 主方：下关、四白、风池、翳风，痛点刺络拔罐。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 Ashipoint 配穴：配穴：第一支痛加攒竹、太阳。第一支痛加攒竹、太阳。Associated points:To the frist branch:Cuanzhu(BL2),Taiyang(EX-HN5)第二支痛加颧第二支痛加颧髎髎。To the second branch:Quanliao(SI18)第三

9、支痛加颊车、迎香。第三支痛加颊车、迎香。To the third branch:Jianche(ST6),Yingxiang(LI20)1.3 落枕（斜方肌痉挛）落枕（斜方肌痉挛）1.3 Stiff neck 治则：治则：调气活血、疏通经络。调气活血、疏通经络。Principle:Regulate Qi and activate blood,Regulate and clear the meridian 配方：风池、完骨、天柱、颈椎夹脊刺、绝骨、后溪。配方：风池、完骨、天柱、颈椎夹脊刺、绝骨、后溪。Prescription:Fengchi(GB20),Wangu(GB12),Tianzhu(B

10、L10),cervical Jiaji(EX-B2),Juegu(GB39),Houxi(SI3)1.4 1.4 颈痛（颈椎病）颈痛（颈椎病）1.4 Cervical spondylopathy 治则：活血通络、祛风止痛。治则：活血通络、祛风止痛。Principle:Activate blood and clear the meridian,Dispel wind to relieve pain 配方：风池、完骨、天柱、颈椎夹脊刺。配方：风池、完骨、天柱、颈椎夹脊刺。Prescription:Fengchi(GB20),Wangu(GB12),Tianzhu(BL10),cervical Ji

11、aji(EX-B2)1.5 1.5 脊痛（退行性脊柱炎）脊痛（退行性脊柱炎）1.5 Retrogressive spondylitis 治则：祛瘀通络、通调督脉、膀胱经气。治则：祛瘀通络、通调督脉、膀胱经气。Principle:Dispel blood stasis and clear the meridian,Regulate QI of Du and bladder channel 配方：配方：1.1.双侧环跳、大肠俞、委中、阳陵泉刺络拔罐。双侧环跳、大肠俞、委中、阳陵泉刺络拔罐。Prescription:Huantiao(GB30),Dachangshu(BL25),Weizhong(B

12、L40),Yanglingquan(GB34)Ashipoint with blood-cuping 2.2.人中、肾俞、大肠俞、环跳、腰阳关、委中、养老、人中、肾俞、大肠俞、环跳、腰阳关、委中、养老、阿是穴。阿是穴。:Renzhong(DU26),Shenshu(BL23),Dachangshu(BL25),Huantiao(GB30),Yaoyanghguan(DU3),Weizhong(BL40),Yanglao(SI6),Ashipoints 1.61.6肩臂痛（臂丛神经痛）肩臂痛（臂丛神经痛）1.6 Brachial plexus neuralgia 治则：行气散瘀、通经止痛。治则：

13、行气散瘀、通经止痛。Principle:Circulate Qi and dispel blood stasis,Clear the meridian to relieve pain 配方：颈夹脊刺、配方：颈夹脊刺、肩外俞、阿是穴刺络疗法肩外俞、阿是穴刺络疗法 Prescription:cervical Jiaji(EX-B2),Jianwaishu(SI14),Ashi point with blood-letting puncture 1.7 1.7 肩凝症（肩关节周围炎）肩凝症（肩关节周围炎）1.7 Periarthritis of shoulder治则：活血化瘀、通络止痛。治则：活血化

14、瘀、通络止痛。Principle:Activate blood and dispel blood stasis,Clear the collaterals to relieve pain 配方：配方：1.1.患侧肩患侧肩髃髃、肩贞、肩贞、臑臑俞、天宗、曲垣、肩外俞俞、天宗、曲垣、肩外俞 或以痛为俞刺络拔罐。或以痛为俞刺络拔罐。Prescription:Illness side points of Jianyu(LI15),Jianzhen(SI9),Naoshu(SI10),Tianzong(SI11),Quyuan(SI13),Jianwaishu(SI14)And blood-cuping

15、 on Ashi point 2.2.患侧肩患侧肩髃髃、肩贞、肩贞、臑臑俞、天宗、秉风、曲垣、肩外俞、俞、天宗、秉风、曲垣、肩外俞、肩中俞、条口。肩中俞、条口。:Illness side points of Jianyu(LI15),Jianzhen(SI9),Naoshu(SI10),Tianzong(SI11),Bingfeng(SI12),Quyuan(SI13),Jianwaishu(SI14),Jianzhongshu(SI15),Tiaokou(ST38)1.8 1.8 肘劳（肘劳（肱肱骨外上髁炎）骨外上髁炎）1.8 External humeral epicomdylitis 治

16、则：治则：舒筋活血、通络止痛。治则：治则：舒筋活血、通络止痛。Principle:Relax tendons and promote blood circulation,Clear the collaterals to relieve pain 配方：曲池、肘配方：曲池、肘髎髎、手三里、合谷、阿是穴（施阻力针法）。、手三里、合谷、阿是穴（施阻力针法）。Prescription:Quchi(LI11),Zhouliao(LI12),Shousanli(LI10),Hegu(LI4),Ashipoint with special manipulation 1.9 1.9 胁痛（肋间神经痛）胁痛（肋

17、间神经痛）1.9 Intercostal neuralgia 治则：疏肝理气、通络止痛。治则：疏肝理气、通络止痛。Principle:Regulate Qi of liver,Clear the collaterals to relieve pain 配方：支沟、阳陵泉、太冲、三阴交、期门、日月、膈俞、丘墟。配方：支沟、阳陵泉、太冲、三阴交、期门、日月、膈俞、丘墟。Prescription:Zhigou(SJ6),Yanglingquan(GB34),Taichong(LR3),Sanyinjiao(SP6),Qimen(LR14),Riyue(GB24),Geshu(BL17),Qiuxu(

18、GB40)1.10 1.10 腰痛腰痛 1.10 Lumbago 1.10.1 1.10.1 急性腰扭伤急性腰扭伤 1.10.1 Acute lumbar sprain 治则：行气活血、通络止痛。治则：行气活血、通络止痛。Principle:Promote Qi and blood,Clear the collaterals to relieve pain 配方：以局部俞穴和循经取穴为主，采用后溪、委中、大肠俞、配方：以局部俞穴和循经取穴为主，采用后溪、委中、大肠俞、肾俞。疼痛甚者，取内关、人中、痛点施阻力针法。肾俞。疼痛甚者，取内关、人中、痛点施阻力针法。Prescription:Houxi

19、(SI3),Weizhong(BL40),Dachangshu(BL25),Shenshu(BL23).And Neiguan(PC6),Renzhong(DU26),Ashi point with special manipulation if Serious pain 1.10.2 1.10.2 腰椎间盘突出症腰椎间盘突出症 1.10.2 Prolapse of lumbar intervertebral disc 治则：活血化瘀、消肿止痛。治则：活血化瘀、消肿止痛。Principle:Promote blood and dispel stasis,Repercussion to reli

20、eve pain 配方：取患侧阿是穴、环跳、殷门、阳陵泉、足三里、委中、配方：取患侧阿是穴、环跳、殷门、阳陵泉、足三里、委中、承山、悬钟。承山、悬钟。Prescription:Illness side points of Ashi,Huantiao(GB30),Yinmen(BL37),Yanglingquan(GB34),Zusanli(ST36),Weizhong(BL40),Chengshan(BL57),Xuanzhong(GB39)1.10.3 1.10.3 腰肌劳损腰肌劳损 1.10.3 Lumbar muscule strain 治则：舒筋活血、通经活络、祛寒止痛。治则：舒筋活血

21、、通经活络、祛寒止痛。Principle:Relax tendons and promote blood circulation,Dispel cold to relieve pain 配方：以局部俞穴和阿是穴为主，重点采用肾俞、关元俞、配方：以局部俞穴和阿是穴为主，重点采用肾俞、关元俞、膀胱俞等。膀胱俞等。Prescription:Ashi point,Shenshu(BL23),Guanyuanshu(BL26),Pangguangshu(BL28)etc.1.11 1.11 腰腿痛（坐骨神经痛）腰腿痛（坐骨神经痛）1.11 Sciatica 治则：活血止痛、疏通经络。治则：活血止痛、疏通

22、经络。Principle:Promote blood to relieve pain,Regulate meridian 配方配方:1 1.刺络法：分别于疼痛侧太阳经、少阳经经络所过之处刺络法：分别于疼痛侧太阳经、少阳经经络所过之处的的 大肠俞、环跳、风市、承山等部位刺络拔罐。大肠俞、环跳、风市、承山等部位刺络拔罐。Prescription:Blood-cuping on painful side of Dachangshu(BL25),Huantiao(GB30),Fengshi(GB31),Chengshan(BL57)etc.大肠俞、环跳、委中、阳陵泉、风市、飞扬、昆仑、承山大肠俞、环跳

23、、委中、阳陵泉、风市、飞扬、昆仑、承山 :Dachangshu(BL25),Huantiao(GB30),Weizhong(BL40),Yanglingquan(GB34),Fengshi(GB31),Feiyang(BL58),Kunlun(BL60),Chengshan(BL57).肾虚者加刺肾俞、太溪；肾虚者加刺肾俞、太溪；If kidney deficiency associated with Shenshu(BL23),Taixi(KI3);血瘀者加刺血海、膈俞；血瘀者加刺血海、膈俞；If blood stasis associated with Xuehai(SP10),Geshu

24、(BL17)风寒者加刺风池。风寒者加刺风池。If wind-cold associated with Fengchi(GB20)1.12 1.12 膝痛（膝关节骨关节炎）膝痛（膝关节骨关节炎）1.12 Gonitis 治则：活血化瘀、通络止痛。治则：活血化瘀、通络止痛。Principle:Promote blood and remove stasis,Clear the collaterals to relieve pain 配方：膝眼、鹤顶、阳陵泉、阴陵泉、膝阳关、梁丘。配方：膝眼、鹤顶、阳陵泉、阴陵泉、膝阳关、梁丘。Prescription:Xiyan(EX-LE4,5),Heding(E

25、X-LE2),Yanglingquan(GB34),Yinglingquan(SP9),Xiyangguan(GB33),Liangqiu(ST34).1.13 1.13 足底痛（跖神经痛）足底痛（跖神经痛）1.13 Plantalgia 治则：滋阴补肾、温养经络。治则：滋阴补肾、温养经络。Principle:Nourishing yin of kidney,Warming meridian 配方：太溪、三阴交、足底排刺。配方：太溪、三阴交、足底排刺。Prescription:Taixi(KI3),Sanyinjiao(SP6),Line puncture on planta 1.14 1.1

26、4 痹证（风湿性、类风湿性关节炎）痹证（风湿性、类风湿性关节炎）1.14 Arthralgia syndrome 治则：舒筋活络、行气活血、散风蠲痹。治则：舒筋活络、行气活血、散风蠲痹。Principle:Relax and activate tendons,Promote Qi and blood,Dispel wind to relieve pain 主穴主穴:风池、曲池、血海、合谷、太冲、华佗夹脊刺。风池、曲池、血海、合谷、太冲、华佗夹脊刺。Main point:Fengchi(GB20),Quchi(LI11),Xuehai(SP10),Hegu(LI4),Taichong,Jiaji

27、(LR3).配穴：配穴：Assist point:热痹：大椎热痹：大椎Heat-type:Dazhui(DU14)颌关节：下关、翳风、合谷。颌关节：下关、翳风、合谷。Jaw:Xiaguan(ST7),Yifeng(SJ17),Hegu(LI4)颈、胸椎关节：完骨、天柱、华佗夹脊刺。颈、胸椎关节：完骨、天柱、华佗夹脊刺。Cervical and thoracic vertebrae:Wangu(GB12),Tianzhu(BL10),Jiaji(EX-B2)肩关节：肩髃、肩贞、肩中俞、肩外俞、臂臑、天宗透肩峰。肩关节：肩髃、肩贞、肩中俞、肩外俞、臂臑、天宗透肩峰。Shoulder joint:J

28、ianyu(LI15),Jianzhen(SI9),Jianzhongshu(SI15),Jianwaishu(SI14),Binao(LI15),Tianzong(SI11)to Jianfeng 肘关节：小海、肘髎、手三里。肘关节：小海、肘髎、手三里。Elbow joint:Xiaohai(SI18),Zhouliao(LI12),Shousanli(LI10)腕关节：外关、阳池、阳谷、阳溪、腕骨。腕关节：外关、阳池、阳谷、阳溪、腕骨。Wrist joint:Waiguan(SJ5),Yangchi(SJ4),Yanggu(SI5),Yangxi(LI5),Wangu(SI4).掌指关节：

29、八邪、后溪。掌指关节：八邪、后溪。Metacarpophalangeal joint:Baxie(EX-UE9),Houxi(SI3)腰椎关节：大肠俞、命门、八腰椎关节：大肠俞、命门、八髎、委中。髎、委中。Lumbar vertebrae:Dachangyu(BL25),Mingmen(DU4),Baliao(BL31-34),Weizhong(BL40).骶髂关节：关元俞、小肠俞、白环俞、环跳、秩边。骶髂关节：关元俞、小肠俞、白环俞、环跳、秩边。Sacroiliac joint:Guanyuanshu(BL26),Xiaochangshu(BL27),Baihuanshu(BL30),Hua

30、ntiao(GB30),Zhibian(BL54)髋关节：环跳、阳陵泉、髋关节围刺。髋关节：环跳、阳陵泉、髋关节围刺。Hip joint:Huantiao(GB35),Yanglingquan(GB34),surrounding puncture 膝关节：鹤顶、犊鼻、膝眼、曲泉、委中。膝关节：鹤顶、犊鼻、膝眼、曲泉、委中。Knee joint:Heding(EX-LE2),Dubi(ST35),Xiyan(EX-LE4,5),Ququan(LR8),Weizhong(BL40)踝关节：解溪、商丘、丘墟、昆仑、太溪、申脉、照海。踝关节：解溪、商丘、丘墟、昆仑、太溪、申脉、照海。Ankle joi

31、nt:Jiexi(ST41),Shangqiu(SP5),Qiuxu(GB40),Kunlun(BL60),Taixi(KI13),Shenmai(BL62),Zhaohai(KI6)跖趾关节：公孙、太冲、足临泣、八风。跖趾关节：公孙、太冲、足临泣、八风。Metatarsophalangeal joint:Gongsun(SP4),Taichong(LR3),Zulinqi(GB41),Bafeng(EX-LE10)2.2.脏腑痛证脏腑痛证 2.2.Visceral painVisceral pain 2.1 2.1 胸痹（心绞痛）胸痹（心绞痛）2.1 Angina pectoris 治则：养

32、心血、益心气、通心阳。治则：养心血、益心气、通心阳。Principle:Nourishing blood and qi of heart,Promote yang of heart 配方：内关、郗门、配方：内关、郗门、膻膻中、厥阴俞、心俞、膈俞。中、厥阴俞、心俞、膈俞。Prescription:Neiguan(PC6),Ximen(PC4),Tanzhong(RN17),Jueyinshu(BL14),Xinshu(BL15),Geshu(BL17)2.2 2.2 胁肋痛（胆囊炎、胆石症）胁肋痛（胆囊炎、胆石症）2.2 Cholecystitis,Gallstone 治则：疏肝利胆、理气止痛。

33、治则：疏肝利胆、理气止痛。Principle:Soothing liver and gallbladder,Regulate qi to relieve pain 配方：膈俞、胆俞、日月、阳陵泉、中脘。配方：膈俞、胆俞、日月、阳陵泉、中脘。Prescription:Geshu(BL17),Danshu(BL19),Riyue(GB24),Yanglingquan(GB34),Zhongwan(RN12)2.3 2.3 腰痛（肾结石）腰痛（肾结石）2.3 Calculus of kindey 治则：通淋排石、实则清热、虚则补虚。治则：通淋排石、实则清热、虚则补虚。Principle:Reliev

34、e stranguria and remove the stons,Expel heat for excess syndrome Reinforcing method for deficiency配方：以足太阳膀胱经和足阳明经及背俞穴为主。重点取配方：以足太阳膀胱经和足阳明经及背俞穴为主。重点取 膀胱俞、肾俞、三焦俞、次膀胱俞、肾俞、三焦俞、次髎、中极、秩边透水道等。髎、中极、秩边透水道等。Prescription:Pangguangshu(BL28),Shenshu(BL23),Sanjiaoshu(BL22),Ciliao(BL32),Zhongji(RN3),Zhibian(BL54)t

35、o Shuidao(ST28)etc.2.4 2.4 胃脘痛（慢性胃炎）胃脘痛（慢性胃炎）2.4 Gastralgia 治则：健脾养胃、化瘀止痛。治则：健脾养胃、化瘀止痛。Principle:Nourish spleen and stomach,Remove stasis to relieve pain 配方：足三里、左梁丘、左天枢、关元、中脘、配方：足三里、左梁丘、左天枢、关元、中脘、血海；血海；Prescription:Zusanli(ST36),left Liangqiu(ST34),left Tianshu(ST25),Guanyuan(RN4),Zhongwan(RN12),Xueh

36、ai(SP10);膈俞、肝俞、胆俞、脾俞、胃俞、夹脊刺。膈俞、肝俞、胆俞、脾俞、胃俞、夹脊刺。Geshu(BL17),Ganshu(BL18),Danshu(BL19),Pishu(BL20),Weishu(BL21),Jiaji(EX-B2)2.5 2.5 腹痛（胃肠功能紊乱）腹痛（胃肠功能紊乱）2.5 Abdominalgia 治则：清热利湿、健睥通腑。治则：清热利湿、健睥通腑。Principle:Disperse damp and heat,Reinforcing spleen and clear fu organs 配方：内关、足三里、天枢、上巨虚。配方：内关、足三里、天枢、上巨虚。P

37、rescription:Neiguan(PC6),Zusanli(ST36),Tianshu(ST25),Shangjuxu(ST37).3.3.五官科痛证五官科痛证 3.3.Pain of five sense organsPain of five sense organs 3.1 3.1 目赤肿痛（结膜炎）目赤肿痛（结膜炎）3.1 Conjunctivitis 治则：清热降火、疏风明目。治则：清热降火、疏风明目。Principle:Remove heat and fire,Dispel wind evil to improve eyesight 配方：臂配方：臂臑、蠡沟臑、蠡沟、合谷、太冲

38、、风池、睛明、太阳。、合谷、太冲、风池、睛明、太阳。Prescription:Binao(LI14),Ligou(LR5),Hegu(LI4),Taichong(LR3),Fengchi(GB20),Jingming(BL1),Taiyang(EX-HN5)3.2 3.2 咽喉肿痛（急性扁桃体炎、急慢性咽炎）咽喉肿痛（急性扁桃体炎、急慢性咽炎）3.2 Sore-throat 治则：疏风解表、清热利咽；治则：疏风解表、清热利咽；滋阴降火、生津润燥。滋阴降火、生津润燥。Principle:Dispers wind to expel exogenous pathogen,Remove heat to

39、 clear throat;Nourishing yin and expel heat,Induce saliva to moisten dryness 配方：实热证取曲池、列缺、大椎、合谷、内庭；配方：实热证取曲池、列缺、大椎、合谷、内庭；Prescription:Excess type with Quchi(LI11),Lieque(LU7),Hegu(LI4),Dazhui(DU14),Neiting(ST44);阴虚症取列缺、照海、曲池、太溪、鱼际。阴虚症取列缺、照海、曲池、太溪、鱼际。Deficiency with Lieque(LU7),Zhaohai(KI6),Quchi(LI1

40、1),Taixi(KI3),Yuji(LU10).3.3 3.3 舌痛（舌炎）舌痛（舌炎）3.3 Glossalgia 治则：补益心脾、生津润燥。治则：补益心脾、生津润燥。Principle:Nourishing heart and spleen,Induce saliva to moisten dryness 配方：心俞、脾俞、通里、三阴交、金津、玉液。配方：心俞、脾俞、通里、三阴交、金津、玉液。Prescription:Xinshu(BL15),Pishu(BL20),Tongli(HT5),Sanyinjiao(SP6),Jinjin(EX-HN12),Yuye(EX-HN12).3.4

41、 3.4 牙痛牙痛 3.4 Toothache 治则：补益心脾、生津润燥。治则：补益心脾、生津润燥。Principle:Remove heat evil to relieve pain 主穴：合谷、下关、颊车。主穴：合谷、下关、颊车。Main point:Hegu(LI4),Xiaguan(ST7),Jiache(ST6)配穴：风热牙痛加风池、外关。配穴：风热牙痛加风池、外关。Assist point:wind-heat type Fengchi(GB20),Waiguan(SJ5)胃火牙痛加内庭、足三里。胃火牙痛加内庭、足三里。Stomach-fire type Neiting(ST44),

42、Zusanli(ST36)虚火牙痛加太溪、三阴交。虚火牙痛加太溪、三阴交。Asthenic fire type Taixi(KI3),Sanyinjiao(SP6)4.4.痛经（原发性痛经）痛经（原发性痛经）4.4.DysmenorrheaDysmenorrhea 治则：理气化瘀、活血止痛；治则：理气化瘀、活血止痛；温经散寒、除湿止痛；温经散寒、除湿止痛；益气补血、滋养胞脉。益气补血、滋养胞脉。Principle:Regulate qi and dispel stasis,Promote blood to relieve pain Warm meridian dispel cold,Remov

43、e damp to relieve pain Reinforcing qi and blood,Nourishing uterine collaterals 配方：气滞血瘀：气海、气穴、合谷、三阴交、太冲。配方：气滞血瘀：气海、气穴、合谷、三阴交、太冲。Prescription:With stagnation of qi and blood:Qihai(RN6),Qixue(KI13),Hegu(LI4),Sanyinjiao(SP6),Taichong(LR3)寒湿凝滞：中极、水道、命门、阴陵泉。寒湿凝滞：中极、水道、命门、阴陵泉。With stagnation of cold and damp:Zhongji(RN3),Shuidao(ST28),Mingmen(DU4),Yinlingquan(SP9)气血虚弱：气海、关元、肾俞、足三里。气血虚弱：气海、关元、肾俞、足三里。With weakness of qi and blood:Qihai(RN6),Guanyuan(RN4),Shenshu(DU4),Zusanli(ST36)33谢 谢Thanks