针刀治疗肩痹的经穴定位及操作  

Acupoint position and manipulation of needle knife treating shoulder bi syndrome

作　　者：赵莉 郭长青[2] 

机构地区：[1]北京市朝阳区将台社区卫生服务中心中医科,北京100016 [2]北京中医药大学针灸推拿学院,北京100029

出　　处：《中国针灸》2016年第3期299-302,共4页Chinese Acupuncture & Moxibustion

摘　　要：以针刀治疗肩痹的肩髎、肩髃、肩贞3穴为例,用"溯源"和"究恒"的方法,探究针刀医学中经穴的定位、入路、操作手法以及临床意义。定位精准是针刀医学的取穴特点,针刀取穴时通常使用体表定位法,以体表可见或可触及的骨骼突起处、肌肉、肌腱等作为定位标志,以按压出现"酸、麻、胀"等感觉作为按压定位原则,用望、触结合的方法定位腧穴。针刀以不同方式入路操作,均给予粘连的滑囊、肌腱、关节囊以及受卡压的神经组织松解到位的治疗,从而有效改善肩痹诸症。With Jianyu（LI 15）,Jianliao（TE 14）and Jianzhen（SI 9）for instance,the three acupoints used to treat shoulder bi syndrome by needle knife,and through traceability and researching constant structure,the acupoint position,insertion trace,manipulation and clinical significance of needle knife medicine were discussed.Accurate position is one of the characteristics of acupoints selection of needle knife medicine.As for the acupoints selection method,the mean of body surface localization is always used.The phanerous or palpable bone processes,muscles and tendons are taken as positioning marks;pressing areas where appear sour,numb,or distensible and other sensations is considered as the principle of press positioning.So acupoints position method is the combination of observation and palpation.Different insertion methods can effectively relieve the accretive bursae synovialis,tendon,joint capsule and the compressed nerve,so that shoulder bi syndrome is relieved.

关 键 词：针刀疗法 肩痹 经穴 

分 类 号：R246.2[医药卫生—针灸推拿学]