手太阴肺经主题知识.pptx

Click to edit Master title style,Click to edit Master text styles,Second level,Third level,FOURTH LEVEL,Fifth level,Sixth level,Seventh level,Eighth level,Ninth level,1/8/2022,#,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,FOURTH LEVEL,Fifth level,Sixth level,Seventh level,Eighth level,Ninth level,1/8/2022,#,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,FOURTH LEVEL,Fifth level,Sixth level,Seventh level,Eighth level,Ninth level,1/8/2022,#,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,FOURTH LEVEL,Fifth level,Sixth level,Seventh level,Eighth level,Ninth level,1/8/2022,#,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,FOURTH LEVEL,Fifth level,Sixth level,Seventh level,Eighth level,Ninth level,1/8/2022,#,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,FOURTH LEVEL,Fifth 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手太阴经络及其腧穴,概况,循行分布特点：手太阴肺经起于中焦，为十二经脉气血流注始发经脉。本经从胸走手，在上肢沿着上臂掌面桡侧下行，止于手拇指桡侧端，在示指与手阳明大肠经相接。,联络脏腑、器官：属肺，络大肠。联络胃、喉咙、气管。,气血主时：多气少血之经，寅时气血注,。,手太阴肺经主题知识,第3页,第一节 手太阴经络及其腧穴,腧穴分布特点：起穴中府，止穴少商，共,11,穴（,9,：上肢掌面桡侧；,2,：胸前外上方）。,腧穴主治概要：本经腧穴主治喉、胸、肺及经脉循行部位其它病证。,手太阴肺经主题知识,第4页,一、手太阴经络,(Lung Meridian and collateral of Hand-Taiyin,LU,),（一）经脉循行原文：,灵枢,经脉,：肺手太阴之脉，起于中焦,下络大肠，还循胃口,，上膈属肺。从肺系横出腋下，下循臑内，行少阴、心主之前，下肘中，循臂内上骨下廉，入寸口，上鱼，循鱼际，出大指之端。,其支者：从腕后直出次指内廉，出其端。,手太阴肺经主题知识,第5页,一、手太阴经络,(Lung Meridian and collateral of Hand-Taiyin,LU,),（一）经脉循行,手太阴之经脉，起于中焦，向下联络大肠，回绕过来沿着胃上口，经过横膈，属于肺脏。从“肺系”（肺与喉咙相联络部位）横行出来（中府），向下沿上肢内侧前缘，行手少阴经和手厥阴经前面，下行至肘窝中，沿前臂内侧前缘，入寸口，经过鱼际，止于拇指桡侧端（少商）。,手腕后方支脉：从腕后列缺分出，一直走向食指桡侧端（商阳）。与手阳明大肠经相接。,手太阴肺经主题知识,第6页,二、手太阴腧穴,(Acupunts of Hand-Taiyin,LU,),概述,本经左右各,11,穴，,9,穴分布于上肢掌面桡侧，,2,穴在胸前外上部。,中府肺募）,尺泽,（合）,孔最,（郄）,列缺,（络）,太渊,（输、原）,鱼际,（荥）,少商,（井）,手太阴肺经主题知识,第7页,二、手太阴腧穴,(Acupunts of Hand-Taiyin,LU,),1,中府*（,Zhngf,，,LU1,）,在前胸部，横平第一肋间隙，锁骨下窝外侧，前正中线旁开,6,寸,。,On the anterior thoracic region,at the same level as the first intercostal spase,lateral to the infraclavicular fossa,6 B-cun lateral to the anterior median line.,手太阴肺经主题知识,第8页,二、手太阴腧穴,(Acupunts of Hand-Taiyin,LU,),1,中府*（,Zhngf,，,LU1,）,类属：肺募穴；,手足太阴交会穴,主治：,咳嗽，气喘，胸痛，胸中烦满等肺系病证；,肩背痛。,手太阴肺经主题知识,第9页,二、手太阴腧穴,(Acupunts of Hand-Taiyin,LU,),1,中府*（,Zhngf,，,LU1,）,配伍举例：,中府肺俞内伤咳嗽 中府肩髎肩痛,操作：,向外斜刺或平刺,0.5,0.8,寸，不可向内深刺，以免伤及肺脏、引发气胸。可灸。深刺进入腋窝内，应注意向外避开臂丛神经及动、静脉当代研究：支气管哮喘、肺通气量、支气管平滑肌痉挛,手太阴肺经主题知识,第10页,二、手太阴腧穴,(Acupunts of Hand-Taiyin,LU,),5,、尺泽*（,Chiz,，,LU5,）,在肘前侧，肘横纹上，肱二头肌腱桡侧缘凹陷中。,On the anterior aspect of the elbow,at the cubital crease,in the depression lateral to the biceps brachii tendon.,手太阴肺经主题知识,第11页,二、手太阴腧穴,(Acupunts of Hand-Taiyin,LU,),5,、尺泽*（,Chiz,，,LU5,）,类属：,合穴,穴性：清泻肺热，肃降肺气（降逆止咳），和胃理气。,主治,咳嗽，气喘，咳血，咽喉肿痛等肺系病证；,（肺病实证）,肘臂挛痛；,小儿惊风，急性吐泻，中暑。,手太阴肺经主题知识,第12页,二、手太阴腧穴,(Acupunts of Hand-Taiyin,LU,),5,、尺泽*（,Chiz,，,LU5,）,配伍举例,尺泽列缺、肺俞咳嗽、气喘。（实证、热证）,尺泽委中急性吐泻、中暑,尺泽点刺放血急性咽喉肿痛,操作：直刺,0.8,1.2,寸,，或点刺出血，可灸，但不宜瘢痕灸，以免影响关节活动。,当代研究：降压、肠蠕动,手太阴肺经主题知识,第13页,二、手太阴腧穴,(Acupunts of Hand-Taiyin,LU,),6,孔最*（,Kngzu,，,LU6,）郄穴,在前臂前外侧，腕掌侧横纹上,7,寸，尺泽与太渊连线上。,On the anterolateral aspect of the forearm,on the line connecting LU5 with LU9,7 B-cun superior to the palmar wrist crease.,手太阴肺经主题知识,第14页,二、手太阴腧穴,(Acupunts of Hand-Taiyin,LU,),6,孔最*（,Kngzu,，,LU6,）,类属：,郄穴,穴性：宣通肺气，清热止血。,主治,咳血,，咳嗽，气喘，咽喉肿痛等肺系病证；,肘臂挛痛。,热病无汗，头痛，,痔疮,。,手太阴肺经主题知识,第15页,二、手太阴腧穴,(Acupunts of Hand-Taiyin,LU,),6,孔最*（,Kngzu,，,LU6,）,配伍举例：,孔最少商咽喉肿痛、咳血,操作：,直刺,0.5,0.8,寸，避开桡、动静脉，以防出血。可灸。,手太阴肺经主题知识,第16页,二、手太阴腧穴,(Acupunts of Hand-Taiyin,LU,),7,列缺*,(Leqe,，,LU7),络穴；八脉交会穴（通于任脉）,在前臂桡侧，腕掌侧横纹上,1.5,寸，拇短伸肌腱与拇长展肌腱之间，拇长展肌腱沟凹陷中。,On the radial aspect of the foremarm,between the tendons of the abductor pollicis longus and the extensor pollicis brevis muscles,in the groove for the abductor pollicis longus tendon,1.5 B-cun superior to the palmar wrist crease.,手太阴肺经主题知识,第17页,二、手太阴腧穴,(Acupunts of Hand-Taiyin,LU,),7,列缺*,(Leqe,，,LU7)络穴；八脉交会穴（通于任脉）,类属,：络穴；八脉交会穴（通于任脉）,穴性：宣肺理气，祛风解表，通经活络。,主治,咳嗽，气喘，咽喉肿痛等肺系病证；,偏正头痛，外感头痛，齿痛，咽喉痛，项强，口眼歪斜，鼻渊等头项部疾患。,手腕无力。,手太阴肺经主题知识,第18页,二、手太阴腧穴,(Acupunts of Hand-Taiyin,LU,),7,列缺*,(Leqe,，,LU7),络穴；八脉交会穴（通于任脉）,配伍举例,列缺外关项强,列缺照海咽喉疼痛,操作：向肘部斜刺,0.2,0.3,（,0.5,0.8,）,寸，此处皮肉浅薄，穴下有桡动脉，普通不主张艾灸，更不宜直接灸、瘢痕灸。,手太阴肺经主题知识,第19页,二、手太阴腧穴,(Acupunts of Hand-Taiyin,LU,),9,太渊*,(Tiyun,，,LU9),输穴；原穴；八会穴之脉会,在腕前外侧，桡骨茎突与手舟骨之间，拇长展肌腱尺侧凹陷中。,On the anterolateral aspect of the wrist,between the radial styloid process and the scaphoid bone,in the depression ulnar to the abductor pollicis longus tendon.,手太阴肺经主题知识,第20页,二、手太阴腧穴,(Acupunts of Hand-Taiyin,LU,),9,太渊*,(Tiyun,，,LU9),输穴；原穴；八会穴之脉会,类属：输穴；原穴；八会穴之脉会,穴性：祛风清肺，止咳化痰，通利血脉,主治,咳嗽，气喘；胸背痛；,无脉症,；,腕臂痛,手太阴肺经主题知识,第21页,二、手太阴腧穴,(Acupunts of Hand-Taiyin,LU,),9,太渊*,(Tiyun,，,LU9),输穴；原穴；八会穴之脉会,配伍举例,太渊内关、三阴交无脉症,操作：避开桡动脉，直刺,0.2,0.3,（,0.3,0.5,）寸，可 灸，但不宜瘢痕灸。,手太阴肺经主题知识,第22页,二、手太阴腧穴,(Acupunts of Hand-Taiyin,LU,),10,鱼际*（,Yj,，,LU10,）荥穴,在手掌，第掌骨中点桡侧，赤白肉际处。,On the palm,radial to the modpoint of the first metacarpal bone,at the border between the red and white flesh.,手太阴肺经主题知识,第23页,二、手太阴腧穴,(Acupunts of Hand-Taiyin,LU,),10,鱼际*（,Yj,，,LU10,）荥穴,类属：荥穴,穴性：清泻肺热，清利咽喉,主治,咳嗽，咳血,咽干,，,咽喉肿痛，失音,；,身热头痛、乳痛、掌中热；,腹满，腹痛，小儿疳积。,手太阴肺经主题知识,第24页,二、手太阴腧穴,(Acupunts of Hand-Taiyin,LU,),10,鱼际*（,Yj,，,LU10,）荥穴,配伍举例：,鱼际合谷肺热所致咽干，咽喉肿痛，失音,操作：直刺,0.5,0.8,寸，可灸，但不宜瘢痕灸。,手太阴肺经主题知识,第25页,二、手太阴腧穴,(Acupunts of Hand-Taiyin,LU,),11,少商*（,Shoshng,，,LU11,）井穴,在手指，拇指末节桡侧，指甲根角侧上方,0.1,寸（指寸），沿指甲桡侧划一垂线与指甲基地缘水平线交点处。,On the thumb,radial to the distal phalanx,0.1 F-cun proximal-lateral to the radial corner of the thumb nail,at the intersection of the vertical line of the radial border and the horizontal line of the base of the thumb nail.,手太阴肺经主题知识,第26页,二、手太阴腧穴,(Acupunts of Hand-Taiyin,LU,),11,少商*（,Shoshng,，,LU11,）井穴,类属：井穴,穴性：清肺利咽，醒脑开窍,主治,咽喉肿痛，失音，鼻衄（木火刑金之、或肺经炽热）,高热，中风，昏迷，癫狂，小儿惊风,指肿，麻木,手太阴肺经主题知识,第27页,二、手太阴腧穴,(Acupunts of Hand-Taiyin,LU,),11,少商*（,Shoshng,，,LU11,）井穴,配伍举例,少商点刺，重症肺炎之高热、惊厥、呼吸急促；中风昏迷。,操作：,浅刺,0.1,0.2,寸，不留针，或用三棱针点刺出血；可灸。,当代研究：微循环、毛细血管形态流态、,CO,中毒、退热、痄腮、中风后遗症之上肢或指端麻木,手太阴肺经主题知识,第28页,