薄氏腹针疗法的临床应用

Dr. ZhiYun Bo’s Abdominal Acupuncture Therapy and its

Clinical Application东直门医院针灸科 刘云霞Liu YunXia, Acupuncture Dept. of DongZhiMen

Hospital

概述 Summary: Abdominal Acupuncture Therapy

腹针 Abdominal Acupuncture

是通过刺激腹部穴位，调节脏腑失衡来治疗全身疾病的一种方法。是以神阙调控系统为核心的针灸疗法

It is a method that treats the whole body diseases through the stimulation of the acupoints on the abdomen, and through the regulation of the zang fu imbalances. It is an acupuncture therapy that takes ShenQue (RN8) modulation system as its core.

概述 Summary: Abdominal Acupuncture Therapy

内因性疾病，或久病及里的慢性病、疑难病内因性疾病，或久病及里的慢性病、疑难病适应症Indications Illness due to internal cause, chronic illness that develops

into internal diseases, and difficult to treat diseases.

腹针适应症• 适应症：内因性疾病，或久病及里的慢性病、疑难病。• 如中风后遗症患者肢体功能恢复，椎基底动脉供血不足，抑郁症，功能性便秘，代谢性疾病，更年期综合症，肩周炎，网球肘，颈椎病，腰椎病等

腹针的禁忌症• 一切原因不明的急腹症• 急性腹膜炎• 肝脾肿大引起的脐静脉曲张• 腹腔内肿瘤并广泛转移• 大月份孕妇• 长期慢性病而致体质极度衰弱者，当慎针• 肝脾肿大患者不宜深刺

上腹部以神阙到中庭分为 8 寸

下腹部以神阙到曲骨分为 5 寸

腹针穴位的取穴方法（ 2 ） Method of Point Location in Abdominal Acupuncture

In the epigastrium, mark 8 cun between ShenQue (RN8) and ZhongTing (RN16).

In the lower abdomen, mark 5 cun between ShenQue (RN) and QuGu (RN2).

腹部的横寸，传统针灸以双侧的乳中穴之间的距离分为 8 寸

腹针疗法以神阙到平行的腹侧的外缘定为 6 寸

腹针穴位的取穴方法（ 2 ） Method of Point Location in Abdominal Acupuncture

In conventional acupuncture, horizontally there are 8 cun between the bilateral RuZhong (ST17).

In abdominal acupuncture, horizontally there are 6 cun from ShenQue (RN8) to the lateral edge of the abdomen.

取穴规范 Norm of Acupoint Selection

传统针灸取穴以正中线确定为任脉，因此取穴时，以正中线为标记

任脉为中心标记Take the Ren meridian as the center mark

In conventional acupuncture, the midline is the Ren meridian. The midline is the marking line for acupoint

selection.

取穴规范 Norm of Acupoint Selection

腹针是把腹白线作为任脉的体表标志

腹针取穴时，必须对腹白线进行准确的辨认，以免取穴的失误In selecting acupoints in abdominal acupuncture, make sure the to locate precisely the abdominal white line, so as not to

make any errors in selecting the acupoints.

In abdominal acupuncture, the Ren meridian is located at

the abdominal white line on the body surface.

腹针常用穴位 Commonly Used Abdominal Acupuncture Points

中 脘 RN12 RN12 脐中上脐中上 44 寸，任脉寸，任脉上 上 下 脘 RN10 RN10 脐中上脐中上 22 寸，任脉寸，任脉上上水 分 RN9 RN9 脐中上脐中上 11 寸，任脉上寸，任脉上神 阙 RN8 RN8 脐中央脐中央气 海 RN6 RN6 脐中下脐中下 1.51.5 寸，任脉上寸，任脉上关 元 RN4 RN4 脐中下脐中下 33 寸，任脉上寸，任脉上

腹针常用穴位 Commonly Used Abdominal Acupuncture Points

商 曲 KD17 KD17 下脘旁开下脘旁开 0.50.5 寸寸气 穴 KD13 KD13 关元旁开关元旁开 0.50.5 寸寸

滑肉门 ST24 ST24 水分旁开水分旁开 22 寸寸天 枢 ST25 ST25 神阙穴旁开神阙穴旁开 22 寸。大肠募寸。大肠募穴穴外 陵 ST26 ST26 阴交穴旁开阴交穴旁开 22 寸寸

大 横 SP15 SP15 神阙穴旁开神阙穴旁开 3.53.5 寸寸

腹针常用穴位 Commonly Used Abdominal Acupuncture Points

气 旁 气海旁开气海旁开 0.50.5 寸寸

上风湿点 滑肉门旁开滑肉门旁开 0.50.5 寸寸 ,, 上上 0.50.5 寸寸

上风湿外点 滑肉门旁开滑肉门旁开 11 寸寸

QiPang: 0.5 Cun lateral to QiHai (RN6)

ShangFengShi （ Upper Rheumatic ） point: 0.5 cun Lateral and superior to HuaRouMen (ST24)

ShangFengShiWai (Upper Rheumatic lateral)Point: 1 cun lateral to HuaRouMen (ST24)

腹针常用穴位 Commonly Used Abdominal Acupuncture Points

下风湿点 气海旁开气海旁开 2.52.5 寸寸

下风湿下点 石门旁开石门旁开 33 寸寸

XiaFengShi (Lower Rheumatic) point: 2.5 cun lateral to QiHai (RN6)

XiaFengShiXia (Lower Rheumatic inferior) point: 3 cun lateral to ShiMen (RN5)

腹针针具的选择 Needle Size

型号 Needle Size 分型 Type 适应症 indications

34# (0.22mm-50mm)

A1 肥胖型Thicker

头痛，面神经麻痹，颈椎病，肩周炎Headache, facial paralysis, cervical spondylosis, frozen shoulder

34# (0.22mm-40mm)

A2 正常型Normal

网球肘，腕管综合症，腰椎病，坐骨神经痛 Tennis elbow, carpal tunnel syndrom, lumbago, sciatica

34# (0.22mm-30mm)

A3 消瘦型Thinner

骨关节病，风湿性关节炎，类风湿性关节炎等疼痛性疾病 osteoarthropathy, rheumatic arthritis, rheumatoid arthritis and other pain disorders.

留针时间和疗程• 留针时间一般为 20~30分钟• 对于病程短和体质较差的病人，留针时间稍短• 对于病程长和体质较好的病人，留针时间相对长一些• 腹针的治疗疗程为 6~10次之间• 一般疾病 6次为一疗程，慢性病 10次为一疗程• 治疗的第 1~3次，连续针灸，每日一次；第 3次以后，隔日针灸一次

落枕 Stiff Neck

• 落枕 (stiffneck)：即颈部伤筋，是指急性单纯性颈项强痛、活动受限的一种病症。头多向患侧歪斜，可出现肩部和上臂疼痛，颈项部压痛明显

Stiff Neck, is the injury to the neck ligaments. It is an acute symptom with simple stiff pain and mobility obstruction to the neck. The head deviates to the affected side, pain occurs at the shoulder and upper arm area. There is evident pain when press is applied to the neck.

中脘（深刺）商曲（患侧，浅刺）滑肉门（患侧，中刺）

落枕腹针处方 AA Formula for stiff Neck

ShangQu (KD17, Affected side, S), ZhongWan(RN12, D),HuaRouMen (ST24, Affected side,

M).

肩周炎 Frozen Shoulder (Periarthritis of Shoulder)

• 肩周炎：肩关节周围肌肉、肌腱、韧带及关节囊损伤或退行性改变，导致慢性非特异性炎症

• 肩周疼痛，功能受限，50岁以上，女多于男

Frozen Shoulder: Non-specific inflammation due to injury or degenerating change of the muscles, tendons, ligaments, joint capsule of the shoulder peripheral region.Pain of the shoulder periphral region, with obstruction of shoulder functionl. Mostly seen in people over 50 years old, more females than males.

分期 Stages

• 早期（也称做疼痛期， 2-3 个月以内）以疼痛为主，日轻夜重；• 中期（也称做粘连期， 3 个月以上）以功能障碍来主，外展、外旋及后伸等动作受限最明显• 晚期（也称做缓解期，半年至一年以上）临床表现肩部疼痛不甚 , 多可见肩部肌肉萎缩。• Early stage: (painful period, lasts 2-3 months) pain is evident, light during the

day and severe at night.

• Mid-stage: (adhesion period, exceeds 3 months) patient mainly encounter functional obstruction. Abduction, lateral rotation and dorsiflexion is evidently impaired.

• Later stage: (mitigating period, over half a year to over a year) clincally patient don’t feel much pain on the shoulder, but is mostly seen shoulder muscle atrophy.

中脘（深刺）商曲（中刺，健侧）滑肉门（浅刺患侧）

肩周炎腹针处方 Abdominal Acupuncture Formula for Frozen Shoulder

ZhongWan(RN12, D), ShangQu(KD17, healthy side, M), HuaRouMen(ST24, affected side, M).

网球肘 Tennis Elbow

• 网球肘：或叫肱骨外上髁炎，是一种肘部常见疾病。是一种附着在肱骨外上髁的肌腱炎

Tennis elbow, also known as radio-humeral epicondylitis. It is a disease that is often seen. It is a tendinitis of the external humeral epicondyle.

网球肘 Tennis Elbow

• 因手臂伸肌与屈肌肌力承受能力不一致，过度使用使伸肌受伤害。网球运动员反手击球Due to the difference of bearing capacity of muscle strength between the arm extensor and flexor muscles, the excessive use injures the extensor muscle. Tennis player hits the ball with backhand causes this disorder.

中脘（深刺）商曲（健侧，中刺）滑肉门（患侧 中刺）上风湿点（患侧，浅刺）

网球肘腹针处方 Abdominal Acupuncture Formula for Tennis Elbow

• ZhongWan (RN12, D), • ShangQu (KD17, healthy side, M), • HuaRouMen (ST24, affected side, M), • ShangFengShi point (affected side, S)

腕管综合征 Carpal Tunnel Syndrom

• 腕管综合征：是指人体正中神经在腕管内受到压迫所产生的症状，食指中指疼痛、麻木和拇指肌肉无力感

• 累积性创伤疾病•Carpal tunnel syndrome, is a syndrome caused by the pressure on the median nerve in the carpal tunnel. The main symptom is pain and numbness of the index finger and the middle finger, and myasthenia of the thumb.•Acumulated traumatic injury.

中脘（ D）商曲（健 M）滑肉门（患 M）上风湿点（患 S）上风湿外点（患 S）

腕管综合征腹针处方 Abdominal Acupuncture for Carpal Tunnel Syndrom

ZhongWan(RN12, D) ShangQu(KD17, healthy side, M) HuaRouMen(ST24, affected side, M)ShangFengShi point(upper rheumatic

point, affected side, S), ShangFengShiWai point(upper

rheumatic lateral point, affected side, S)

病例分享 Case Study

病例分享Case Study

Thank You!Thank You!

东直门医院针灸科 刘云霞YunXia Liu, Acupuncture Dept. DongZhiMen Hospital