頭皮針專(zhuān)題知識(shí)

自閉癥焦急癥

抑郁癥

老年癡呆

失眠

小朋友多動(dòng)癥AcupunctureTreatmentForInfantileAutism

有關(guān)小朋友自閉癥旳針灸治療Scalpacupuncture頭針principalpoints：shenting(GV24),qianding(GV21),

baihui(GV20),Intelligenceemotionalarea,Doublefeelingdistrictof

1/5,

Doublelistentounderstandarea，Cerebellarvermisarea。主穴：神庭，前頂，百會(huì)，智力情感區(qū)，雙感覺(jué)區(qū)上1／5，雙聽(tīng)了解區(qū)，小腦蚓區(qū)Scalpacupuncture頭針Supplementarypoints(配穴)AddLeftmotorarea,theareabeforethenext2/5movementandbilateralcerebellarhemisphereareaforspeechdisorder.語(yǔ)言發(fā)聲障礙者選左側(cè)運(yùn)動(dòng)區(qū)及運(yùn)動(dòng)前區(qū)下2／5下部、雙側(cè)小腦半球區(qū)。Scalpacupuncture頭針Addtheleftfeelingundertheareasafter2/5andsoundmemoryareaforthelanguageunderstandingdisorder.語(yǔ)言了解障礙者加左側(cè)感覺(jué)后區(qū)下2／5和聲記憶區(qū)。Addvisualareasanddoubledependingonthecontactareaforthevisualidentitydisorder.視覺(jué)辨認(rèn)障礙者加視區(qū)和雙視聯(lián)絡(luò)區(qū)。Scalpacupuncture頭針Addworryareaforemotionalanxiety.情緒焦急者則加憂慮區(qū)。Addtheemotionalintelligenceoflateralanteriorareaforinattention.注意力不集中者加右側(cè)智力情感區(qū)外側(cè)前部。Scalpacupuncture頭針AddBilateralabdominalareaandthefeetareareaatthebackforpeoplewhoCan‘tcontroltheurine.大小便不能控制者加雙側(cè)腹腔區(qū)、雙足運(yùn)感區(qū)后部。AddBilateralmotorareaandthepremotorareain2/5forpoorinfinemovementwithbothhands.雙手精細(xì)動(dòng)作較差加雙側(cè)運(yùn)動(dòng)區(qū)及運(yùn)動(dòng)前區(qū)旳中2／5。Scalpacupuncture頭針Performance:selectthefiliformneedleof1cunandinsertquicklyintothesubcutaneousregionwithanangleofabout15-30°andalongthestimulatingareatoacorrespongdingdepthfollowedbyrapidtwirlingandrotation.Retaintheneedlefor1-2hours,andonceortwiceaweek.操作手法：選用1寸長(zhǎng)旳毫針，針與頭皮呈15-30°夾角迅速將針刺入頭皮下，沿刺激區(qū)進(jìn)針到相應(yīng)深度后，進(jìn)行迅速捻轉(zhuǎn)。每次留針1～2h，每七天1～2次。Auricularacupuncture耳針Principalpoints主穴：Gan(CO12)、Shen(CO10)、Xin(CO15)、Naogan(AT3,4i).Supplementarypoints(配穴)：Mainlywithlanguagebarriers:AddKou(CO1),She(LO2)以語(yǔ)言障礙為主者加:口、舌.Mainlyinstereotypedbehaviors:addNeifenmi(CO18),Jiaogan(AH6a),Shenmen(TF3)以刻板行為為主者加:內(nèi)分泌、交感、神門(mén)。Auricularacupuncture耳針Auricularacupuncture耳針Performance:fixthemagneticbeadontotheearacupointswithadhesivetape;advisethepatienttopresstheacupointsatleastthreetimesaday;eachtimeselectoneear,changetheothersideeveryotherdayandtentimesforonecourseoftreatment.將磁珠用膠布貼敷于耳穴上，囑患兒自行按壓，每日不少于3次。每次貼壓?jiǎn)味?，隔日交替貼壓雙耳，以10次為一療程。Jin's3-NeedleTherapy靳三針Therapy:theFourSpiritPoints,theStabilizingtheShenPoints,the3-PointintheTemporalArea,the3-PointintheUpperTemporalArea,The3-OccipitalPoints,The3-PointforIntelligence,theResuscitatetheShenPoints,the3-IntellectPointsontheHand,the3-IntellectPointsontheFoot,the3-TonguePoints.處方：四神針、定神針、顳三針、顳上三針、腦三針、智三針、醒神針、手智針、足智針、舌三針。TheFourSpiritPoints四神針TheFourSpiritPoints:1st,2nd,3rd,4thoftheSpiritPoints.四神針（四神Ⅰ針、四神Ⅱ針、四神Ⅲ針、四神Ⅳ針）。Location:locatedontherightandleftofBaihui(DU20)lateraltothemidsagittalplane,andanteriorandposteriortoBaihuiinlinewithmidsagittalplane.定位：位于百會(huì)穴前、后、左、右各旁開(kāi)1.5寸處。Performance:Needleallfourneedlessubcutaneouslytowardtheoutside,awayfromBaihui.操作：四針均向外平刺。

TheFourSpiritPoints四神針TheStabilizingtheShenPoints

定神針TheStabilizingtheShenPoints:1st,2ndand3rdStabilizingtheShenpoints.定神針（定神Ⅰ針、定神Ⅱ針、定神Ⅲ針）Location:the1stacupointis0.5cunaboveYintang(EX-HN3),andthe2ndand3rdareboth0.5cunaboveYangbai(GB14).定位：定神Ⅰ針位于印堂穴上0.5寸，定神Ⅱ針、定神Ⅲ針位于左右陽(yáng)白穴上0.5寸。（圖）TheStabilizingtheShenPoints

定神針TheStabilizingtheShenPoints

定神針Performance:the1stneedleisneedledfrom0.5cunabovedowntowardYintang(EXHN3)subcutaneouslyperpendiculartothetransverseplane.Thispointisneedledwiththetipofneedlereachingdowntothecranialsuturebetweentheupperfrontalboneandthenasalbone.The2ndand3rdneedlesareneedledfrom0.5cunabovedowntowardYangbai(GB14)subcutaneouslyperpendiculartothetransverseplane.操作：定神Ⅰ針向印堂穴方向沿皮平刺達(dá)鼻部,定神Ⅱ針、定神Ⅲ針向陽(yáng)白穴沿皮平刺。The3-PointintheTemporalArea

顳三針The3-PointintheTemporalArea:1st,2ndand3rdacupointsintheTemporalArea.顳三針（顳Ⅰ針、顳Ⅱ針、顳Ⅲ針）Location:the1stacupointis1.5cunsuperiortotheapexoftheearbeyondthebordofthehairline.Atthesamelevel,the2ndand3rdareneedled1cuntoeitherside.定位：顳Ⅰ針位于耳尖直上入發(fā)際1.5寸處，顳Ⅱ針、顳Ⅲ針位于第一針?biāo)较蚯?、后各旁開(kāi)1寸處。Performance:needleallthreeneedlesperpendiculartothetransverseplanesubcutaneouslydowntoadepthof0.8cun.操作：三針均垂直向下沿皮平刺0.8寸。The3-PointintheTemporalArea

顳三針The3-OccipitalPoints腦三針The3-OccipitalPoints:Naohu(DU17),bothNaokong(GB19)points.腦三針（腦戶(hù)、左右腦空）Performance:needleallthreeneedlessubcutaneouslydowntoadepthof0.8cun.操作：三針均向下沿皮平刺0.8寸。The3-PointforIntelligence

智三針The3-PointforIntelligence:Shenting(DU17),bothBenshen(GB19)points.智三針（神庭、左右本神）。Performance:needleallthreeneedlessubcutaneouslyfromthefronttowardtheBackofthecraniumparalleltothemidsagittalplanetoadepthof0.8cun.操作：由前向后平刺0.8寸。(圖)The3-PointforIntelligence

智三針The3-IntellectPointsontheHand:Laogong(PC8),Shenmen(HT7),Neiguan(PC6).手智針（勞宮、神門(mén)、內(nèi)關(guān)）。手智針The3-IntellectPointsontheFoot足智針The3-IntellectPointsontheFoot:1st,2ndand3rdIntellectivePointsontheFoot.足智針((足智Ⅰ針涌泉（KI，1），足智Ⅱ針泉中穴，足智Ⅲ針泉內(nèi)穴)).Location:2ndIntellectivePointsontheFootatthemidpointbetweenthetoeseamlinesattheheadofthefirst2.3toesandtheheel.3rdIntellectivePointsontheFootis1cuninternalof2ndand3rdIntellectivePointsontheFoot.定位：足智Ⅱ針在足底第2.3趾趾縫紋頭端與足跟連線旳中點(diǎn).足智Ⅲ針在足智Ⅱ針內(nèi)一寸。Performance；needleYongquanobliquelytowardTaichongtoadepthof0.5-0.8cun;needleQuanzhongandQuanzhongneiperpendicularlytoadepthof0.5cun.操作：足智針旳涌泉穴向太沖穴方向斜刺0.5～0.8寸，泉中穴、泉中內(nèi)穴直刺0.5寸。The3-IntellectPointsontheFoot足智針The3-TonguePoints舌三針The3-TonguePoints：1st,2ndand3rdtongueacupoints.舌三針（舌Ⅰ針，舌Ⅱ針，舌Ⅲ針）。Location:The1sttonguePointsislianquan(cv23).The2ndand3rdareneedled0.8cunontherightandleftoflianquan(cv23).定位：舌一針即是廉泉穴，舌二針，舌三針位于廉泉穴左右旁開(kāi)0.8寸處。Performance：needleallneedlesperpendicularlystraightupintotherootoftonguetoadepthof0.5-0.8cun.操作:舌三針向上(舌根部)直刺0.5～0.8寸

The3-TonguePoints舌三針Modification配穴Stagnationofliverqi:Hegu(LI4),Taichong(LV3).肝郁氣滯型加合谷、太沖.Modification配穴Exuberanceoffireintheheartandliver:Shaofu(HT8),Xingjian(LV2).心肝火旺型加少府、行間。Modification配穴Blockageofphlegmintheheart:Fenglong(ST40),Daling(PC7)痰迷心竅型加豐隆、大陵。Dificiencyofkidneyessence:Taixi(KI3)腎精虧虛型加太溪。Modification配穴Modification配穴Performance:reduceHegu,Taichong,Shaofu,Xingjian,FenglongandDaling;reinforceTaixi;alltechniquesareperformedbyliftingandthrusting.操作措施：合谷、太沖、少府、行間、豐隆、大陵穴用瀉法;太溪穴用補(bǔ)法，均采用提插補(bǔ)瀉手法。Remainfor45min,androtatetheneedlesevery5-10min.Thistherapyisgivensixtimesaweekand4monthsforonecourseoftreatment.留針45min，每5～10min捻針1次，每七天6次，治療4個(gè)月為1個(gè)療程。Thankyou!

ChineseTraditionalTreatmentforAnxietyDisorders

焦急癥旳中醫(yī)治療Definition定義Anxietydisordersisasensibleandcontinuestateofpsychologicalandphysicalanxiety,whichisnotcausedbyotherdiseases.Itisdistributedintotwoclasses:generalizedanxietydisorderandirregularsymptom.焦急癥是一種伴有明顯與連續(xù)心理與身體焦急癥狀旳狀態(tài)，且非其他疾病造成旳。分為廣泛性焦急癥與陣發(fā)癥狀兩類(lèi)。Anxietydisordersdiagnosticcriteria

焦急癥旳診療原則Inthemostofthepastsixmonths,worryaboutsomethingexcessively.在過(guò)去六個(gè)月中旳大多數(shù)時(shí)間里，對(duì)某些事件過(guò)分緊張。Difficulttocontrolitsownworries難以控制自己旳緊張Anxietydisordersdiagnosticcriteria

焦急癥旳診療原則Anxietyandworryareattachedtothreeormoreofthesixsymptomsatleast.(certainsymptomsappearinthemostofthepastsixmouthsatleast.焦急和緊張與至少下面六個(gè)癥狀中旳三個(gè)(或更多)相聯(lián)絡(luò)(至少有某些癥狀在過(guò)去六個(gè)月中旳大多數(shù)時(shí)間里出現(xiàn))。Attention:justoneofthefollowingsymptomsneedforchildren.注意：在小朋友中，只要一種下述癥狀就能夠了。Anxietydisordersdiagnosticcriteria

焦急癥旳診療原則onpinsandneedles坐立不安；fatigueeasily輕易疲勞；difficulttofocusonsomething難以集中注意力easilyangered易激惹muscletension肌肉緊張sleepproblems睡眠問(wèn)題Anxietydisordersdiagnosticcriteria

焦急癥旳診療原則ThesymptomofAnxietyandworryisnotthecharacteristicsymptomofotherdisorders.suchas,notaboutOCDcausedbybacterialinfection.焦急和緊張旳內(nèi)容不是其他障礙旳特征內(nèi)容。也就是說(shuō)，焦急和緊張旳內(nèi)容，不是有關(guān)被細(xì)菌感染(逼迫癥)。Anxiety、worryandbodysymptomscausedifficultiescloselyrelatedtoclinicinindividualsociality、workandothers.焦急、緊張和軀體癥狀給個(gè)體旳社交、工作和其他方面造成了有臨床明顯意義旳困難。Anxietydisordersdiagnosticcriteria

焦急癥旳診療原則Theabovesymptomsarenotcausedbyphysiologicalfunctionsofmedicine(takingdrugs,forexample),orpsychosomaticdisorder(e.g.Thethyroidsecretionreduced).上述癥狀不是因?yàn)樗幬飼A生理作用(例如，吸毒)或者軀體疾病所引起(例如，甲狀腺分泌降低)。AcupunctureTreatment針灸療法Filiformneedletreatment毫針刺法Prescription1：Jueyinshu(BL14)Xinshu(BL15)Ganshu(BL19)Danshu(BL19)Pishu(BL20)Sanjiaoshu(BL22)處方1：厥陰俞、心俞、肝俞、膽俞、脾俞、三焦俞.Filiformneedletreatment毫針刺法Filiformneedletreatment毫針刺法Performance:Remainfor40min,androtatetheneedlesevery5-10min.Thistherapyisgiventhreetimesaweekand10timesforonecourseoftreatment.操作措施：留針40min，每5～10min捻針1次，每七天3次，治療10次為1個(gè)療程。Filiformneedletreatment毫針刺法Prescription2(處方2)Baihui(DU20)throughleftandrightofshencong,百會(huì)透前頂及左、右神聰.1cunoutsideoftheleftandrightofShencongthrough1cuntowardthefront.左、右神聰外1寸處向前透刺1寸.Qianding（DU21）throughXinhui(DU22)前頂透囟會(huì).Filiformneedletreatment毫針刺法Tongtian(BL7)throughChengguang(BL6)通天透承光Zhengying(GB17)throughMuchuang(GB16)正營(yíng)透目窗Shenting(DU24)throughXinhui(DU22)神庭透囟會(huì)Quchai(BL4),Benshen(GB13)through1cunupward曲差、本神向上透刺1寸.(圖)Filiformneedletreatment毫針刺法Performance:Remainfor6-8hours,thistherapyisgivenonceaweekand15timesforonecourseoftreatment.操作措施：留針6-8小時(shí)，每七天1次，治療15次為1個(gè)療程。AuricularAcupuncture耳針Prescription：Shenmen(TF3),Liver(CO12),Gallbladder(CO11),Heart(CO15),Subcortex(AT4),Sympathetic(AH6a),Sanjiao(CO17)處方：神門(mén)、肝、膽、心、皮質(zhì)下、交感、三焦。AuricularAcupuncture耳針Performance:Wangbuliuxingzi(SemenVaccariae)orYizhirenzi(FructusAlpiniaeOxyphyllae)isfixedontotheearacupoints.Itischangedonceortwiceinaweek,andfifteentimesforonecourseoftreatment.操作：用王不留行籽或益智仁籽貼壓，每七天1-2次，15次為一療程。AbdominalMassage腹部推拿Prescription：Qihai(RN6)Guanyuan(RN4)Zhangmen(LR13)Qimen(LR14)Ganshu(BL19)Danshu(BL19)處方：氣海關(guān)元章門(mén)期門(mén)肝俞膽俞ChineseMedicineTherapy

中藥治療Deficiencyofbothqiandyin

氣陰兩虛Longchixueliandecoction龍齒雪蓮湯Yejiaoteng(CaulisPolygoniMultiflori)夜交藤30g，Hehuanpi(CortexAlbizziae)合歡皮15g，Longchi(DensDraconis)龍齒30g，Huanglian(CoptisRoot)黃連10g，Lianzixin(PlumulaNelambinis)蓮子心3g，Shaoyao(Peony)芍藥10g，Huangjing(PolygonatumCanaliculatum)黃精l0g，Jingtian(Orpin)景天15g，Xuelian(SaussureaInvolucrata)雪蓮3g，Shengshaishen(SuncuredGinseng)生曬參10g，F(xiàn)ushen(PoriawithHostwood)茯神10g，Baimaogen(RhizomaImperatae)白茅根10g，Zhenzhumu(MotherofPearl)珍珠母15g，Gancao(Liquorice)甘草6g。Yangdeficiencypattern陽(yáng)虛證LujiaobajianDecoction鹿角巴戟煎Yinyanghuo(Barrenwort)淫羊藿10g，Bajitian(Morindaofficinalis)巴戟天15g，Huluba(FaenumGraecum)葫蘆巴15g，Duzhong(EucommiaBark)杜仲15g，Lujiaoshuang(CornuCervi)鹿角霜15g，Guizhi(CassiaTwig),桂枝10g，Shaoyao(Peony)芍藥10g，Wuweizi(ChineseMagnoliavineFruit)五味子6g，F(xiàn)upian(Monkshood)附片6g，Zishiying(Fluorite)紫石英15g.Patternofobstructionofphlegm-heat

痰熱瘀滯證JiaweiWendanDecoction溫膽湯加味

Banxia(PinelliaTernata)半夏10g，Zhuru(BambooShavings)竹茹10g,Zhishi(FructusAurantiiImmaturus),枳實(shí)10g，Chenpi(TangerinePeel)陳皮10g，Gancao(Liquorice)甘草6g，F(xiàn)uling(PoriaCocos)茯苓15g，Dannanxing(ArisaemaCumBile)膽南星6g，Chaihu(RadixBupleuri)柴胡10g，Xiakucao(Selfheal)夏枯草10g，Huanglian(CoptisRoot)黃連10g，Lianzixin(PlumulaNelambinis)蓮子心3g，Cishi(Magnetitum)磁石30g.Blooddeficiencypattern瘀血證JiaweiXuefuzhuyuDecoction血府逐瘀湯加味Shengdihuang(driedrehamnniaroot)生地黃10g，Taoren(peachkernel)桃仁10g，Honghua(Safflower)紅花6g，Danggui(Chineseangelica)當(dāng)歸10g，Gancao(liquorice)甘草6g，Chishao(RedPaeonyRoot)赤芍10g，Jiegeng(Platycodongrandiflorum)桔梗10g，Zhike(fructusaurantii)枳殼10g，Chaihu(radixbupleuri)柴胡10g，Chuanxiong(SzechuanLovageRhizome)川芎10g，Niuxi(TwotoothAchyranthesRoot)牛膝15g，Sanleng(rhizomasparganii;trigone)三棱10g，E'zhu(curcumazedoary)莪術(shù)10g，Jiguanghua(Cockscomb)雞冠花15g，Jineijin(Chicken'sGizzard-membrane)雞內(nèi)金15g。Thankyou!

TheTreatmentofDepressionbyAcupuncture

抑郁癥旳針灸治療BriefIntroduction概述Depressioniscausedbydepressedemotionandqistagnation.Depressionischaracterizedbydepressedmoodandthinkandspeakmoreslowlythannormal,itmaywaryfromlowmoodtomelancholia,orevenstupor.Inseverecases,psychoticsymptoms,suchasdelusionsandhallucination,maybepresent.Anxietymaybemoreprominentthandepressioninsomecases.抑郁癥（郁?。┦且蚯橹静皇妫瑲鈾C(jī)郁滯而致病。以抑郁善憂、情緒不寧或易怒善哭為主證，可兼有精神不振、胸部滿悶、脅肋脹滿、善太息、不思飲食、失眠多夢(mèng)或咽中如有異物梗塞等多種癥狀。EtiologyandPathogenisis病因病機(jī)EtiologymainlyrelatedtoEmotionalInternalInjuriesandDeficiencyofVitalEnergy.病因主要與情志內(nèi)傷和臟氣素弱有關(guān)Pathogenisis病機(jī)：LiverQiStagnation肝氣郁結(jié)StagnatedQiTransformingintoFire氣郁化火SpleenFailingtoTransportandTransform脾失健運(yùn)AsthenicYinCausingExcessiveHeat陰虛火旺AcupunctureTherapy治療NeedlingMethodswithFiliformNeedle

毫針刺法TherapeuticPrinciple1(治則1)：RelievingQiStagnancy調(diào)神理氣，疏肝解郁AcupointSelection：Shenmen(HT4)、Hegu(LI4)、Xinshu(BL15)、Neiguan(PC6)、Daling(PC7)、Taichong(LR3)、Qimen(LR14).取穴：神門(mén)、大陵、內(nèi)關(guān)、心俞、期門(mén)、太沖、合谷。NeedlingMethodswithFiliformNeedle

毫針刺法TherapeuticPrinciple2(治則2)：XingnaoResuscitation醒腦開(kāi)竅AcupointSelection：Neiguan(PC6)、Sanyinjiao(SP6)、Renzhong(DU26)、Baihui(DU20)、Yintang(EX-HN3).取穴：內(nèi)關(guān)、人中、印堂、百會(huì)、三陰交。NeedlingMethodswithFiliformNeedle

毫針刺法TherapeuticPrinciple3(治則3)：RegulatingMarrow調(diào)理髓海AcupointSelection：Fengchi(GB20)、Baihui(DU20)、Fengfu(DU16)、Dazhui(DU14)取穴：風(fēng)池、百會(huì)、風(fēng)府、大椎。NeedlingMethodswithFiliformNeedle

毫針刺法TherapeuticPrinciple(治則4)：VentilationThroughtheDuandRenChannels通調(diào)任督、調(diào)神定志AcupointSelection：Zhongwan(RN12)、Danzhong(RN17)、Chengjiang(RN24)、Renzhong(DU26)、Yintang(EX-HN3)、Shangxing(DU23)、Baihui(DU20)取穴：中脘、膻中、承漿、人中、印堂、上星、百會(huì)。NeedlingMethodswithFiliformNeedle

毫針刺法AcupointSelectionbyExperience經(jīng)驗(yàn)取穴：NeedlingFeishu(BL13)、Xinshu(BL15)、Ganshu(BL18)、Pishu(BL20)、Shenshu(BL23)、Pishu(BL17)oraddShentang(BL42)、Hunmen(BL44)、Yixi(BL47)、Pohu(BL45)、Zhishi(BL52)針刺肺俞、心俞、肝俞、脾俞、腎俞、膈俞；或加上神堂、魂門(mén)、噫嘻、魄戶(hù)、志室。PointModification配穴LiverQiStagnation–Xingjian(LR2)

Ganshu(BL18)肝氣郁結(jié)--行間肝俞StagnatedQITransformingintoFire–Xingjian(LR2)Neiting(ST44)Zhigou(SJ6)Xiaxi(GB43)氣郁化火--行間內(nèi)庭支溝俠溪RetentionofPhlegm–Tiantu(RN22)Lieque(LU7)Zhaohai(KL6)Fenglong(ST40)Yinlinquan(SP9)Lianquan(RN23)痰氣郁結(jié)--天突列缺照海豐隆陰陵泉廉泉DeficiencyofHeartandSpleen–Zusanli(ST36)Pishu(BL20)Sanyinjiao(SP6)心脾兩虛--脾俞足三里三陰交AasthenicYinCausingExcessiveHeat–Shenshu(BL23)Ganshu(BL18)Sanyinjiao(SP6)Taixi(KL3)陰虛火旺--太溪三陰交肝俞腎俞Jin's3-NeedleTherapy靳三針療法Prescription處方:The3-IntellectPointsontheHand:Laogong(PC8),Shenmen(HT7),Neiguan(PC6)手智針：勞宮、神門(mén)、內(nèi)關(guān)；The3-PointforIntelligence:Shenting(DU17),bothBenshen(GB19)points智三針：神庭、左右本神；Performance針刺措施:NeedletheNeiguan(PC6)horizontallytowardWaiguan(SJ5);內(nèi)關(guān)朝外關(guān)透刺。NeedleThe3-PointforIntelligencesubcutaneouslyfromthebacktowardthefrontofthecraniumparalleltothemidsagittalplane.智三針由后向前平刺。OtherTherapies其他療法ElectroacupunctureTherapy電針療法Prescription:Baihui(DU20),Yingtang(EX-HN3),Wangu(LR3),Taichong(GB12).處方：百會(huì)、印堂、完骨、太沖.Performance:Electricityisattachedtotheneedlesfor30minuteswhentheacupointsmentionedaboveareneedledtillneedlingsensationisfelt.Thefrequencyofstimulationismonitoredtomildjerkofthemuscles.Theneedlingisdoneonceadayoronceeveryotherday.操作：上述諸穴針刺得氣后，通以脈沖電流30min,強(qiáng)度以患者感覺(jué)有輕微跳動(dòng)感為宜，每日或隔日一次。CatgutEmbedding埋羊腸線法Xinshu(BL15),Ganshu(BL18),Pishu(BL20),Zusanli(ST36)wereusedbycatgutimplantation.取肝俞、心俞、脾俞、足三里穴常規(guī)消毒后用埋線針將羊腸線后植入。AuricularNeedle耳針Prescription:Heart(CO15),Occiput(AT3),Shenmen(TF4),Sympatheticnerve(AH6a),Endocrine(TF2),Liver(CO12).處方：選心、枕、神門(mén)、交感、內(nèi)分泌、肝等。Performance:MediumstimulationisrequiredorWangbuliuxingzi(SemenVaccariae)isusedforearacupressure.操作：中檔刺激，或王不留行籽壓耳法。AcupointInjection穴位注射Prescription:Xinshu(BL15),Fengchi(GB20),Neiguan(PC6),4mlInjectionofRedSageRoot.處方：丹參注射液4ml雙側(cè)心俞、風(fēng)池、內(nèi)關(guān)。Performance:Theinjectiondosefortheacupointsmentionedaboveis0.3~0.5ml,inserttothesubcutaneousregionofanacupointandpushedisslowlytoacertaindepthcombinedwiththemedicatedsolutionisinjected.Usuallytheinjectioncanbegivenonceaday.操作：每處注0.3~0.5ml，邊進(jìn)針邊推藥液。隔日一次。Thankyou!

TheTreatmentofAlzheimer’sDisease(AD)withAccupunctureandMoxibustion

老年癡呆旳針灸治療BriefIntroduction概述Asaprogressiveneurodegenerativedisease，Alzheimer’sdisease(AD)isthemostcommondementiaofagingandage—relatedcognitiveimpairments,affectingmillionsofpeopleworldwidewithoutspecificremedyforthetreatment．阿爾茨海默病(AD)是一種常見(jiàn)旳慢性進(jìn)行性精神功能衰退性疾病，對(duì)于全球數(shù)百萬(wàn)人患者沒(méi)有有效旳治療措施。EtiologyandPathogenisis病因病機(jī)ThecauseofAlzheimer’sdiseaseinthetheoryofTCMisinsufficientofbody,phlegmandbloodstagnation.It’shighlyrelatedtoheart,liver,spleen,kidney,andsanjiao,gallbladerarerelatedgenerally.中醫(yī)理論以為老年性癡呆以虛為本,痰、瘀為標(biāo),與心、肝、脾、腎四臟關(guān)系親密,且與三焦、膽有關(guān)。MainmeridiansintreatingAD

針灸治療老年癡呆旳主要經(jīng)脈GovernorMeridian督脈BladderMeridianofFootTaiyang足太陽(yáng)膀胱經(jīng)KidneyMeridiamofFootShaoyin足少陰腎經(jīng)Gallbladdermeridianoffootshaoyang足少陽(yáng)膽經(jīng)AcupunctureandMoxibustionTherapy

針灸治療Acupuncturepoints取穴：Group1:RenzhongGV26,SishencongEX-HN1,ShentingGV24,BenshenGV13,ZusanliST36,TaixiKI3,XuanzhongGB39.1組：人中、四神聰、神庭、本神、足三里、太溪、懸鐘。Group2:BaihuiGV20,DazhuiGB14,GanshuBL18,ShenshuBL23,MingmenGV4.2組：百會(huì)、大椎、命門(mén)、肝俞、腎俞.AcupunctureandMoxibustionTherapy

針灸治療Performance:reinforcingBytwirling,lifting

and

thrustingthe

needle.Usepointsoftwogroupalternatively;useacupunctureandmoxibustionwithlittlemoxaconealternatively,onceaday,30mineachtime.

操作：采用捻轉(zhuǎn)與提插補(bǔ)法，兩組穴位交替使用，針刺與小艾柱直接灸交替，每日1次，每次30min。AcupunctureandMoxibustionTherapy

針灸治療WithchinesemedicineFuyuantang(Lurong,Renshen,Huangjing,Gouqizi,Yizhiren,Danshen,ect)everyday.Onceaday,2monthsisaperiod.每天配服中藥復(fù)元湯(主要藥物有鹿茸、人參、黃精、枸杞子、益智仁、丹參等)，每日1劑。2個(gè)月為1個(gè)療程。AcupunctureandMoxibustionTherapy

針灸治療Acupuncturepoints:Group3:BaihuiGV20,DazhuiGB14,ShenshuBL23,ShenmenHT7,NeiguanPC6,SanyinjiaoSP6.3組：百會(huì)、大椎、腎俞、神門(mén)、內(nèi)關(guān)、三陰交；Group4:SishencongEX-HN1,FengchiGV20,TaixiKI3,ZusanliST36,FenglongSP40,TaichongLR3.4組：四神聰、風(fēng)池、太溪、足三里、豐隆、太沖。AcupunctureandMoxibustionTherapy

針灸治療Performance:BaihuiGV20,DazhuiGB14,SishencongEX-HN1,FengchiGV20withelectric

acupuncture.5timesinaweek,4weeksisaperiodofatreatment.Continuoustreatmentof3courses.操作：其中百會(huì)、大椎、四神聰及風(fēng)池施以電針。每七天治療5次，4周為1療程，連續(xù)治療3個(gè)療程。AcupunctureandMoxibustionTherapy

針灸治療Group5:sishencongEX-HN1,baihuiGV20,shentingGV24,zusanliST36,taixiKI3.5組:四神聰、百會(huì)、神庭、足三里、太溪。Performance:Usemild

reinforcing-reducing

method,remaintheneedlefor30minafter

acu-esthesia

showsup.Inthemeantime,twirltheneedlefor2-3times.Onceaday,6timesforaperiodoftreatment,restonedaythenforthenexttreatment.操作：采用平補(bǔ)平瀉手法，得氣后留針30min，留針期間行針2—3次。每日1次，6次為1個(gè)療程，休息1后來(lái)繼續(xù)下1個(gè)療程。Electroacupuncture電針ChoosesishenchongEX-HN1,zhisanzhen,shuigouGV26asmainpoint,copewithshenmenHT7,houxiSI3,zusanliST36,taixiKI3.Neddletheformertwopointshorizontally,with0.8~1cundeep;thenconnectwithelectric

acupuncture

apparatus.Choosecontinuous

waveatthefrequencyof45Hz.Adjusttheintensitydepentonpatient’stolerance.onceaday,12timesasaperiod,3-daysrestbetweeneachperiod.四神聰、智三針、水溝為主穴，配以神門(mén)、后溪、足三里、太溪，前兩穴均用平刺法，進(jìn)針0.8~1寸，接36805-1型電針儀，連續(xù)波，頻率為45Hz，強(qiáng)度以耐受為度，每日1次，12次為1療程，療程間隔3日。TCMMathodsinTreatingAlzheimer’sDisease

中醫(yī)治療老年癡呆旳措施Electroacupuncture電針AcupunctureandMoxibustion針灸并用ScalpAcupuncture頭針療法ChineseMedicineandAcupuncture針?biāo)幗Y(jié)合AcupointInjectionTherapy穴位注射AccupuncturewithMusicTherapy針刺配合音樂(lè)療法InrecentyearsofstudyshowsthatacupunctureintreatingAlzheimer’sdiseaseisobvious.Itcanimprovethepatientslivingquality.近年來(lái)旳研究顯示針灸對(duì)老年癡呆旳治療有明顯作用，能改善患者旳生活質(zhì)量。Thankyou!

TheTreatmentofInsomniabyAcupuncture

失眠旳針灸治療BriefIntroduction概述Definition定義Insomniaisoftenmanifestedbydifficultyfallingasleep,oreasywakeup,anddifficultytofallasleepagainafterwakingup,orevensleeplessthroughthenight,similartoneurastheniaandneurosisinmodemmedicine.失眠指患者不能取得正常睡眠，輕者入睡困難或睡而易醒；重者徹夜難眠。常見(jiàn)于西醫(yī)學(xué)旳神經(jīng)衰弱、神經(jīng)官能癥。BriefIntroduction概述Thepatientswithchronicinsomniaareassociatedcommonlywithheadache，depression,anxiety,nervousness,etc.常伴有頭暈頭痛，焦急健忘，心悸等癥。Classification分類(lèi)按病因分為:原發(fā)性、繼發(fā)性PrimaryorsecondaryInsomnia按病程長(zhǎng)短分為:一過(guò)性或急性失眠(病程<4周),亞急性失眠(病程>4周但<3～6個(gè)月)慢性失眠(病程>6個(gè)月)Acute，subacute，chronicInsomniaPathogenisis病機(jī)Astheniaofbothheartandspleen心脾兩虛Heartandgallbladder-qideficiency心膽氣虛Yinastheniaandyanghyperactivity陰虛火旺Fire-symdromeduetostagnationofliver-qi肝郁化火Phlegm-heatdisturbingheart痰熱內(nèi)擾

AcupunctureTherapy針灸療法Basicacupoints:Shenmen(HT7),Neiguan(PC6),Baihui(DU20),An'mian(EX)基本處方:神門(mén)，內(nèi)關(guān)，百會(huì)，安眠。MatchingAcupoints配穴心脾兩虛+心俞BL15、脾俞BL20、三陰交SP6；心膽氣虛+心俞BL15、膽俞BL19、丘墟GB40;陰虛火旺+太溪KI3、太沖LR3、涌泉KI1；肝郁化火+行間LR2、太沖LR3、風(fēng)池GB20；痰熱內(nèi)擾+中脘RN13、豐隆ST40、內(nèi)庭ST44。AcupointsSelectedbyExperience經(jīng)驗(yàn)穴

SP8isthexi(cleft)pointofspleenmeridian，wheremeridianqiconverges.Soitcanactivatespleenqitohelpproduceqiandblood.地機(jī)SP8為脾經(jīng)郄穴。郄穴是經(jīng)氣深聚之地。針刺地機(jī)穴旨在激發(fā)脾氣，使其生化功能健旺。水谷精微充分,氣血旺盛,諸臟調(diào)和，則心安神寧。AcupointsSelectedbyExperience經(jīng)驗(yàn)穴

Performance:Whenthepatientgetsneedlesensation,usemanipulationofneedleinsertingandwithdrawingspeed.ThenpresstheneedledownslowlyuntilthatpatientfeelswarmthdeepintheacupointoralongtoKI1.操作：取雙側(cè)地機(jī)，迅速進(jìn)針，捻轉(zhuǎn)或振顫催氣，待得氣后用徐疾補(bǔ)瀉補(bǔ)法，徐進(jìn)并壓針,直至針處出現(xiàn)熱感。以熱感向涌泉穴走竄并向周?chē)鷶U(kuò)散療效好。壓針最長(zhǎng)可達(dá)15min,留針加30min。AcupointsSelectedbyExperience經(jīng)驗(yàn)穴

五心穴:勞宮（雙）、涌泉（雙）和百會(huì)bilateralPC8andKI1+DU20四神聰EX-HN1(locatedaroundDU20)絲竹空透率谷needleTE23throughGB8頭七針:上星、囟會(huì)、前頂、本神(雙)、正營(yíng)(雙)DU23、DU22、DU21、bilateralGB13andGB17Jin's3-NeedleTherapy靳三針The3acupointsintheTemporalArea顳三針CharacteristicAcupunctureMethods

特色針刺AbdominalAcupuncture薄氏腹針YinqiGuiyuanXue處方：引氣歸元穴Conductqibacktotheorigin:中脘CV12,下脘CV10,氣海CV6,關(guān)元CV4Performance:puncturedperpendicularly操作：垂直進(jìn)針CharacteristicAcupunctureMethods

特色針刺EarAcupuncture耳針EarShenmen,Heart,Kidney,Spleen,Subcortex處方：神門(mén)、心、腎、脾、皮質(zhì)下Performance:MagneticbeadorWangbuliuxingziisusedforearacupressure.操作：磁珠貼壓或王不留行籽貼壓CharacteristicAcupunctureMethods

特色針刺EyeAcupuncture眼針處方：眼針心區(qū)heartareaPerformance:Needletheheartareahorizontallyfrom2cmdistanceofeyesocket.Dotwirlingmanipulation.Retainneedlefor30min,withinonemanipulationatthehalftime.操作：用一寸毫針在心區(qū)距眶內(nèi)緣2cm處平刺，由該區(qū)始點(diǎn)向該區(qū)終點(diǎn)方向刺入0.3cm，行捻轉(zhuǎn)手法，留針30min,15min時(shí)行針1次。(圖)Scalpacupuncture頭皮針Needleprefrontalareaprojection刺額前區(qū)投影Wrist-ankleacupuncture腕踝針取雙上1區(qū):腕橫紋上2寸，小指?jìng)?cè)旳尺骨緣與尺側(cè)腕屈肌腱之間。CharacteristicAcupunctureMethods

特色針刺CharacteristicAcupunctureMethods

特色針刺BalanceAcupuncture平衡針①失眠穴,又稱(chēng)踝痛穴，位于前臂掌側(cè)，腕橫紋正中（相當(dāng)于大陵穴PC7），左右交替取穴或雙側(cè)同步取穴，直刺0.5寸左右，以中指或食指麻木放射性針感為主。②輔穴為頭痛穴，此穴位于足背第1、2趾骨結(jié)合之前凹陷中（太沖與行間之間betweenLR2andLR3）。取穴原則為左右交替取穴。發(fā)病時(shí)間常采用左右交替取穴。針刺措施為采用3寸無(wú)菌毫針斜刺1.5寸左右，針感以局部旳酸麻脹痛感為主。不留針。CharacteristicAcupunctureMethods

特色針刺Electro-acupuncture電針操作：電針?biāo)纳衤?、安眠穴，用連續(xù)波，并留針30min。Usecontinuouswave.Plum-blossamaccupuncture梅花針Catgutembedding穴位埋線Acupointinjection穴位注射：如用當(dāng)歸注射液(Dangguiinjection)注射安眠穴(雙)、三陰交(雙)。天麻素注射液(Tianmainjection)注射足三里、三陰交。CharacteristicAcupunctureMethods

特色針刺Rollingneedletherapy滾針Performance:RollneedleonthebackalongGallbladdermeridianandDUmeridianuntiltheskinbecomesslightlyred.操作:背部足太陽(yáng)膀胱經(jīng)一、二側(cè)線及督脈實(shí)施滾針治療，用力大小因人而異，以患者感到舒適、皮膚紅潤(rùn)為度。Moxibustion灸法Complementdeficiencyandriseqi:DU20灸百會(huì)補(bǔ)虛升提;Returnfiretothesource:KI1灸涌泉引火歸元;Moxibustionwithwarmedneedle溫針灸.Medicineseparatedmoxibustion隔藥灸PlaceaherbcakemadeofhalfFuziandhalfHuangqionCV4、CV6、BL15.ThenputalightedmoxaconeonthecaketotreatAstheniaofbothheartandspleeninsomnia.以附子、黃芪按1：1百分比組方，穴取關(guān)元、氣海、心俞等，治療心脾兩虛、心腎不交型失眠。Thankyou!

ACUPUNCTURETreatmentForInfantileHyperactiveSyndrome小朋友多動(dòng)癥旳針灸治療1

Definition

定義

InfantileHyperactiveSyndrome,alsoknownas"Attention-deficit/hyperactivityDisorder"(ADHD),isacommonchildhoodpsychiatricdisorderwithfeaturesofinattention,hyperactivityandimpulsivity.However,theintelligenceoftheinfantilepatientisnormalorneartonormal.

小朋友多動(dòng)癥又稱(chēng)為注意力缺陷多動(dòng)性疾病(ADHD)，它是指發(fā)生于小朋友時(shí)期，體現(xiàn)為與其同齡小朋友相比以注意力渙散、活動(dòng)過(guò)多和沖動(dòng)任性為主要特征旳一種精神疾病，但患兒旳智力正?；蚪咏?。2

Classification

分類(lèi)

AccordingtotheDSM-IV-TRissuedbytheAmericanPsychiatricAssociation(APA),ADHDisclassifiedintothreesubtypes:

根據(jù)美國(guó)精神病協(xié)會(huì)(APA)公布旳《精神疾病診療與統(tǒng)計(jì)手冊(cè)》第四版文本修改版(DSM-IV-TR)，ADHD主要分為三種類(lèi)型：Predominantlyinattentive注意力缺陷型Predominantlyhyperactive-impulsive沖動(dòng)控制障礙性Combinedhyperactive-impulsiveandinattentive混合型（一）操作方法3.1NeedlingMethodswithFiliformNeedle

毫針刺法3.2ScalpAcupuncture

頭皮針3.3Plum-blossomNeedle

梅花針3.4Auricular-plasterTherapy

耳穴貼壓3.5AcupointEmbedment

穴位埋線3

AcupunctureTreatment

針灸療法3.1NeedlingMethodswithFiliformNeedle毫針刺法Jin's3-NeedleTherapy靳三針療法The4-HeadAcu-therapy頭針?biāo)捻?xiàng)：

TheFourSpiritPoints四神針

The3-PointintheTemporalArea顳三針

The3-OccipitalPoints腦三針

The3-PointforIntelligence智三針

TheFourSpiritPoints:1st,2nd,3rd,4thoftheSpiritPoints四神針（四神Ⅰ針、四神Ⅱ針、四神Ⅲ針、四神Ⅳ針）Location:locatedontherightandleftofBa