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Sunday, January 30, 2011

Low Blood Pressure 低血压是什么造成的?食补吃些什么呢?

Blood pressure that is too low is known as hypotension. The similarity in pronunciation with hypertension can cause confusion. Hypotension is a medical concern only if it causes signs or symptoms, such as dizziness, fainting, or in extreme cases, shock.l181 When arterial pressure and blood flow decrease beyond a certain point, the perfusion of the brain becomes critically decreased (i.e., the blood supply is not sufficient), causing lightheadedness, dizziness, weakness or fainting. Sometimes the arterial pressure drops significantly when a patient stands up from sitting. This is known as orthostatic hypotension (postural hypotension); gravity reduces the rate of blood return from the body veins below the heart back to the heart, thus reducing stroke volume and cardiac output. When people are healthy, the veins below their heart quickly constrict and the heart rate increases to minimize and compensate for the gravity effect. This is carried out involuntarily by the autonomic nervous system. The system usually requires a few seconds to fully adjust and if the compensations are too slow or inadequate, the individual will suffer reduced blood flow to the brain, dizziness and potential blackout. Increases in G-loading, such as routinely experienced by aerobatic or combat pilots 'pulling Gs1, greatly increases this effect. Repositioning the body perpendicular to gravity largely eliminates the problem.
supplied by http://www.righthealth.com/topic/Low_Blood_Pressure_Chart/overview/uc_kosmixarticles


低血压定义分类和症状


门诊时我们有时会遇到这样的病人:青年,女性,身体瘦弱,早晨起床时经常出现精神疲惫、四肢乏力,坐起时感头晕,眼前发黑、心慌,需在床上躺半小时后症状略有减轻,平时有头晕、乏力、尤其午饭后嗜睡,精神无法集中。医院检查也没有发现如何疾病,测血压75/40mmHg。其实这是一种典型的低血压病人,伴有明显的低血压症状。严重时会影响到生活和工作。 什么是低血压?无论是由于生理或病理原因造成血压收缩压低于100mmHg,那就会形成低血压,平时我们讨论的低血压大多为慢性低血压。慢性低血压据统计发病率为4%左右,老年人群中可高达10%。慢性低血压一般可分为三类: ①体质性低血压,一般认为与遗传和体质瘦弱有关,多见于20-50岁的妇女和老年人,轻者可无如何症状,重者出现精神疲惫、头晕、头痛,甚至昏厥。夏季气温较高时更明显。②体位性低血压:体位性低血压是患者从卧位到坐位或直立位时,或长时间站立出现血压突然下降超过20mmHg,并伴有明显症状,这些症状包括:头昏、头晕、视力模糊、乏力、恶心、认识功能障碍、心悸、颈背部疼痛。体位性低血压与多种疾病有关,如多系统萎缩、糖尿病、帕金森氏病、多发性硬化病、更年期障碍、血液透析、手术后遗症、麻醉、降压药、利尿药、催眠药、抗精神抑郁药等,或其他如:久病卧床,体质虚弱的老年人。③继发性低血压:由某些疾病或药物引起的低血压,如脊髓空洞症,风湿性心脏病,降压药,抗抑郁药和慢性营养不良症,血液透析病人。 低血压病人主要临床表现:病情轻微症状可有:头晕、头痛、食欲不振、疲劳、脸色苍白、消化不良、晕车船等;严重症状包括:直立性眩晕、四肢冷、心悸、呼吸困难、共济失调、发音含糊、甚至昏厥、需长期卧床。这些症状主要因血压下降,导致血液循环缓慢,远端毛细血管缺血,以致影响组织细胞氧气和营养的供应,二氧化碳及代谢废物的排泄。尤其影响了大脑和心脏的血液供应。长期如此使机体功能大大下降,主要危害包括:视力、听力下降,诱发或加重老年性痴呆,头晕、昏厥、跌倒、骨折发生率大大增加。乏力、精神疲惫、心情压抑、忧郁等情况经常发生,影响了病人生活质量。据国外专家研究低血压可能导致与脑梗塞和心脏梗塞。直立性低血压病情严重后,患者可出现每当变换体位时血压迅速下降,发生晕厥,以致被迫卧床不起,另外诱发脑梗塞、心肌缺血、给病人、家庭和社会带来严重问题。 低血压患者轻者如无任何症状,无需药物治疗。主要治疗为积极参加体育锻炼,改善体质,增加营养,多喝水,多吃汤,每日食盐略多于常人。重者伴有明显症状,必须给予积极治疗,改善症状,提高生活质量,防止严重危害发生。近年来推出α受体激动剂管通,具有血管张力调节功能,可增加外周动、静脉阻力,防止下肢大量血液郁滞,并能收缩动脉血管,达到提高血压,加大脑、心脏等重要脏器的血液供应,改善低血压的症状,如头晕、乏力、易疲劳等症状。其他药物还有:麻黄素,双氢麦角氨,氟氢可的松等,中药治疗等效果和负作用有待进一步考察.


以下是分型论治:

(一)气虚阳虚 气虚可见面色晃白,头晕目眩,少气懒言,神疲乏力,甚则晕厥。阳虚除气虚症状外,兼有畏寒肢冷、自汗,脉沉缓或迟而无力,舌质胖淡舌苔白。  

a.心气虚,除上述气虚症状外,再加心悸、气短、胸闷等。方可选独参汤加减。经验方:人参,莲子各3钱,冰糖一两隔水炖熟,吃莲肉喝汤。 

b.脾虚或中气下陷,兼有纳少,腹胀,便溏,气短,乏力等。方可选补中益气汤。 

c.肾阳虚有身寒肢冷,动则气短,或五更泻等。方可选保元汤,真武汤,四逆汤,金匮肾气丸,右归丸加减。经验方:人参2钱(嚼服),黄精一两,枸杞三钱,肉桂一钱,甘草一钱,水煎服,每日1剂。 


(二)气阴两虚 除上述气虚症状以外,尚有阴虚表现。如口干、五心烦热、便秘、尿少、乏力,舌红苔少脉弦细等症状。 

a.心气阴两虚可见心悸、气短、胸闷等。常用生脉饮,炙甘草汤。经验方:黄耆五钱、党参四钱、麦冬三钱、五味子二钱、柴胡一钱,水煎后一日分三次服用。(有发炎疾病、火气大、口苦、烦躁、失眠,属实症,非气阴两虚者,不宜服用此方。) 

b.肾阴阳两虚,常有:头晕、眼花、耳呜、耳聋、腰酸、腿软、神疲、健忘等症状。方可用五子衍宗丸,金匮肾气丸等加减。 


(三)诊治参考: 

有些报导,辨证时,属气血双亏,用八珍汤、十全大补、人参养荣汤气虚痰厥头痛:用半夏天麻白术汤。脾阳虚痰饮作眩:用苓桂术甘汤。 

预防:

平时养成运动的习惯,均衡的饮食,培养开朗的个性,及足够的睡眠。所以低血压的患者,应过规律的生活。 

低血压患者入浴时,要小心防范突然起立而晕倒,泡温泉也尽量缩短时间。 

对血管扩张剂,镇静降压药等慎用。 

有直立性低血压的人: 

可以穿弹性袜。夜间起床小便或早晨起床之前先宜活动四肢,或伸一下懒腰,这样活动片刻之后再慢慢起床,千万不要一醒来就猛然起床,以预防短暂性大脑缺血。也可以在站立之前,先闭合双眼,颈前屈到最大限度,而后慢慢站立起来,持续约10一15秒钟后再走动,即可达到预防直立性低血压的目的。

低血压自疗法

当成年人肱动脉血压低于90/60毫米汞柱时,称为“低血压”,以女性及老年人为多见,临床上表现为头痛、眩晕、耳鸣、乏力、气短、自汗、手足发冷、健忘,部分患者可没有自觉症状。本病可分为急性与慢性两类,前者表现为晕厥与休克,后者又分为原发性、继发性低血压2种类型。 本病属于中医学“眩晕”、“厥症”、“心悸”、“虚劳”等范畴。 (一)按摩 (1)用圆珠笔杆点按双手手背食指根部下面的“血压反应区”3~5分钟,每天1~3次。 (2)用拇指按压双手掌心中央的“心包区”3~5分钟,每天1~3次。 (3)每天早晨起床后,用橡皮筋在双手中指与无名指第1关节上各绕3圈,1分钟后除去,每天1~3次。 (4)用橡皮膏贴在双手掌心“感情线”(又名:“天纹”,即上面的一条纹线)、“头脑线”(又名:“人纹”,即中间的一条纹线)及“生命线”(又名“地纹”,即下面的一条纹线),每天更换一次。 (5)用拇指分别按压双手“神门穴”(掌心“手腕线”下小指侧)、“大陵穴”(掌心“手腕线”下面中央)、“血海穴”(膝部髌内上缘上2寸)与“三阴交穴”(内踝尖上3寸,胫骨后)各3~5分钟,每天1~3次。 (6)用键身锤轻轻地叩击双脚脚底中央的“肾脏反射区”与左脚脚底“肾脏反射区”斜上方的“心脏反射区”各5分钟。 (二)食疗 (1)桂圆肉6克,干吃或加水煮后食用,每日1剂。 (2)肉桂、桂枝各5克,洗净后切薄片,与炙甘草5克同放入茶杯中,注入沸水200毫升,加盖焖15分钟,当茶频饮。 (3)红枣20枚、母鸡1只,先煸炒后焖熟,分几次食用,每日1剂。 (4)酸枣仁、茯神各15克,远志6克,猪心1只,炖熟,稍加调味品,每日1剂。 (5)粳米50克,清水800毫升,文火煮至半熟,倒出米汤,加入牛奶500毫升与白糖适量,共煮粥,分1~2次空腹服用。 (6)太子参15克,淮山药10克,薏苡仁20克,莲肉15克,红枣10枚,糯米50克,白糖适量,共煮粥,每日早晚各服1次。

蔡振扬 文 

Point taking: L 11, ST 36, LU9, PC6, ST9, LV3.

取穴:曲池,足三里,太渊,内关,人迎,太冲。

曲池 LI11

定位:在肘横纹外侧端,屈时,当尺泽与肱骨外上髁连线中点。

Qu Chi (LI11):

the lateral side of elbow stripes, elbow, when the ulnar epicondyle of the humerus Ze midpoint. Elbow at right angles, at the end when the elbow stripes.

功能:散风止痒,清热消肿。

主治:喉咙肿痛、齿痛,目赤痛,瘰疬,瘾疹,热病,上肢不遂手臂肿痛,腹痛吐泻,高血压,癫狂。对老年斑、手肘疼痛、肌肤粗糙也有疗效。

足三里 ST36:

定位:在小腿前外侧,当犊鼻下 3 寸,距胫骨前缘一横指 (中指)

Zusanli (ST36):

in the anterolateral leg, when the calf nose 3 inches from the leading edge of a cross-refers to the tibia (middle finger). Riding a bent position, in the lateral geniculate eyes (calf nasal) straight down Kazuo (3 inches) from the anterior tibial crest of a Wang pointed acupoints.

功能:和胃健脾,通腑化痰,升降气机。

主治:胃痛,呕吐,噎膈,腹胀,泄泻,痢疾,便秘,乳痛,肠痈,下肢痹痛,水肿,癫狂,脚气,虚劳赢瘦。

太渊 LU9:

定位:在腕掌侧横纹桡侧,桡动脉搏动处。

Taiyuan (LU9):

radial stripes in the volar side of wrist, radial arterial pulse Department. Yang palm, the wrist stripes on the radial side of the depression at the radial artery at the acupoints.

功能:止咳化痰,扶正祛邪。

主治:咳嗽,气喘,咳血,胸痛,咽喉肿痛,腕臂痛,无脉症。

内关 PC6

定位:在前臂掌侧,当曲泽与大陵的线上,腕横纹上 2 寸,掌长肌腱与桡侧腕屈肌腱之间。

Neiguan (PC6):

volar forearm, when the song Chak connection with the big hills on the wrist stripes on the 2-inch, tendon and the radial side of the wrist between the flexor tendon. Reaching Yang palm, 2-inch stripes in the wrist, tendon flexor carpi radialis tendon and between the acupoints.

功能:宁神镇痛,疏肝和中。

主治:心痛,心悸,胸闷,胃痛,呕吐,癫痫,热病,上肢痹痛,偏瘫,失眠,眩晕,偏头痛。

人迎 ST9

定位:在颈部,结喉旁,当胸锁乳突肌的前缘,颈总动脉搏动处。

Renyin (ST9):

in the neck, near the Adam's apple, when the leading edge of the sternocleidomastoid muscle, carotid artery pulse Department. Yang by riding with the Adam's apple of Ping, in the sternocleidomastoid front, 1.5 inches at the point selection from the Adam's apple.

功能: 宽胸定喘,散结清热。

主治:咽喉肿痛,气喘,瘰疬,瘿气,高血压。

太冲 LV3

定位:在足背侧,当第 1 踀骨间隙的后方凹陷处。

Taichong (LR3):

in the dorsal foot, when the rear of the 1st metatarsal gap depression. Riding a pedal or a supine position, between the dorsal metatarsal 1,2, metatarsus junction in front of depression, when squatting long extensor tendon at the outer edge of acupoints.

功能:平肝熄风,健脾化湿。

主治:头痛,眩晕,目赤肿痛,口,肋痛,遗尿,疝气,崩漏,月经不调,癫痫,呕逆,小儿惊风,下肢痿痹。




Monday, January 24, 2011

什么是心律不齐?Cardiac dysrhythmia

现在有很多人都会问什么是心律不齐?因为很多人都有心律不齐。心律不齐的定义是:心脏病变导致心脏博动异常的病理现象,“心律不齐”指的是你的心跳或快或慢,超过了一般范围。
按照心律不齐的定义分析,很多人在激动或紧张时都是心律不齐吗?
其实以上的心律不齐的定义并没有把什么是心律不齐解释透彻。
一般情况下,如心律不齐发生在年轻人或壮年人身上,以功能性较为多见。老年人心律不齐,则多见于器质性病变。心律不齐好发于青年患者,二三十岁的患者多见。心律不齐主要是由于窦房结的异常传导冲动造成的。常见于心肌炎、冠心病、风心病、酸碱失衡及电解质紊乱等造成的心律不齐,对于年轻的患者心肌炎和酸碱失衡是最常见的诱因,心肌受到损害,处于缺血缺氧状态,心脏其他的搏动点就容易发生异常搏动。
很多心律不齐都没有任何症状。如果有症状,一般为下面几种:1.心悸(一种患者自身能够感觉到的心跳变快加重)2.心跳缓慢3.不规则心跳4.心跳之间心脏暂停。严重疾病引起的心律不齐,多伴有一些症状,常见有头晕、胸闷、胸痛、气急、多汗、颜面苍白、四肢发冷、抽搐、昏迷等。轻微的心律不齐仍可以照常工作和学习。
最后提醒患者应该注意:如心律不齐来得迅猛,且发作时间持续较长或发作频繁,每分钟早搏超过5次以上,多表示病情较重,应及时就医。来势不急、持续时间又短,或发作次数少,则多表示病情较轻,可以观察一段时间。

取穴:(一)内关、间使。(二)内关、通里、少府

适用症状: 心脏跳动不顺,有时快,有时慢。

English version from: 



Cardiac dysrhythmia (also known as arrhythmia) is a term for any of a large and heterogeneous group of conditions in which there is abnormal electrical activity in the heart. The heart beat may be too fast or too slow, and may be regular or irregular.
Some arrhythmias are life-threatening medical emergencies that can result in cardiac arrest and sudden death. Others cause symptoms such as an abnormal awareness of heart beat (palpitations), and may be merely annoying. These palpitations have also been known to be caused by atrial/ventricular fibrillation, wire faults, and other technical or mechanical issues in cardiac pacemakers/defibrillators. Still others may not be associated with any symptoms at all, but may predispose the patient to potentially life threatening stroke or embolism.
Some arrhythmias are very minor and can be regarded as normal variants. In fact, most people will on occasion feel their heart skip a beat, or give an occasional extra strong beat; neither of these is usually a cause for alarm.[1]
Proarrhythmia is a new or more frequent occurrence of pre-existing arrhythmias, paradoxically precipitated by antiarrhythmic therapy, which means it is a side effect associated with the administration of some existing antiarrhythmic drugs, as well as drugs for other indications. In other words, it is a tendency of antiarrhythmic drugs to facilitate emergence of new arrhythmias.
The term sinus arrhythmia refers to a normal phenomenon of mild acceleration and slowing of the heart rate that occurs with breathing in and out. It is usually quite pronounced in children, and steadily decreases with age. This can also be present during meditation breathing exercises that involve deep inhaling and breath holding patterns.
Point taking: PC6, PC5, H5, H8

内关 PC6

定位:在前臂掌侧,当曲泽与大陵的线上,腕横纹上 2 寸,掌长肌腱与桡侧腕屈肌腱之间。

Neiguan (PC6):

volar forearm, when the song Chak connection with the big hills on the wrist stripes on the 2-inch, tendon and the radial side of the wrist between the flexor tendon. Reaching Yang palm, 2-inch stripes in the wrist, tendon flexor carpi radialis tendon and between the acupoints.

功能:宁神镇痛,疏肝和中。

主治:心痛,心悸,胸闷,胃痛,呕吐,癫痫,热病,上肢痹痛,偏瘫,失眠,眩晕,偏头痛。


间使 PC5:

定位:在前臂掌侧,当曲泽与大陵的连线上,腕横纹上 3 寸,掌长肌腱与桡侧腕屈肌腱之间。 

Jian Shi (PC5):

volar forearm, when the song Chak connection with the big hills on the stripes on the 3-inch wrist, tendon and the radial side of the wrist between the flexor tendon. Reaching Yang palm, 3-inch stripes in the wrist, tendon and flexor carpi radialis between the acupoints.

宽胸解郁,宁心降逆。

功能:心痛,心悸,胃痛,呕吐,热病,疟疾,癫狂痫。

通里:H5

定位:在前臂掌侧,当尺侧腕屈肌腱的桡侧缘,腕横纹上 1 寸。

Tong Li (H5):

volar forearm, flexor carpi ulnaris tendon when the radial side edge of the stripes on the l-inch wrist. Yang palm, flexor carpi ulnaris tendon at the radial side of the border, when the door of God and the small sea connection, 1.5 inches at the wrist stripes on acupoints.

功能:宁志安神。育阴清心

主治:心悸,怔忡,暴暗,舌强不语,腕臂痛。

少府 H8:

定位:在手掌面,第 4、5 掌骨之间,握拳时,当小指尖处。

Shao Fu (HT8):

In the palm side, between the first metacarpal 4,5, fist, when the little finger at. Yang palm flexor, 4,5 metacarpophalangeal joints in the rear, when the little finger and ring finger between the acupoints.

功能:清心宁神。

主治:心悸,胸痛,小便不利,遗尿,阴痒痛,小指孪痛。

Sunday, January 23, 2011

高血压 High Blood tension

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高血压是一种以动脉血压升高为主要表现的疾病,为常见的慢性病,多见于中、老年,一般40 岁以上的成年人收缩压应在144 mm,舒张压为90 m/m以内,本病有原发性与继发性两种,原发性多因精神刺激,情绪波动,使高级神经机能活动紊乱,皮肤下部的血管舒张收缩中区形成固定兴奋灶,全身小动脉持久痉挛,各器官缺血,尤其是肾脏缺血,引起一系列体液变化,以及小动脉硬化的因素,使血压恒定性增高,继发性高血压多由泌尿系统疾病,颅 内疾患及内分泌疾患等所引起。

一般若在160/95 以上多伴有眩晕、头痛、头胀、耳鸣、心慌、手指发麻、面红、烦躁、失眠等症,体检有时可见左心肥大,主动脉瓣第二音亢进,也有在高血压病程中症状突然加剧,血压急剧升高、出现激烈头痛、心跳过速,视力模糊、心绞痛、呼吸困难,面色潮红或苍白等症状,称为『高血压危象』,多见于高血压晚期,有时因血压急剧升高,还可致脑部循环障碍而引起脑水肿或颅内压增高,而见头部剧痛、恶心、呕吐、甚至昏迷、惊厥等症状,称为高血压脑病。

第一组:曲池、阳陵泉、太冲

第二组:内关、足三里、风池。

High blood tension is expressed in high blood pressure of artery. It is a chronic disease usually exists in middle or aged people. The high and low blood pressures of adult normally shall be in between 140mm and 90mm. The disease can be of original or subsequent. Those of original are mostly caused by spiritual stimulating, mood swing etc. to make nerve system disorder and the blood vessel control staying in tension state. The small arteries remain sustained spasm and making insufficient blood supply especially to renal organs resulted in arteriosclerosis and hypertension. Those of chronic are usually caused by urina system disorder, inner skull diseases or internal excretion malfuntioning. If the blood pressure is above 160/95, symptoms such as dizzy, head ache, head-tense, tinnitus, heart-flutter, numbed fingers, reddened face, irritancy and insomnia. During physical exam, hypertrophy left heart and heightened second sound of main artery are found. Sometimes the case may suddenly become serious, the blood pressure soars up, headache, heart pulse faster, blurred vision, heartburn, difficult breathing and the face turning reddened or pale. This is called “hypertension crisis", usually appeared in the later state of the disease. The rising of blood pressure may sometimes affect circulation in the brain to cause cerebral dropsy, inner skull pressure raising, resulting in serious head ache, neusea, vomiting, or coma or faint. It is call as "hypertensive cerebral disease.

Point taking:

LI12, GB34, LV3, PC6, ST36, GB20

曲池: LI11


定位:在肘横纹外侧端,屈时,当尺泽与肱骨外上髁连线中点。



Qu Chi (LI11): 



the lateral side of elbow stripes, elbow, when the ulnar epicondyle of the humerus Ze midpoint. Elbow at right angles, at the end when the elbow stripes.



功能:散风止痒,清热消肿。



主治:喉咙肿痛、齿痛,目赤痛,瘰疬,瘾疹,热病,上肢不遂手臂肿痛,腹痛吐泻,高血

压,癫狂。对老年斑、手肘疼痛、肌肤粗糙也有疗效。

阳陵泉 GB34:


定位:在小腿外侧,当腓骨头前下方凹陷处。



Yanglingquan (GB34): 



In the lower leg lateral, when the former head of the fibula below the depression. Riding a pedal position knees, below the fibular head before the depression point selection.



功能:疏肝利胆,疏筋镇痉。



主治:肋痛,口苦,呕吐,下肢痿痹,脚气,黄疸,小儿惊风。

太冲 LV3


定位:在足背侧,当第 1 踀骨间隙的后方凹陷处。



Taichong (LR3): 



in the dorsal foot, when the rear of the 1st metatarsal gap depression. Riding a pedal or a supine position, between the dorsal metatarsal 1,2, metatarsus junction in front of depression, when squatting long extensor tendon at the outer edge of acupoints.

功能:平肝熄风,健脾化湿。



主治:头痛,眩晕,目赤肿痛,口,肋痛,遗尿,疝气,崩漏,月经不调,癫痫,呕逆,小

儿惊风,下肢痿痹。

内关 PC6


定位:在前臂掌侧,当曲泽与大陵的线上,腕横纹上 2 寸,掌长肌腱与桡侧腕屈肌腱之间。



Neiguan (PC6): 



volar forearm, when the song Chak connection with the big hills on the wrist stripes on the 2-inch, tendon and the radial side of the wrist between the flexor tendon. Reaching Yang palm, 2-inch stripes in the wrist, tendon flexor carpi radialis tendon and between the acupoints.



功能:宁神镇痛,疏肝和中。



主治:心痛,心悸,胸闷,胃痛,呕吐,癫痫,热病,上肢痹痛,偏瘫,失眠,眩晕,偏头

痛。

足三里 ST36


定位:在小腿前外侧,当犊鼻下 3 寸,距胫骨前缘一横指(中指)



Zusanli (ST36): 



in the anterolateral leg, when the calf nose 3 inches from the leading edge of a cross-refers to the tibia (middle finger). Riding a bent position, in the lateral geniculate eyes (calf nasal) straight down Kazuo (3 inches) from the anterior tibial crest of a Wang pointed acupoints.



功能:和胃健脾,通腑化痰,升降气机。



主治:胃痛,呕吐,噎膈, 腹胀,泄泻,痢疾,便秘,乳痛,肠痈,下肢痹痛,水肿,癫狂,脚气,虚劳赢瘦。

风池 GB20


定位:在颈部,当枕骨之下,与风府相平,胸锁乳突肌与斜方肌上端之间的凹陷处。



Feng-chi (GB20): 



Ministry of the items, when the occipital bone, under the government of Ping with the wind, the upper trapezius muscle between the sternocleidomastoid and depression. Riding or fell down, in the entry, with the wind House Point (Du) phase level, when the upper trapezius muscle between the sternocleidomastoid and the depression point selection.



功能;平肝熄风,清热解表。



主治:头痛,眩晕,目赤肿痛,鼻渊,鼽衄(流鼻涕又流鼻血),耳鸣,颈项强痛,感冒,

癫痫,中风,热痛,疟疾,瘿气。

Saturday, January 22, 2011

Apoplexy (Hemiplegic paralysis)中风 (偏瘫、半身不遂)- 1

脑溢血后脑神经受损,初期症状为血压过高、昏迷,经急救处理后出现症状为:半身不遂、言语不清、痰多,故应转为复健治疗,情况稳定后三个月内为复健的黄金期,应妥为把握,以免肌肉僵硬、萎缩。

若能掌握时效给予治疗,不但可以达到复健亦可防止二次中风或三次中风。

上肢瘫痪:肩髃、曲池、外关、合谷、手三里。(Upper 


Part Apoplexy hemeplegic)


Apoplexy hemeplegic paralysis

It is caused by cerebral hemorrhage with initial symptoms of high blood tension and coma. After emergency therapy, the patient always suffered from hemiplegic paralysis, dysphonia, and phlegm and the rehabilitation therapy is to be followed. The three months thereafter is the best period which must be managed carefully to avoid stiffmuscle and atrophy.



If we applied the suitable therapy in time, not only the period of rehabilitation is shortened, it's also possible to avoid the second or third apoplexy.

These points are for Upper limb paralysis. (shown in the images can help stimulates our body to heal the mentioned diseases)



http://www.facebook.com/album.php?aid=34665&id=164061860292073




肩髃 LI15

定位:在肩部,三角肌上,臂外展,或向前平伸时,当肩峰前下方凹陷处。

Jian Yu (LI15):

In the antherior and inferior aspect of the acromion, in the depression between between the acromion and the greater tubercle of the humerus.
功能:散风清热,消痰止痒。

主治:肩臂孪痛不遂,瘾疹,瘰疬。


















曲池: LI11

定位:在肘横纹外侧端,屈时,当尺泽与肱骨外上髁连线中点。


Qu Chi (LI11): 



In the depression of the radial side of the transverse cubital crease.



功能:散风止痒,清热消肿。



主治:喉咙肿痛、齿痛,目赤痛,瘰疬,瘾疹,热病,上肢不遂手臂肿痛,腹痛吐泻,高血

压,癫狂。对老年斑、手肘疼痛、肌肤粗糙也有疗效。

外关:TW5

定位: 在前臂背侧,当阳池与肘尖的连线上,腕背横纹上 2 寸、尺骨与桡骨之间。

Wai guan(SJ5):

On the dorsal side of the forearm in the line connecting TW4 and the tip of the elbow, 2 cun proximal to the transverse crease of the wrist, in the depression between the ulna and the radius.
功能:解表清热,聪耳明目。

主治:热病,头疼,目赤肿痛,耳鸣,耳聋,胁肋痛,上肢痹痛。

合谷 LI 4:


定位:在手臂,第 1、2 掌骨间,当第 2 掌骨桡侧的中点处。



Hegu (LI4): 



In the back of the hand, metacarpal 1,2, when 2nd metacarpal radial side of the midpoint. Thumb, showing two fingers open, with another hand thumb joint stripes on the tiger's mouth, when the jaws of death combined with the Ministry of 1,2 metacarpal midpoint of the line; thumb and index finger together and the highest point selection in the muscle.



功能:清热解表,明目聪耳。



主治:头痛,目赤肿痛,鼻衄,齿痛,牙关紧闭,口眼喎斜,耳聋,痄腮,咽喉肿痛,热病

无汗,多汗,腹痛,便秘,经闭,滞产。面部美容:由於合谷穴與整個頭部組織有關。

手三里 LI10:


定位:在前臂背面桡侧,当阳溪与曲池连线上,肘横纹下 2 寸。 



Shousanli (LI10): 



On the radial side of the forearm, 2 cun distal to the transverse cubital crease in the line connecting LI5 and LI11



功能:清热明目,理气通腑。



主治:齿痛颊肿,上肢不遂,腹痛,腹泻。

肾虚牙痛也称虚火牙痛有牙齿松动的感觉。 手三里可增强体质,是人体的强壮穴,所以平日也可多揉以健身。




下肢瘫痪:环跳、风市、委中、阳陵泉、太冲、足三里。


Lower limb paralysis:


环跳 GB30

定位:在股外侧部,侧卧屈股,当股骨大转子最凸点与骶管袭孔连线的外 1/3 与中1/3 交点处。

Huan Tiao (GB30):

On the lateral aspect of the body when the thigh is flexed, at the junction of the lateral 1/3 and medial 2/3 of the line connecting the greater trochanter and the hiatus of the sacrum.


功能:祛风化湿,疏通经络。

主治:下肢痿痹,腰痛

风市 GB31

定位:在大腿外侧部的中线上,当腘横纹上 7 寸。 或直立垂手时,中指处。

In the midline of the lateral aspect of the thigh, 7 cun proximal to the transverse popliteal crease.

功能:化风去湿,疏通经络。

主治:下肢痿痹,遍身瘙痒,脚气。

委中 BL40

定位:在腘横纹中点,当股二头肌腱与半肌肌腱的中间。

Wei Zhong (BL40):

At the midpoint of the transverse crease of the popliteal fossa, between the tendous of m. biceps femoris and m. semitendinous.

功能:清热醒脑,理血消肿。

主治:腰痛,下肢痿痹,腹痛,吐泻,小便不利,遗尿,丹毒。

阳陵泉 GB34:
定位:在小腿外侧,当腓骨头前下方凹陷处。

Yanglingquan (GB34):

The point is located in the sitting position with the knee bent at 90 degree or in the supline position, in the depression anterior and inferior to the head of the fibula.
功能:疏肝利胆,疏筋镇痉。

主治:肋痛,口苦,呕吐,下肢痿痹,脚气,黄疸,小儿惊风。

太冲 LV3

定位:在足背侧,当第 1 踀骨间隙的后方凹陷处。

Taichong (LV3):

in the dorsal foot, when the rear of the 1st metatarsal gap depression. Riding a pedal or a supine position, between the dorsal metatarsal 1,2, metatarsus junction in front of depression, when squatting long extensor tendon at the outer edge of acupoints.


On the dorsum of the foot, in the depression proximal to the first metatarsal space.




功能:平肝熄风,健脾化湿。

主治:头痛,眩晕,目赤肿痛,口,肋痛,遗尿,疝气,崩漏,月经不调,癫痫,呕逆,小儿惊风,下肢痿痹。




足三里 ST36

定位:在小腿前外侧,当犊鼻下 3 寸,距胫骨前缘一横指 (中指)。

Zusanli (ST36):

in the anterolateral leg, when the calf nose 3 inches from the leading edge of a cross-refers to the tibia (middle finger). Riding a bent position, in the lateral geniculate eyes (calf nasal) straight down Kazuo (3 inches) from the anterior tibial crest of a Wang pointed acupoints.

功能:和胃健脾,通腑化痰,升降气机。

主治:胃痛,呕吐,噎膈,腹胀,泄泻,痢疾,便秘,乳痛,肠痈,下肢痹痛,水肿,癫狂,脚气,虚劳赢瘦



痰多:丰隆、天突、中脘。




丰隆 ST40
定位- 在小腿前外侧,当外踝尖上8寸,条口外,距胫骨前缘二横指(中指)

Fenglong (ST40):

in the anterolateral leg, when the lateral tip of the 8-inch, extraoral article from the leading edge of the second cross-refers to the tibia (middle finger). Riding a knee or supine position, the rear hole in the mouth of a cross section refers to acupoints, when the calf nose and solutions about the midpoint of stream acupoints.

功能:化痰定喘,宁心安神。

主治:头痛,眩晕,痰多咳嗽,呕吐,便秘,水肿,癫狂痫,下肢痿痹。

 天突 CV22

定位:在颈部,当前正中线上,胸骨上窝中央。

Tian Tu (CV22):

Yang by the seat. In the neck, the current median line, the central suprasternal fossa. 1-inch hole on the Xuanji, nest on the middle of the sternum, riding, looking upward, point selection.

功能:宣统废气,消痰止咳。

主治:咳嗽,气喘,胸痛,咽喉肿痛,暴暗,瘿气,梅咳气,噎膈。

中院 CV12
定位:在上腹部,前正中线上,当脐中上4寸。

功能:和胃健脾,通降腑气。

Zhongwan (CV12):

supine position. In the upper abdomen, the former center line, when the umbilical in the 4-inch. 4-inch on the navel, belly line, sit-point selection.

主治:胃痛,呕吐,泛酸,腹胀,泄泻,黄疸,癫狂







言语不清:痖门、廉泉。


 痖门 GV15

定位:在颈部,当后发际正中直上0.5寸,第一颈椎下。

Yamen (GV15):

is sitting. Ministry of the items, when straight after hairline O. 5-inch, 1 cervical vertebra under. Riding, head slightly forward, at the midline into the hair after the O. 5 inches of sag in the acupoints.

功能:散风熄风,开窍醒神。

主治:暴暗,舌强不语癫狂痫,头痛项强。

廉泉 GV23:

定位:在颈部,当前正中线上,喉结上方,舌骨上缘凹陷处。

Lian Quan (CV23):  Yang by the seat. In the neck, the current median line, Adam's apple above the hyoid bone on the edge of depression. Riding, micro upward, above the Adam's apple, when the lower edge of hyoid depression acupoints.

功能:利喉舒舌,消肿止痛。

主治:舌下肿痛,舌缓流涎,舌强不语,暴暗,吞咽困难。