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应用后溪穴与束骨穴治疗落枕时应注意的几点：一是要寻 找穴位处的压痛点针剌，二是要配合颈项部的活动》因落枕多 见于后项部的一侧，所以可先取同侧穴位，如未完全缓解，再 加刺对脷穴位。
如治某男，晨起颈项部疼痛，不敢转动，牵及耳后及肩胛 部。査：最主要的压痛点在后项部右侧，临近项颈部交界处 (即后面和侧面交界处），辨证病在手太阳经。让病人取坐位， 先在右側后溪穴寻找到一显著压痛点，以指代针按揉，同时让 病人活动患部，症状减轻，继用随咳进针法针刺后溪，剌人后
一針矜
沿手太阳经自后溪至病痛处用手指快速来冋循叩，随即再让病 人活动患部，疼痛明显减轻，活动基本正常，唯用力转头时右 侧肩胛区尚有疼痛感，继在其痛处阿是穴刺络拔罐，15分钟 后先将罐取下，再让病人活动数分钟后将针取下，一次治愈。
后溪（SI3)是手太阳小肠经的第3个穴位，在手小指根 部的尺侧，第五掌指关节尺侧后下方凹陷处，握拳时横纹头赤 白肉际处，见图12。
束骨（BL 65)是足太 출장안마 足外侧，当第5跖趾关节后 上方，赤白肉际处，见圏
(2)急钟（绝骨）
治疗少阳经落枕，即侧 颈部疼痛或压痛明显的落 枕，多见于侧卧睡眠而致落 枕者D
颈侧部主要是少阳经循 行部位„《灵枢♦经脉第十J 载：足少阳fi经"下颈合缺 盆《灵枢.经筋第十三S 载：“足少陷之筋……贯缺 盆，出太阳之前，循耳后……其病……颈维筋急……”悬钟 (GB39)是足少阳胆经的穴位，又叫绝骨穴，对于此穴的定 位，有两种意见，一种认为位于外踝上3寸，腓骨前缘；另一 种认为位于外踝上3寸，腓骨后缘。笔者认为应该是前缘，见 图H为什么呢？ 출장마사지 针灸甲乙经》说的很清楚，“外踝匕三寸，
17
68
金门
lii#农甘足通谷茔阴
m 13束脅穴
多年前，一位同事落枕，自针 后溪不效。 출장마사지 均在右惻颈部.不在后项部，辨证 属少阳经，为取右侧绝骨穴处压痛 点按揉，并令其活动患部，疼痛稍 缓，继用针刺之，随咳进针，活动 患部，疼痛减轻大半，活动明显改 苒，继续留针30分钟，其间每隔5 〜10分钟行针一次，并断续活动患 部，起针后，疼痛消失，活动正常。
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