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《湖南中医学院学报》1989第2期陈玉也报道了一则针太 冲治疗丑时腰痛的病案,附录于下,供参考。
陈某,女,45岁,农民,1995年9月7日初诊。腰
痛2月,定时发作,每日凌展2时左右即疼痛难忍,呈抽
一针秀it
掣样痛,痛时不能再睡,必起床撑腰行走数步,其痛始 缓,至天亮腰痛若失。曾在某处针灸并用药未愈。经纳子 法推算,凌晨2时是丑时,气血旺于肝经,取肝经腧穴太 冲针刺,嘱停服他药,第3天复诊,诉两夜未痛,恐复 发,要求再针1次,仍取太冲。
写到这里,我忽然想起了 “马丹阳天星十二穴治杂病歌” 中说太冲穴“亦能疗腰痛,针下有神功。”他治的是否也包括 丑时腰痛呢?
(4)太冲穴治疗丑时烦躁
1996年2〜8月我在针灸病房期间,住院的病人当中就有 3例时间性病症,分别是中风丑时烦躁,截瘫寅时下肢木胀不 适,颈、腰椎间盘突出症酉时四肢疼痛沉重,依法分别只取太 冲等穴治疗,定时发作的症状全部消失。这里先介绍一下丑时 烦躁的治疗过程,其他2例在本书中也有详述。
有一次查房前,值夜班的医生和护士说,“你今天査房的 时候说说某某床,最近这段时间每天半夜里都闹腾,搞得整个 病房不得安宁,其他病人意见很大。”病人是一位50多岁的男 性,因中风入院已两月,主要症状是言语蹇涩和右侧上下肢活 动不利。近10天来每天晚上1点钟左右醒来,烦躁不安,表 情激动愤怒,大声叫喊漫骂,陪床的儿女和同屋的病人没法阻 止,大约2小时后复又睡去,白天其儿女和其他人再问夜间之 事,甚至批评训斥,病人也只是嘿嘿发笑,与夜间判若两人。 출장안마 ,下肢内侧疼痛不适,舌质红赤,脉 弦。足厥阴肝经行于下肢内侧,丑时也正是营气流注于肝经之 时,综合脉证,属肝火无疑。 출장마사지 针治疗,每天只针双侧太冲穴,接电针1小时。1周后再次查 房,自第一次针后当晚至今,夜间未再烦躁,便又针药并施治
195
----^十乃ii
196
其中风,丑时烦躁也没再发作。
2.太渊穴治疗寅时(3〜5点)病症
(1)太渊穴治疗寅时啤喘
1993年10月,一位同行请我为其在某肿瘤医院住院的老 人针灸。患者女,68岁,素有哮喘病史20余年,3月前因发 现形体消瘦,经胸片检查确诊为肺癌, 출장샵 。刻诊-患者精神萎靡不振,面 色灰黯无泽,双目无神,不能平卧(呈半卧位),语音低微。 自诉近日每于晨起3时许即喘促气短,呼吸闲难,张口抬肩, 喉中哮鸣,约2小时后(5时许)哮喘自止。舌黯红少苔,脉 细数无力。证属肺气大虚,针取双太渊穴(图27),用补法, 留针30分钟。 출장마사지 ,因其家人亦有行医者,乃嘱其每曰针 之。1月后随访,患者已于数天前去世,但自针后当晚及去世 前寅时未再发作哮喘,且因针1次后当晚未发哮喘,其家人也 未再针之。
按:晨起3〜5时为寅时,据子午流注学说,寅时营气流 注于肺经,该病人身患绝症,其时哮喘,结合其病史脉证,当 属肺气大虚。太渊穴为手太阴肺经五输穴中的“输”穴,又为 “原”穴,在五行属土,有补肺益金之功,肺虚者宜之。故本 例虽系绝症,但仍可收救急之效。
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