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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， 출장안마 ，握拳时横纹头赤 白肉际处，见图12。
束骨（BL 65)是足太 출장마사지 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。 출장마사지 ，见 图H为什么呢？ 출장안마 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。仔细检査其疼痛和压痛 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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