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要有处方，本诊室的大夫谁都可以针），并说 已针灸半个多月疗效不明显，我看了下针灸处方，是肩三针、 阿是、曲池、外关、合谷等常用穴再加电针和TDP照射，针 后局部拔火罐，是治疗肩周炎的常规方法，怎么会无效呢？我 便又仔细检査了一下她的疼痛部位，是在肩的前面，位于手太 阴肺经的循行线上，我便想在手太阴肺经的远端找一个有压痛 的穴位针针试试，结果发现同侧的鱼肩穴处有一条索状物并且 压痛作常明显，便用随咳进针法针刺此穴并让病人活动肩部， 病人活动了不到一分钟后，突然放声大哭，我从来没见过这种 情况.吓了一跳，没想到病人接莕对荐陪她来的家人说：“姐 姐，今天我们去千佛山山会上烧的香没白烧了，你看我的病原 来针了半个多月，每次扎几十针都土不住痛，咱烧了香后只扎 一针就怎么活动也+痛了……”听到这些话.我不由自主地笑 着摇了摇头，心想：她怎么能想到这是计负肩穴的作用呢？ 《灵枢_经脉第十》说：“吨手太阴之脉■横出腋F，下 循瞄内……是主肺所生病者……嚅臂内前廉痛厥……”《灵 枢•经筋第十载：“手太阴之筋……结肩前鹘……其病'1 所过者支转筋痛……” 출장 * mf-太阴肺经经脉和经筋不通，肺经+通+治肺经.针冉多的穴位 也没用。鱼肩穴就是治疗肩周炎疼痛在肩的前而，经络辨证病 在肺经者，因其既对应于肩部，又是经脉所过，主治所及，所 以每用必效，
(4)三间
我刚参加工作时，试用第二掌骨侧的全息肩穴治疗肩周
一针疗it----------------■■■—麵一麵一《
炎，效果不错。同诊室一位年长的老师以为我针的是三间穴，
告诉我原来张善忱老师生前就经常针三间穴治疗肩周炎。之后 我发现， 출장안마 ，又符合全息 理论，对各种肩周炎都有一定的效果.尤其是对疼痛在肩髁穴 处的肩周炎疗效更好，常一针下去，立即见效。我的体会是： 출장 侧按压，可以找到一个王不留行籽大小的显著压痛点，多数病 人还有条索状物，用28〜30号0.5寸毫计（针太细了不行， 疗效受影响〕先向压痛点斜刺，穿过条索状物后再将针直刺于 条素状物和第二掌骨恻之间，同时让病人咳嗽和活动肩部，针 后再用手沿着手阳明大肠经自三间至肩髁穴处来回循按敲打数 次，然后让患者断续活动肩部，一般留针30〜45分钟。
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