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不明原因痛证循经治疗一例

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    发表于 2012-6-3 01:32:38 | 显示全部楼层 |阅读模式
    本帖最后由 和光国医 于 2012-6-3 01:47 编辑

    张某 男 58 农户 治疗时间:2011,11,1

    主诉:中午午饭后于家休息,未有任何受撞及前兆,右小腿胫骨突然灼热发痛,疼痛难忍,小腿肚发胀,不能履地。此前从无此痛。
    查体:血压,88/130。脉弦数。患者行动困难。腓肠肌无痉挛,无外伤史。于前日曾从事大量体力劳动。午饭曾食鸭肉。由冲阳处外并脚腕关节至外牛眼处,此段胫骨疼痛异常,有高度压痛。仰卧位不能直抬脚,抬则有痛。无动作时,其右胫骨灼热疼痛。对侧胫骨,腰臀部及大腿内外侧,双侧上肢均无异常痛症。
    治疗:按患者所诉,其痛循足阳明。但具体痛因无法判析。治疗上以循经治。
    针阳明俞穴陷谷,加解溪,足三里。暂针三穴,行泻法。解溪处针感酸胀强烈,患者要求行针停止,不予理会。五分钟后其胫骨灼热疼痛感有所缓解。加针太冲,阴陵泉。并于解溪与足三里行牵引针法,太冲,陷谷行双舌吐信。每于解溪行针针感异常强烈,故后再于解溪行运气治痛法。约十分钟后,其痛减六成,抬其小腿稍加力外扭,仍有疼痛,加针昆仑。小补小泻。留针二十分。并加梅花针针锤循叩及胫骨骨骼肌强推。手法毕,痛症几乎消失。
    查其由冲阳处外并脚腕关节至外牛眼处,此段压痛点亦消失。
    嘱其落地,无碍,行走时,膝内侧略有小痛,胫骨痛状已无。
    重新检查其下腰及脚腕关节相关软组织压痛点,高度敏感。
    观察其十余分钟无反复。
    反馈:良好。其余情况待访。
    注:此例为急发性疼痛,其原因不明(按其生活环境,大概与长期过劳所积有关,况阳明主血养气运,患者长处操劳,六淫侵过并加少气少血而首见证于阳明,大概臆断),因其痛依经而传,故完全循经而治,其取穴也并无特别之处,治疗效果在意料之外,于疼痛治疗中循经治疗有借鉴意义,故简录之。
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    发表于 2012-6-3 07:15:47 | 显示全部楼层
    谢谢分享
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    发表于 2012-6-7 07:29:18 | 显示全部楼层
    谢谢分享!
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    发表于 2013-7-15 11:39:44 | 显示全部楼层
    谢谢分享!
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    发表于 2014-5-18 22:42:31 | 显示全部楼层
    谢谢
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    发表于 2017-4-29 15:07:09 | 显示全部楼层

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    发表于 2017-6-4 00:46:30 | 显示全部楼层

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