足太陽膀胱經(jīng)【-】1課件

足太陽膀胱經(jīng)BladderMeridianofFoot-Taiyang,BL.足太陽膀胱經(jīng)BladderMeridianofFoot1學(xué)習(xí)內(nèi)容經(jīng)絡(luò)循行主治概要本經(jīng)腧穴(67穴)學(xué)習(xí)內(nèi)容經(jīng)絡(luò)循行2足太陽膀胱經(jīng)循行《靈樞．經(jīng)脈》：膀胱足太陽之脈，起于目內(nèi)眥，上額，交巔[1]。其支者：從巔至耳上角。其直者：從巔入絡(luò)腦，還出別下項(xiàng)[2]，循肩膊[3]內(nèi)，挾脊[4]抵腰中。入循膂[5]，絡(luò)腎，屬膀胱。其支者：從腰中，下挾脊，貫臀，入腘中。其支者：從膊內(nèi)左右別下貫胛，挾脊內(nèi)，過髀樞[6]，循髀外后廉下合腘中一一以下貫踹出外踝[7]之后，循京骨[8]至小指外側(cè)。足太陽膀胱經(jīng)循行《靈樞．經(jīng)脈》：膀胱足太陽之脈，起于目內(nèi)眥，3足太陽膀胱經(jīng)足太陽膀胱經(jīng)4主治概要頭面五官病神志病項(xiàng)背腰下肢病臟腑病主治概要頭面五官病5足太陽膀胱經(jīng)穴足太陽膀胱經(jīng)穴6膀胱經(jīng)頭部穴膀胱經(jīng)頭部穴7膀胱經(jīng)背部穴膀胱經(jīng)背部穴8膀胱經(jīng)下肢穴膀胱經(jīng)下肢穴9膀胱經(jīng)面穴膀胱經(jīng)面穴10睛明（BL1）[定位]目內(nèi)眥角稍內(nèi)上方凹陷處。[主治]目疾；急性腰扭傷、坐骨神經(jīng)痛；心動(dòng)過速。[操作]閉目，輕推眼球向外側(cè)固定，緩慢進(jìn)針，緊靠眶緣直刺0.5~1寸,遇阻力不強(qiáng)進(jìn)針.不捻轉(zhuǎn)不提插.出針后按壓針孔,以防出血.禁灸睛明（BL1）[定位]目內(nèi)眥角稍內(nèi)上方凹陷處。11靖明穴解剖靖明穴解剖12針刺注意事項(xiàng)針刺注意事項(xiàng)13攢竹(BL2)[定位]眉頭凹陷中,約在目內(nèi)眥直上.[主治]頭目病;呃逆.[操作]向眉中或向眼眶內(nèi)緣平刺或斜刺0.5~0.8寸.禁灸.攢竹(BL2)[定位]眉頭凹陷中,約在目內(nèi)眥直上.14膀胱頭頂穴膀胱頭頂穴15膀胱頭枕部穴膀胱頭枕部穴16膀胱背第一側(cè)線膀胱背第一側(cè)線17大杼(BL11)[屬性]八會(huì)穴之骨會(huì)[定位]第1胸椎棘突下,旁開1.5寸.[主治]咳嗽;項(xiàng)背痛證.[操作]斜刺0.5~0.8寸.(本經(jīng)背部諸穴不宜深刺,以免傷及內(nèi)部重要臟器.)大杼(BL11)[屬性]八會(huì)穴之骨會(huì)18風(fēng)門(BL12)[定位]第2胸椎棘突下,旁開1.5寸.[主治]外感病;胸部項(xiàng)部痛證.[操作]斜刺0.5~0.8寸風(fēng)門(BL12)[定位]第2胸椎棘突下,旁開1.5寸.19肺俞(BL13)[屬性]背俞穴[定位]第3胸椎棘突下,旁開1.5寸.[主治]肺疾;骨蒸潮熱,盜汗等陰虛病證.[操作]斜刺0.5~0.8寸肺俞(BL13)[屬性]背俞穴20厥陰俞(BL14)[屬性]心包背俞穴[定位]第4胸椎棘突下,旁開1.5寸.[主治]心疾;胸肺疾;嘔吐[操作]斜刺0.5~0.8寸.厥陰俞(BL14)[屬性]心包背俞穴21心俞(BL15)[屬性]背俞穴[定位]第5胸椎棘突下,旁開1.5寸.[主治]心及神志病證;胸肺疾;盜汗遺精等陰虛證.[操作]斜刺0.5~0.8寸心俞(BL15)[屬性]背俞穴22膈俞(BL17)[屬性]八會(huì)穴之血會(huì)[定位]第7胸椎棘突下,旁開1.5寸.[主治]上逆證(嘔吐,呃逆,氣喘,吐血等);陰虛及貧血證;皮膚病(癮疹,瘙癢)[操作]斜刺0.5~0.8寸膈俞(BL17)[屬性]八會(huì)穴之血會(huì)23肝俞(BL18)[屬性]肝之背俞穴[定位]第9胸椎棘突下,旁開1.5寸.[主治]肝膽病;目疾;癲狂癇;脊背病[操作]斜刺0.5~0.8寸肝俞(BL18)[屬性]肝之背俞穴24膽俞(BL19)[屬性]膽之背俞穴[定位]第10胸椎棘突下,旁開1.5寸.[主治]肝膽病;肺癆潮熱.[操作]斜刺0.5~0.8寸膽俞(BL19)[屬性]膽之背俞穴25脾俞(BL20)[屬性]脾之背俞穴[定位]第11胸椎棘突下,旁開1.5寸.[主治]脾胃腸腑病;背痛證.[操作]斜刺0.5~0.8寸脾俞(BL20)[屬性]脾之背俞穴26胃俞(BL21)[屬性]胃之背俞穴[定位]第12胸椎棘突下,旁開1.5寸.[主治]胃疾[操作]斜刺0.5~0.8寸胃俞(BL21)[屬性]胃之背俞穴27三焦俞(BL22)[屬性]三焦背俞穴[定位]第1腰椎棘突下,旁開1.5寸[主治]脾胃腸腑病;三焦氣化不利(小便不利,水腫等);腰背痛證[操作]直刺0.5~1寸三焦俞(BL22)[屬性]三焦背俞穴28腎俞(BL23)[屬性]腎之背俞穴[定位]第2腰椎棘突下,旁開1.5寸[主治]腎虛病;婦科病[操作]直刺0.5~1寸腎俞(BL23)[屬性]腎之背俞穴29大腸俞(BL25)[屬性]大腸之背俞穴[定位]第4腰椎棘突下,旁開1.5寸[主治]胃腸病證[操作]直刺0.8~1.2寸大腸俞(BL25)[屬性]大腸之背俞穴30小腸俞(BL27)[屬性]小腸之背俞穴[定位]第1骶椎棘突下,旁開1.5寸,約平第1骶后孔.[主治]泌尿生殖系統(tǒng)病;腹瀉痢疾;腰骶痛.[操作]直刺或斜刺0.8~1寸小腸俞(BL27)[屬性]小腸之背俞穴31膀胱俞(BL28)[屬性]膀胱之背俞穴[定位]第2骶椎棘突下,旁開1.5寸,約平第2骶后孔.[主治]膀胱病;腰骶痛;胃腸病.[操作]直刺或斜刺0.8~1.2寸膀胱俞(BL28)[屬性]膀胱之背俞穴32次髎(BL32)[定位]第2骶后孔中,約當(dāng)髂后上棘下與后正中線之間.[主治]婦科病;男子遺精疝氣;腰骶下肢痛證.[操作]直刺1~1.5寸次髎(BL32)[定位]第2骶后孔中,約當(dāng)髂后上棘下與后正中33中髎(BL33)[定位]第3骶后孔中.[主治]婦科病;二便不利;腰骶痛證[操作]直刺1~1.5寸中髎(BL33)[定位]第3骶后孔中.34下髎(BL34)[定位]第4骶后孔中.[主治]帶下病;二便病;腰骶痛證.[操作]直刺1~1.5寸下髎(BL34)[定位]第4骶后孔中.35背俞穴歌肺三心五膈七椎肝九膽十脾十一胃十二腎二大腸四小腸平一膀胱二背俞穴歌肺三心五膈七椎36膀胱大腿穴膀胱大腿穴37委中(BL40)[屬性]合穴,膀胱下合穴[定位]當(dāng)腘窩橫紋中央，于股二頭肌腱與半腱肌腱的中間，俯臥屈膝取穴。[主治]腰下肢痛證;膀胱病;胃腸病;丹毒.[操和]直刺1~1.5寸,或用三棱針點(diǎn)刺腘靜脈出血.手法宜輕緩,以免傷及血管和神經(jīng).委中(BL40)[屬性]合穴,膀胱下合穴38四總穴腰背委中求四總穴腰背委中求39膀胱背第二側(cè)線穴膀胱背第二側(cè)線穴40膏肓(BL43)[定位]第4胸椎棘突下,旁開3寸[主治]肺虛損;虛勞證;肩胛痛[操作]斜刺0.5~0.8寸膏肓(BL43)[定位]第4胸椎棘突下,旁開3寸41志室(BL52)[定位]第2腰椎棘突下,旁開3寸[主治]腎虛病(遺精陽痿等);膀胱病(小便不利水腫等);腰脊強(qiáng)痛.[操作]斜刺0.5~0.8寸志室(BL52)[定位]第2腰椎棘突下,旁開3寸42秩邊(BL54)[定位]平第4骶后孔,骶正中嵴旁開3寸.[主治]腰骶下肢痛;膀胱病(小便不利);二陰病.[操作]直刺1.5~2寸.秩邊(BL54)[定位]平第4骶后孔,骶正中嵴旁開3寸.43膀胱小腿穴膀胱小腿穴44承山(BL57)[定位]腓腸肌兩肌腹之間凹陷的頂端處,約在委中與昆侖穴之間中點(diǎn).[主治]腰腿痛證;后陰病[操作]直刺1~2寸.不宜作過強(qiáng)的刺激,以免引起腓腸肌痙攣.承山(BL57)[定位]腓腸肌兩肌腹之間凹陷的頂端處,約在委45膀胱足穴膀胱足穴46昆侖(BL60)[屬性]經(jīng)穴[定位]外踝尖與跟腱之間的凹陷處.[主治]頭項(xiàng)腰足痛證;癲癇;滯產(chǎn).[操作]直刺0.5~0.8寸.孕婦禁用,經(jīng)期慎用.昆侖(BL60)[屬性]經(jīng)穴47申脈(BL62)[屬性]八脈交會(huì)穴(通于陽蹻脈)[定位]外踝直下凹陷中[主治]腰腿痛證;神志病;頭疾[操作]直刺0.3~0.5寸申脈(BL62)[屬性]八脈交會(huì)穴(通于陽蹻脈)48至陰(BL67)[屬性]井穴[定位]足小趾外側(cè)趾甲跟角旁0.1寸[主治]頭面五官疾;胎位不正,滯產(chǎn).[操作]淺刺0.1寸.胎位不正用灸法.至陰(BL67)[屬性]井穴49本經(jīng)小結(jié)本經(jīng)經(jīng)脈循行主治概要取穴要點(diǎn)刺灸注意事項(xiàng)本經(jīng)小結(jié)本經(jīng)經(jīng)脈循行50經(jīng)脈循行主脈:(起)目內(nèi)眥——額——巔支脈：巔——耳上角主脈：巔——腦——項(xiàng)——肩胛——脊柱旁——腰——（絡(luò)）腎——（屬）膀胱支脈：腰——脊柱旁——臀——大腿后——腘支脈：項(xiàng)——脊柱旁——髖關(guān)節(jié)——大腿外后部——腘——小腿后——外踝后——小趾經(jīng)脈循行主脈:(起)目內(nèi)眥——額——巔51主治概要頭面五官諸陽疾，項(xiàng)背腰骶下肢病，神志五臟六府病，經(jīng)脈所過局部病。主治概要頭面五官諸陽疾，項(xiàng)背腰骶下肢病，神志五臟六府病，經(jīng)脈52取穴要點(diǎn)頭部十穴（晴明~天柱）：目、眉頭、正中線，斜方肌。背第一側(cè)線三十穴（大杼~白環(huán)俞）：脊柱旁開1。5寸骶部五穴（上髎~秩邊）：骶后孔背第二側(cè)線（附分~志室）：旁開3寸線上。下肢穴：（承扶~至陰）：腘橫紋、外踝、第五跖骨。取穴要點(diǎn)頭部十穴（晴明~天柱）：目、眉頭、正中線，斜方肌。53注意事項(xiàng)睛明穴：進(jìn)針慢、不捻轉(zhuǎn)、出針防出血天柱穴：不可向內(nèi)上方深刺，以免傷及延髓背部穴：斜刺不過0。8寸，以免傷內(nèi)臟委中穴：不宜過快過強(qiáng)過深，以免傷血管神經(jīng)承山穴：不做強(qiáng)刺激，以免引起腓腸肌痙攣昆侖穴：孕婦禁用，經(jīng)期慎用至陰穴：治療胎位不正用灸法。注意事項(xiàng)睛明穴：進(jìn)針慢、不捻轉(zhuǎn)、出針防出血54特定穴井穴滎穴輸穴原穴經(jīng)穴合穴絡(luò)穴陽蹻郄穴下合穴八會(huì)穴八脈交會(huì)通陽蹻郄穴三焦膀胱血會(huì)骨會(huì)至陰足通谷束骨京骨昆侖委中飛揚(yáng)跗陽金門委陽委中膈俞大杼申脈特定穴井穴滎穴輸穴原穴經(jīng)穴合穴絡(luò)穴陽蹻郄穴下合穴八會(huì)穴八脈交55%7lAO%7mAP%8mBP&8nBQ&9nBQ&9nCQ*9oCR*aoDR(apDR(apDS(bpES)bqET)cqFT)cqFT-crFU-drGU+dsGV+dsGV+esHV0etHW0ftIW1fuIW1fuIX1guJX2gvJY2hvKY2hvKY3hwKZ3iwLZ4ixL#4ixL#4jxM#5jyM!5kyN!6kyN!6kzN$6lzO$7lAO%7mAO%7mAP%8mBP&8nBQ&9nCQ&9nCQ*9oCR*aoDR(apDS(apDS(bpES)bqET)cqFT-cqFT-crFU-drGU+dsGV+esGV+esHV0etHW0ftIW1fuIW1fuIX1guJX2gvJY2hvKY2hvKY3hwKZ3iwLZ4ixL#4jxL#4jxM#5jyM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