悬钟穴的临床应用

悬钟穴 ,一名绝骨 ,属足少阳胆经 ,系足三阳之大络 ,又是八会穴中的髓会。《难经·四十五难》疏曰 :“髓病治此”。《医学入门》一书将本穴列为足部的治病要穴 ,并附列了胁痛、脚胫湿痹等主治病症。本穴历来为医家所重视 ,是临床上用途广泛、疗效显著的常用腧穴。1　定位关于悬钟穴的位置 ,《甲乙经》定为“在足外踝上三寸动者脉中 ,足三阳络 ,按之阳明脉绝乃取之” ;《针灸大成》定为“在足外踝上三寸动脉中 ,寻膜尖骨者是 ,足三阳大络 ,按之阳明络绝 ,乃取之”。二者措词稍异 ,其义则一。然而在实际操作中 ,有的取在腓骨前缘 ,有的取在腓…     

悬钟穴的临床应用

<正>悬钟又名绝骨,是足少阳胆经的经穴,八会穴之一的髓会。位于小腿外侧部,外踝尖上三寸,腓骨前缘凹陷处。《针灸甲乙经》:"在足外踝上三寸动者脉中,足三阳络,按之阳明脉绝乃取之。"本穴在临床上的运用十分广泛,且在古文献中多有记述,《千金方》载:治风,身重心烦,足胫痛;《铜人》载:治心腹胀满,胃中热不嗜食,膝痛,筋挛足不收履,坐不能起;《图翼》载:主治颈项痛,手足不收,腰膝痛,脚气筋骨挛;《医宗金鉴》载:主治胃     

浅谈绝骨穴的临床应用

绝骨,又名悬钟,是针灸的常用穴位。根据文选记载,该穴主治颈项强、胸胁胀痛、下肢麻痹、咽喉肿痛、脚气、痔疾等症。笔者在临床实践中应用此穴针灸治疗落枕、腰扭伤、肩痛等运动系统疾病,疗效比较显著。取穴与手法:《针灸大成》记载:“悬钟,一名绝骨,足外踝上三寸动脉中,寻摸尖     

悬钟位置小考

悬钟,别名绝骨,系足少阳胆经之喻穴.关于其位于足外踝上3寸,古今针灸文献记载基本一致,然近代针灸文献对其位于腓骨之前、后缘,则意见不一,众说纷纭。余故作此考证,以求正于同道.一、从文献记载来考订腧穴定位应以权威文献为依据.现存最早记载悬钟穴的文献是《针灸甲乙经》,我们在考正悬钟穴的位置时,必须以它为依据。这是因为《甲乙经》中关于悬钟穴的记载,不仅最早,而且为后世针家所宗,《铜人》、《资生》、《聚英》、《大成》等在论述悬钟穴时,均     

“绝骨”穴在针灸临床应用上的价值

「绝骨」穴别名「县钟」,属于足少阳胆经,在新针灸学则于下肢前外侧线,十四经发挥云:「悬钟在足外踝上三寸,动脉中。」考其他各书取法大致皆同,日本文部省经穴调查会审定之简便取穴法则在外踝上约三指横径,似稍异。又「难经」结合是穴之     

关于悬钟穴位置之商榷

悬钟一名绝骨,为足少阳胆经常用穴,主治胁痛、落枕、足胫挛痛、半身不遂等,但对该穴之位置,各书记载不一,多数认为是在外踝上三寸腓骨后缘,只少数书刊(如《针灸临床实践》,陈积祥编·陕西科学出版社84年1月出版。《简明中医词典》,人民卫生出版社1979年出版。《针灸穴位解剖图谱》,山东科技出版社1979年出版)认为是在外踝上三寸,腓骨前缘。此外,《经络腧穴学教程》(李鼎     

常用腧穴实用选粹(四十四)

悬钟(Xuan zhong) 归经 穴属足少阳胆经;八会穴之一:髓会绝骨(悬钟又名绝骨)。 定位 外踝尖上3寸,当腓骨后缘与腓骨长、短肌腱之间的凹陷处取穴。 取法 正坐或侧卧,于外踝尖上四横指处、腓骨后缘取之。 刺法 直刺或斜刺1～2寸,可灸;穴位注射。 主治 1、落枕,患侧取穴,直     

悬钟穴在临床上的应用

悬钟穴是足少阳胆经的穴位，是全身脏腑气、血、筋、脉、骨、髓等有代表性的八个特殊功能会穴中髓会穴，为髓气聚会之所。悬钟又名绝骨。具有平肝熄风疏肝益肾等作用。临床应用范围广，疗效颇为理想。为此，笔者就悬钟穴的临床应用谈一点粗浅认识。１悬钟穴的位置《甲乙经...     

关于阳辅穴的定位及其当为“髓会”之己见

通过对足少阳胆经经脉分布和《针灸甲乙经》所载阳辅穴位置的分析，认为阳辅穴定位应在腓骨的前缘，与该穴上１寸的光明穴、下１寸的悬钟穴在同一条直线上。通过对《针灸甲乙经》所载阳辅、悬钟位置的分析，认为现行多种医籍将八会穴中的髓会定为悬钟穴是欠妥的，髓会绝骨应是阳辅穴。     

悬钟穴的应用及定位考证

悬钟穴出自《针灸甲乙经》，别名绝骨，属足少阳胆经。其临床应用范围相当广泛。笔者从以下三个角度加以总结：     

针刺“三气穴”治疗妇科疾病验案4则

“三气穴”既气海、气穴、气门,分别属于任脉穴、肾经穴及经外奇穴,此三穴均位于脐下小腹部,具有调补冲任、壮元益肾、滋阴养血之功。笔者在临床中,将“三气穴”应用于妇科疾病的治疗,疗效颇佳。现举例如下。     

DT-13, a saponin of dwarf lilyturf tuber,exhibits anti-cancer activity by down-regulating C-C chemokine receptor type 5 and vascular endothelial growth factor in MDA-MB-435 cells简

AIM： To investigate the anticancer activity of DT-13 under normoxia and determine the underlying mechanisms of action. METHODS： MDA-MB-435 cell proliferation, migration, and adhesion were performed to assess the anticancer activity of DT-13, a saponin from Ophiopogonjaponicus, in vitro. In addition, the effects of DT-13 on tumor growth and metastasis in vivo were evaluated by orthotopic implantation of MDA-MB-435 cells into nude mice; mRNA levels of vascular endothelial growth factor （VEGF）, C-C chemokine receptor type 5 （CCR5） and hypoxia-inducible factor 1a （HIF-1a） were evaluated by real-time quantitative PCR; and CCR5 protein levels were detected by Western blot assay. RESULTS： At 0.01 to 1 umol·L -1, DT-13 inhibited MDA-MB-435 cell proliferation, migration, and adhesion significantly in vitro. DT-13 reduced VEGF and CCR5 mRNAs, and decreased CCR5 protein expression by down-regulating HIF-1 a. In addition, DT-13 inhibited MDA-MB-435 cell lung metastasis, and restricted tumor growth slightly in vivo. CONCLUSION： DT-13 inhibited MDA-MB-435 cell proliferation, adhesion, and migration in vitro, and lung metastasis in vivo by reducing VEGF, CCR5, and HIF-la expression.     

Ursolic acid induces U937 cells differentiation by PI3K/Akt pathway activation简

AIM： Ursolic acid （UA）, a pentacyclic triterpenoid, is used as an anti-inflammatory and anti-cancer agent. There were few studies on the effects of UA on differentiation, and this is the first time to elucidate the potential effect and molecular mechanism of UA on inducing differentiation in the human leukemia cell line U937. METHODS： Wright-Giemsa staining, nitroblue tetrazolium reduction assay and flow cytometric analysis were utilized to demonstrate the differentiation of U937 cells induced by UA. Western blotting and immunofluorescence assay were used to investigate the possible mechanism. RESULTS： It was found that UA could induce the differentiation of U937cells and Akt-activity was significantly increased during differentiation. Additionally, LY294002, a PI3K-Akt inhibitor, could block the differentiation of U937 cells induced by UA. CONCLUSION： UA could induce the differentiation of U937 cells by activating the PI3K/Akt pathway, and it could be a potential candidate as a differentiation-inducing agent for the therapy of leukemia.     

仝小林从络辨治阳痿验案1则

阳痿病从肾虚论治、补肾壮阳的治疗思路始终占有主导地位,而从络辨治、补气活血通络治疗鲜有论述。仝小林教授临证数十年,精于辨证,擅长从络辨治疑难杂病。现将其以补阳还五汤合抵当汤为主方治疗阳痿病的1则验案总结介绍如下,以供同道参考。 1 病案实录 牛某,男,46岁。初诊日期：2008年2月28日。     

连建伟外科病治验举隅

连建伟教授现任浙江中医药大学副校长、博士生导师、中华中医药学会方剂分会主任委员、第三批和第四批全国老中医药专家学术经验继承工作指导老师,其治学严谨,学验俱丰,医术精湛,临床上擅长以调和中焦方法治疗内科疑难病。连教授认为中医治病当以辨证为要,外科疾患虽见症于体表,然四诊合参,细审其因,     

管窥骨关节炎“痹痿并存”

石印玉教授对于骨关节炎的病机,提出“本痿标痹、痹痿并存”的学术观点。我们通过跟师学习,渐感其含义深刻。 早期随师学习时,笔者如下理解“本痿标痹、痹痿并存”的学术观点,也有专文发表,摘录如下： 骨关节炎属痿,原因有四：其一,从本质上看,骨关节炎符合痿证病机,即骨关节炎多由肝’肾不足而发病。其二,骨关节炎发病符合痿证特点。本病多发中老年以后,女子六七,男子六八,肝气衰,筋不能动,     

试论咸味药的软坚作用

四气五味是中药的药性,也是临床用药的依据之一。《素问·至真要大论》谓：“酸先入肝,苦先入心,甘先入脾,辛先入肺,成先入肾。”中药学理论认为,咸味之药,性浸润,柔软坚凝,使肿块顽痰消散;咸属水,     

孙桂芝运用“肾为五脏之本”理论治疗恶性肿瘤验案4则

孙桂芝教授是中国中医科学院广安门医院著名的中医及中西医结合肿瘤学家,博士、博士后导师,全国老中医药专家学术经验继承工作指导导师,享受国务院政府特殊津贴。孙师潜心研习并运用中医、中西医结合法治疗恶性肿瘤40余年,学术底蕴丰厚,经验宏富,疗效卓著,深受广大患者及行业同仁的信赖与推崇。     

Effect of acupuncture anesthesia on acne vulgaris of pricking-blood- letting cupping： a single-blind randomized clinical trail

OBJECTIVE： To evaluate the effect on acne vul- garis of pricking-bloodletting cupping at Dazhui （GV 14） under acupuncture anesthesia, and estab- lish whether providing anesthesia to the treat- ment area by manipulating Hegu （LI 4） and Quchi （LI 11） might have an additional therapeutic bene- fit. METHODS： Thirty-eight patients were recruited and randomized into a control group and an inter- vention group with a single-blind （observer-blind） method. The control group was treated by prick- ing-bloodletting cupping at Dazhui （GV 14） and the studied group by pricking-bloodletting cupping at Dazhui （GV 14） under acupuncture anesthesia at Hegu （LI 4） and Quchi （LI 11）. Both groups were treated twice weekly for 6 weeks. The analgesic and therapeutic effects of acupuncture were evaluated on a visual analog scale （VAS） and global acne grad- ing system （GAGS）, respectively.RESULTS： There were differences in the VAS scores of pain on pricking and in the pricked area, and the duration of pain between the groups. After 12 treat- ments, there was a significant reduction in GAGS scores from baseline in both groups, but there was no significant difference between the groups. CONCLUSION： Acupuncture anesthesia at Hegu （LI 4） and Quchi （LI 11） is an effective means of alleviat- ing the pain of pricking-bloodletting cupping and reducing the duration of pain in the treatment ar- ea. Pricking-bloodletting cupping at Dazhui （GV 14） improves the skin lesions of patients with moder- ate acne vulgaris, but acupuncture anesthesia does not appear to have an additional therapeutic effect.     

刘喜明运用经典方辨治咳嗽验案4则

刘喜明老师系中国中医科学院广安门医院主任医师、教授、博士研究生导师。治学严谨,勤求古训,博采众长,对杂病及疑难病的诊治独具匠心,疗效显著。笔者有幸侍诊,得其教诲,受益匪浅。现择选刘师运用经典方辨治咳嗽验案4则介绍如下。