麻木病机及常用穴位浅析

An Analysis of the Pathogenesis of Numbness and Commonly-Used Acupoints

麻木病位在筋脉,风、虚、瘀、痰为主要致病因素,基本病机表现为气血失衡,筋脉失养。将麻木分虚实辨证论治,实证为风、寒、湿、痰、瘀、气滞,虚证为气虚、血虚、营卫虚弱、液少、脾胃虚弱、肝肾不足等。治疗麻木常用穴位有:膈俞穴、风市穴、阳陵泉穴、太冲穴、十宣穴、阿是穴。常用治疗穴位作用:膈俞穴从"血"而治,既可活血化瘀治麻,又可补血养血祛麻;风市穴从"风"而治;阳陵泉从"筋"而治;太冲穴行气化痰治麻,取治痰先治气之意;十宣穴可有效解决手指部麻木;阿是穴针对性较强,主治局部病变。

The location of numbness is in tendons and veins,wind,deficiency,blood stasis and phlegm are the main pathogenic factors.The basic pathogenesis is qi-blood imbalance and vein dystrophy.Differentiating numbness into deficiency and excess,the syndrome is manifested as wind,cold,dampness,phlegm,blood stasis and qi stagnation.The deficiency syndrome is manifested as qi deficiency,blood deficiency,nutrient and defensive weakness,few fluid,spleen and stomach,deficiency,liver and kidney deficiency,etc.The commonly used acupoints for numbness treatment include Geshu(BL 17),Fengshi(GB 20),Yanglingquan(GB 34),Taichong(LR 3),Shixuan(EX-UE11) and Ashi(Extra).The effects of commonly-used therapeutic acupoints are as follows:Geshu(BL 17) treats numbness based on blood,can not only promote blood circulation and remove blood stasis,but also supplement blood and nourish blood.Fengshi(GB 20) treats numbness based on wind.Yanglingquan(GB 34) treats numbness based on tendons.Taichong(LR 3) can promote qi circulation first and then resolve phlegm.Shixuan(Extra) can effectively solve finger numbness.Ashi acupoint has strong focus and mainly treats local lesions.