肾俞穴的研究进展

发布时间：2018-04-14 00:05

本文选题：穴 + 肾俞　；参考：《中国针灸》2017年08期

【摘要】：为准确掌握肾俞穴的定位以提高针刺疗效,本文从肾俞穴的功能特点、解剖结构、实验研究、临床应用等方面进行了考证与探讨,以期对同仁将来的动物实验、临证选穴有所裨益。大鼠的脊椎特点与人体的脊椎特点有所不同,做动物实验进行穴位定位时,若将人体的解剖特点生硬地应用于动物身上,必将影响实验的可靠性及真实性。肾俞穴属足太阳膀胱经穴,位于第2腰椎棘突下旁开1.5寸处,内应肾脏,若针刺过深及反复提插,则会刺中肾脏等结构,引起针刺意外。因此,定位大鼠"肾俞"穴时,可根据大鼠的髋结节来确定第6腰椎,然后向上顺摸4个椎体,或先摸到第9~11胸椎这3个紧凑的棘突,定位最下方的为第11胸椎,然后向下顺摸4个椎体,即为第2腰椎,旁约5 mm处即是"肾俞"穴临床施针肾俞穴时,手法应轻柔,不可向外斜刺,直刺进针最深深度可达1.6寸(约4.30 cm),进针以直刺或45°角向脊柱方向斜刺0.8~1.2寸(2.00~3.10 cm)为宜,如遇到过瘦或过胖之病患,为了安全,针刺的深度亦应作适当调整。
[Abstract]:In order to accurately grasp the position of Shenshu point in order to improve the therapeutic effect of acupuncture, this paper makes a textual research and discussion on the functional characteristics, anatomical structure, experimental study, clinical application of Shenshu point in order to study the future animal experiments of colleagues.Clinical selection of acupoints is beneficial.The characteristics of rat spine are different from those of human body. The reliability and authenticity of the experiment will be affected if the anatomical characteristics of human body are applied stiffly to animals.Shenshu point is a point of bladder meridian of foot sun, located at 1.5 inch below the second lumbar spine spinous process. If the needle is too deep and repeatedly inserted, it will stab the kidney and cause needling accident.Therefore, when locating the "Shenshu" point in rats, we can determine the 6th lumbar vertebra according to the hip nodule of the rat, and then touch 4 vertebrae upward, or first touch the three compact spinous processes of the 9M11 thoracic vertebra, and locate the lowest one as the 11th thoracic vertebra.Then touch down 4 vertebrae, that is, the second lumbar vertebra, next to about 5 mm that is "Shenshu" point clinical acupuncture Shenshu point, the manipulation should be gentle, not oblique to the outside prick,The deepest depth of the straight needle can reach 1.6 inches (about 4.30 cm ~ (-1)). The depth of the needle should be adjusted for the safety of the patient who is too thin or too fat, if the needle is straight or 45 掳angled oblique to the spine of 0.81.2 inches or 2.00 ~ 3.10 cm.
【作者单位】：华中科技大学同济医学院附属武汉儿童医院武汉市妇幼保健院;北京中医药大学;
【基金】：教育部科学技术研究重大项目:313010
【分类号】：R246

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