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第十一节 选穴与配穴原则
人体上有数百个穴位,而治疗一般疾病或进行养生保健时,需要的只是其中很少的几个。如何在数目众多的穴位中进行合理选择和搭配呢?
中医常用选穴方法
根据需要选取合适的穴位,是按摩疗法发挥神奇作用的基础。中医常用的选穴方法有近部选穴法、远部选穴法、局部选穴法、辨证选穴法等几种。
(1)近部选穴
在受病脏腑、五官、肢体部位就近选穴。
胃病取中脘、梁门穴,眼病取睛明、瞳子髎穴,耳病取听宫、耳门穴。
![](https://epubservercos.yuewen.com/00B0FB/18579838801249106/epubprivate/OEBPS/Images/figure_0031_0002.jpg?sign=1738788184-Ppi9pMXwiuTSX2ZuHZoBsN7zXwko62XJ-0-9935122294df9ad6af93431260383590)
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(2)远部选穴
本经取穴:即某经循行所过处病变,可选远离病变部位的本经有关腧穴。
异经取穴:某经及其所属脏腑、器官发生病变,取其表里经、相交经、相关经的腧穴治疗。
【举例】表里经:肺疾取太渊、合谷穴;肝疾取太冲、阳陵泉穴。相交经:肝、脾、肾疾取三阴交穴;任脉、足三阴病取关元、中极穴。相交经:肝胃不和、胃痛取中脘、足三里、太冲穴。
![](https://epubservercos.yuewen.com/00B0FB/18579838801249106/epubprivate/OEBPS/Images/figure_0031_0004.jpg?sign=1738788184-kYl2WX1tHgnlThI3fEIoXVuk2rHZG5Ug-0-5c941feb5236d0afd19404628b12273a)
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(3)局部选穴
在患病的脏腑、器官、肢体的局部进行选穴。
如对跌打、痛症,常取压痛点(阿是穴),或口齿病常取大迎、承浆穴。
![](https://epubservercos.yuewen.com/00B0FB/18579838801249106/epubprivate/OEBPS/Images/figure_0032_0001.jpg?sign=1738788184-Bixv7U9Jgg1KwbGV8THXPoIuXqZR0mNV-0-0f3eeebe9224e774445ba42f3cbc9f16)
(4)辨证选穴
在辨证论治的思想指导下,以法统方,间接取穴。
脾胃虚寒宜温中散寒,取脾俞、胃俞、中脘、足三里穴治疗。
![](https://epubservercos.yuewen.com/00B0FB/18579838801249106/epubprivate/OEBPS/Images/figure_0032_0002.jpg?sign=1738788184-5wEixLjK0hCBuRDJQKXabiIcyFqZLHiJ-0-2bae59d1f330c2a8c5823109a8847971)
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(5)随症选穴
是针对个别急症的治疗措施,一般属于治标的范畴。
发热取大椎、曲池穴;昏迷取水沟(人中)、十宣穴;穴位压痛时,阑尾炎取天枢、阑尾穴;非穴位压痛时,扭伤、痹证取阿是穴。
![](https://epubservercos.yuewen.com/00B0FB/18579838801249106/epubprivate/OEBPS/Images/figure_0032_0005.jpg?sign=1738788184-Et3NIK2ks0qJWPcZXADGSHxYnO3WEMoV-0-8f01002e51c044df313370056b7e215d)
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