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足太陰脾經穴位詳解
隱白
【穴位一找準】在足大趾末節內側,距趾甲角0.1寸。《靈樞本輸》:“足大指之端內側也。”《靈樞熱病》:“去爪甲如薤葉。”即足大趾趾甲廊內側角後旁1分凹陷處。正坐垂足或仰臥,在(踇)指內側,距趾甲角0.1寸處取穴。
【解剖】穴下為皮膚、皮下組織、(踇)趾纖維鞘、(踇)長伸肌腱內側束。皮膚為(踇)趾背側與其蹠側骨皮膚移行處,其神經分布為腓淺神經的足背內側皮神經的內側支。在趾背筋膜的深麵有第一蹠骨動脈內側支,經(踇)長伸肌腱的深麵,該動脈至(踇)趾的內側緣。(踇)長伸肌腱由腓深神經支配。若斜刺,針行於末節趾骨與(踇)趾纖維鞘終止部之間,該處神經、血管分布豐富,均來自足底內側神經及血管。
【功效】調經統血,健脾回陽。
【主治】
古代記述:腹脹,逆息,腹中有寒氣,氣喘,腸熱暴泄,膈中悶,嘔吐不欲食飲,熱病衄血不止,煩心善悲,足脛中寒,不得臥,氣滿胸中熱,夢魘不寧,女子月事過時不止,崩漏,吐血,大小便皆血,屍厥死不知人,脈動如故,男隱卵大病,小兒客忤,慢驚風,癲狂。
《甲乙經》:氣喘、熱病衄不止,煩心善悲,腹脹,逆息熱氣,足脛中寒,不得臥,氣滿胸中熱,暴泄,仰息,足下寒,中悶,嘔吐,不欲食飲,隱白主之;腹中有寒氣,隱白主之;飲渴身伏多唾,隱白主之。
《大成》:下血,主腸風,多在胃與大腸,針隱白,灸三裏;吐衄血,針隱白、脾腧、肝腧、上脘。
《聚英》:小兒客忤,慢驚風。
近人報道:
1.婦產科係統疾病:功能性子宮出血,子宮痙攣;
2.五官科係統疾病:牙齦出血,鼻出血;
3.精神神經係統疾病:小兒驚風,癔病,昏厥;
4.消化係統疾病:消化道出血,腹膜炎,急性胃腸炎;
5.其他:尿血。
【刺灸法】
刺法:
1.淺刺0.1~0.2寸,局部脹痛;
2.或用三棱針點刺擠壓出血,常用於神昏、胸悶咳喘。
灸法:艾炷灸3~7壯,艾條灸5~20分鍾,用於止血。
寒則通之,熱則瀉之。可灸。
穴位詳解
隱白穴為脾經的井穴,屬木。別名鬼壘穴,鬼眼穴,陰白穴。氣血物質為濕熱之氣,位處地之上部天之最下部,濕熱之氣由地之地部上至地之表部。
隱白:隱,隱秘、隱藏也。白,肺之色也,氣也。該穴意指脾經體內經脈的陽熱之氣由本穴外出脾經體表經脈。本穴有地部孔隙與脾經體內經脈相連,穴內氣血為脾經體內經脈外傳之氣,因氣為蒸發外出,有不被人所覺察之態,如隱秘之象,故名。
臨床上的常用配伍有:
1.配大敦,有醒腦開竅的作用,主治昏厥,中風昏迷。
2.配脾腧、上脘、肝腧,有益氣活血止血的作用,主治吐血,衄血。
3.配氣海、血海、三陰交,有益氣活血止血的作用,主治月經過多。
4.配厲兌,有健脾寧神的作用,主治多夢。
本穴還可以用來治療月經不調隱白穴在足大趾內側趾甲根腳處,是足太陰脾經的起始穴位。脾主管統攝氣血,血妄行而出血過多時可掐隱白以止血,也可以用三棱針刺血。
大都
【穴位一找準】大都穴位於人體的足內側緣,當足大趾本節(第一蹠趾關節)前下方赤白肉際凹陷處。一說“本節之後下陷者之中”(《靈樞本輸》)。
【解剖】在拇展肌止點;有足底內側動、靜脈的分支;布有足底內側神經的趾底固有神經。