針灸推拿學(xué)習(xí)心得(編輯修改稿)
2024-10-18 02:14 本頁(yè)面
【文章內(nèi)容簡(jiǎn)介】 imes: What time would you like? / What time would you like? / We39。re very busy in the morning./ We39。re very busy in the ，你可能要指出忙碌的時(shí)間段：What time would you like? /你想什么時(shí)間來(lái)？/ We39。re very busy in the morning./我們上午非常忙。Key phrases and sentences I39。d like a foot this way, , sorry, not I book an appointment for a foot massage tomorrow? Certainly, time would you like? We39。re very busy in the , how about 2pm? can I take your name? 我想做足底按摩。女士，請(qǐng)這邊來(lái)。不，對(duì)不起，不是現(xiàn)在。我能預(yù)約明天做足底按摩嗎？當(dāng)然，女士。你想什么時(shí)間來(lái)？我們上午非常忙。哦，下午2點(diǎn)怎么樣？ 下午2點(diǎn)。很好。我能知道您的姓名嗎？A:Please point out the painful place with your there any relation between the pain and the weather? B:Yes,the pain es more intense when the weather is the pain es intense when I walk too :Have you eve had any trauma? B:Yes, I :Does the pian bee more intense at night? B:Yes, ti like a needle , the place that hurts often feels cold,:Do you have the sensation of ants crawling over the painful part? B:Yes, I :I39。d like to treat you with acupuncture if you :By the way, does acupuncture hurt? A:Acupunture may cause just a little pain, but it also causes a certain feeling of numbness and 39。ll try it every day for seven that be all right? B:39。s start ？ What39。s your plaint? 。Let me feel your 。Show me your ？Have you ever had any tauma? ？Is there any relation between the pain and the weather? ，我想用針灸給您治療。I39。d like to treat you with acupuncture if you ？How do you feel when I rotate the needle? ，還會(huì)使您感到有點(diǎn)麻木和發(fā)脹。Acupunture may cause a little pian and a certain feeling of numbness and ，但需要長(zhǎng)期治療。Acupunctue will have effect, but a prolonged treatment is 。You nee to take some Chinese ？Do you know how to decoct Chinese herbs? 。Please e back to me after taking these 6 dosages.第三篇：針灸推拿論文陜西中醫(yī)學(xué)院針灸推拿系06屆針灸推拿專業(yè)（1）班 畢業(yè)論文集 ZTX01120姓名：針刺、閃罐治療面癱30例療效觀察作者：陜西中醫(yī)學(xué)院針灸推拿系專業(yè)班指導(dǎo)教師：主任醫(yī)師陜西省中醫(yī)院科提要：目的：通過(guò)針刺與閃罐的治療，觀察面癱的恢復(fù)。方法：經(jīng)顱腦CT檢查無(wú)腦梗塞,腦出血及中樞神經(jīng)系統(tǒng)損傷,確診為急性面神經(jīng)炎(周圍型)患者30例,采用中醫(yī)針灸理論辯證施治,分別進(jìn)行針刺,:30例患者中,治愈26例,%,顯效3例,占10%,好轉(zhuǎn)1例,%,無(wú)效0例,總有效率100%.結(jié)論:針刺,：面癱(中醫(yī))。針刺。閃罐。綜合療法。,產(chǎn)生周圍神經(jīng)麻痹的臨床表現(xiàn),”面癱”,又稱“口眼歪斜”或“口僻”.面神經(jīng)炎的病因尚未完全明確,相當(dāng)部分患者在局部風(fēng)吹或著涼后發(fā)病,面癱的發(fā)生是由于經(jīng)脈空虛,風(fēng)寒熱邪乘虛侵襲,經(jīng)絡(luò)氣血阻滯,導(dǎo)致筋脈失養(yǎng),中醫(yī)針灸一直被認(rèn)為是一種特色的治療方法,筆者自2004年9月至12月在寶雞市中醫(yī)醫(yī)院實(shí)習(xí)期間,積極配合臨床指導(dǎo)老師,將所學(xué)的理論知識(shí)有效地與實(shí)踐相結(jié)合,在對(duì)30例面癱患者的治療上,以針刺閃罐為主,取得了滿意的療效,:.本組30例患者均來(lái)自寶雞市中醫(yī)醫(yī)院針灸科住院部,均屬周圍性面癱,其中男20例,女10例,年齡最小13/12歲,最大75歲,其中20~50歲患者13例,%,病程最短者10小時(shí),最長(zhǎng)者18天。其中風(fēng)寒證19例,%,風(fēng)熱證5例,寒熱并見(jiàn)證6例。,排除中樞性面癱,格林—巴利綜合征,中耳炎,迷路炎,乳突炎,，癥狀可于數(shù)小時(shí)或1~7天內(nèi)達(dá)高峰,1周內(nèi)就診患者占大多數(shù)，表現(xiàn)為一側(cè)面部表情肌完全或不完全癱瘓,額紋消失或變淺,眼裂不能閉合或閉合不全,鼻唇溝變淺,口角下垂,口唇向健側(cè)偏斜,不能皺額、蹙眉、閉氣、鼓腮、示齒,可有耳后乳突區(qū)壓痛,患側(cè)舌前2/3味覺(jué)減退或喪失,，屬風(fēng)寒襲絡(luò)型者19例，%；風(fēng)熱襲絡(luò)者5例，%；寒熱并見(jiàn)者6例，占20%。：本病多由于經(jīng)絡(luò)空虛，風(fēng)寒或風(fēng)熱之邪乘虛侵襲，陽(yáng)明少陽(yáng)經(jīng)絡(luò)以致經(jīng)氣阻滯，經(jīng)筋失養(yǎng)，筋肉遲緩不收而發(fā)病。一般起病突然，每在睡眠醒來(lái)時(shí)發(fā)現(xiàn)一側(cè)面部板滯，麻木、癱瘓，不能皺眉、蹙額、示齒、鼓腮，口角向健側(cè)歪斜 漱口漏水，進(jìn)食時(shí)食物常常停滯于病側(cè)齒頰之間，病側(cè)額紋鼻唇溝變淺或消失，眼瞼閉合不全，迎風(fēng)流淚，少數(shù)病人可有耳后耳下及面部疼痛,嚴(yán)重者可出現(xiàn)患側(cè)舌前2/3味覺(jué)減退或喪失, 風(fēng)寒型：因脈絡(luò)空虛風(fēng)寒之邪乘虛克于面部經(jīng)絡(luò)，經(jīng)氣阻滯，經(jīng)筋失養(yǎng)，肌肉遲緩不收，而致口角歪斜，患側(cè)面患側(cè)面部肌肉痙攣且自覺(jué)發(fā)緊感，怕風(fēng)畏寒，舌淡苔薄白，脈浮緊。 風(fēng)熱型： 以夏季發(fā)病為多見(jiàn)，多因感受風(fēng)邪，經(jīng)脈痹阻，郁而化熱，氣血失和不能濡養(yǎng)筋肉而致面癱，發(fā)病前可有面部麻木，耳后疼痛及輕微外感等前驅(qū)癥狀，口干口苦，急躁，大便干，小便數(shù)，舌紅苔薄黃，脈滑數(shù)之熱象。 寒熱并見(jiàn)證：系指寒熱之邪同時(shí)或先后侵襲空虛之脈絡(luò)而發(fā)病，面部表現(xiàn)為拘緊、疼痛、怕冷、抽搐等經(jīng)寒證，同時(shí)伴有性急、口苦口干，或口鼻起泡，大便干，舌質(zhì)紅苔黃，脈滑數(shù)等里熱證。治療方法 針刺治療 針刺選穴：遵循局部取穴、循經(jīng)取穴及經(jīng)外取穴相結(jié)合的原則，以手陽(yáng)明大腸經(jīng)、足陽(yáng)明胃經(jīng)、手少陽(yáng)三焦經(jīng)和足少陽(yáng)膽經(jīng)穴為主。主穴：陽(yáng)
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