Fundamentals of TCM for Physio Practice PDF
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PolyU
Eugene Kwok
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This document provides an overview of the fundamental concepts of Traditional Chinese Medicine (TCM) for physiotherapy practice. It details the structure and function of the meridians and acupoints, explaining their role in the body's energy flow. The content is intended for personal use.
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For personal use only RS 3060 Fundamentals of TCM for Physio Practice 經絡腧穴概論 Mr. Eugene Kwok Clinical Associate Department of RS [email protected] GH 155 Tel: 3400 3467 All rights reserved For personal us...
For personal use only RS 3060 Fundamentals of TCM for Physio Practice 經絡腧穴概論 Mr. Eugene Kwok Clinical Associate Department of RS [email protected] GH 155 Tel: 3400 3467 All rights reserved For personal use only 為何需要學習中醫經絡系統? 拔罐 推拿 亳針刺 刮痧 養生功法 艾灸 All rights reserved 經絡的基本概念 For personal use only & 經絡是經脉和絡脉的總稱 經脉是經絡系統的主幹,絡脉是經脉的分支。 經脉多以縱行為主,循行於較深的部位及特 - 定的路徑。 絡脉縱橫交錯,網絡全身,深淺部位皆有。 O 樹幹=經脉 樹枝=絡脉O a - 循行於較淺部位的叫浮絡 。 泥土= 臟腑 All rights reserved 經絡系統的組成 For personal use only 經絡系統由兩大系統組成:經脉及絡 脉 經 絡 粗大 短/細小 經脉包括十二經脉、 奇經八脉, 附 縱行及深層 橫行 屬於十二經脉系統的十二經別、 十 氣血運行量多 運行於較淺層 二經筋及十二皮部 絡脉包括十五絡脉、 浮絡和孫絡 All rights reserved 經脈系統 For personal use only 經脈是經絡系統中的主幹,全身氣血運行的主要通道 十二經脉又稱 “十二正經” ,包括手三陽經、手三陰經、足三 陽經及足三陰經 有一定的起止、走向、循行路徑和分佈規律 與臟腑有直接及表裡關係,有專屬的穴位 All rights reserved 經絡的作用 For personal use only 聯繫臟腑,溝通內外。 人體通過經絡的聯繫構成一個有機的整體 運行氣血,營養全身。 氣血通過經絡輸佈全身,濡養全身各組織 抗御病邪, 反映病候。 經絡內連臟腑, 是疾病由外傳裡及臟腑之間傳變的 途徑。 內臟病變也可通過經絡反映到體表 傳導感應, 調和陰陽。 透過刺激穴位及經絡傳導, 使治療效應傳導到相關 部位和臟腑 All rights reserved 梁繁荣, & 王华. (2016). 經絡系統的組成圖 For personal use only All rights reserved 十二正經的附屬部份 For personal use only 系統 特點 經別 ② 十二經脉別行而出,深入體腔的支脈 經筋 統 00 十二經脉之氣濡養筋肉骨節的體系,附屬於十二經的筋膜系 經筋走向是從四肢末端向心循行 ⑧ 皮部 十二經脉功能活動反映於體表部位 & Fat Fit All rights reserved 經絡系統簡圖 For personal use only 十二皮部 最外層 十二經筋 十五絡脈 十二經別 經絡 奇經八脈 十二經脈 最內層 臟腑 轉載自:經絡腧穴學 (第十版) 2016 All rights reserved 十二經脉的名稱 For personal use only 600 例:手太陰肺經/ 足陽明胃經 00 2000 I 代表經脈起於或止於的身體部 內為陰,外為陽。 五臟(肝心脾肺腎)屬陰 分 行於四肢內側稱 “陰”經 六腑(胃胆小腸大腸膀胱三焦) 手經行於上肢;足經行於下肢 行於四肢外側稱 “陽”經 屬陽 All rights reserved All rights reserved O For personal use only ⑮ f For personal use only / + In A F ** Pa A Fath Y Tet 111 All rights reserved Pericardium Liver Spleen For personal use only Lung & PE FA15-AEAA + Y Heart Kidney All rights reserved For personal use only e & All rights reserved For personal use only 十二經脈走向及交接規律 - - ↳ o - > O O All rights reserved 十二經脉氣血流注的規律 For personal use only 經絡氣血在十二經脈中循環流注 每一經脈的氣血在特定的時間內特別 旺盛 o Fa in & In * let E Adapted from: 由肝經再接肺經完成十二經循環 https://www.meso.it/geneticacupuncture/00.basic_knowledge_acs.en.htm All rights reserved 經脈在四肢分佈位置 上肢 下肢 For personal use only 經脈 經脈 身體前側 太陰 陽明 身 身 體 體 厥陰 內 少陽 外 側 側 少陰 太陽 身體後側 All rights reserved 十二經脉的表裡關係 For personal use only 表 手陽明 手少陽 手太陽 足陽明 足少陽 足太陽 = 大腸經 [ 三焦經 小腸經 F = 胃經 = 胆經 = 膀胱經 ↓ I ↑ 裡 手太陰 手厥陰 手少陰 足太陰 足厥陰 足少陰 肺經 心包經 心經 脾經 肝經 T 腎經 - - I I - I All rights reserved For personal use only 十二經脈體表循行 Source: http://www.shen-nong.com/eng/treatment/acupuncture_meridian.html All rights reserved 手太陰肺經 For personal use only 2 O1 -2 3 1 3 O 4 O4 All rights reserved TF 手陽明大腸經 For personal use only 3 1 2 2 4 3 1 4 All rights reserved ASTEST For personal use only 1 2 1 , 3 2 4 3 4 C - 5 5 All rights reserved 足太陰脾經 For personal use only &1 5 2 4 3 4 &* 5 3 2 1 All rights reserved 手小陰心經 For personal use only I & 1 1 2 2 3 3 All rights reserved For personal use only 1 3 4 2 5 2 3 4 1 5 All rights reserved 足太陽膀胱經 For personal use only 1 1 O ( ) ( ) 2 ( ) 2 ( 1.5 ) ( ) 3 3 4 ( ) ( 3 ) ( ) ( ) 4 ( )5 5 All rights reserved For personal use only 4 1 2 3 3 -D 2 1 All rights reserved For personal use only 1 O 2 3 2 1 e 3 All rights reserved 4 For personal use only 2 O O 1 O 3 1 4 All rights reserved For personal use only 1 O 2 Y 2 3 3 4 4 All rights reserved 4 For personal use only O 1 ) 2 3 3 &* 2 4 1 All rights reserved - For personal use only o ( ) ) ( ) e ( ) “ ” All rights reserved For personal use only ( ) ( ) All rights reserved For personal use only (Dermatome) ( ) All rights reserved All rights reserved For personal use only For personal use only ( ) , 8800of -- nursi e 000 All rights reserved All rights reserved / For personal use only For personal use only 8 FET - / / o, / , Oo / All rights reserved For personal use only 1. 2. Go “ , ” All rights reserved For personal use only 3 1 2 2 ( ) 3 4 4 1 1. ·“ ” 2. O All rights reserved All rights reserved For personal use only All rights reserved For personal use only For personal use only e Ol & O - - - - - - - & O All rights reserved All rights reserved For personal use only For personal use only “ ” ( ① ) Q - - (pain threshold) “ ” - All rights reserved For personal use only : “ ” : ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) “ ” -NDERE All rights reserved For personal use only : WHO standard acupuncture point locations in the Western Pacific Region (2008) All rights reserved For personal use only : Manual of Acupuncture, 2015 All rights reserved For personal use only ( ) : - VITENBy , Source: Manual of Acupuncture, 2015 All rights reserved For personal use only 197 at 127 Source: Manual of Acupuncture, 2015 All rights reserved For personal use only & 20 ( ) 000 O ( ) & && All rights reserved For personal use only ( ) All rights reserved All rights reserved For personal use only For personal use only (Myofascial meridian) Thomas Myers “Anatomy Trains” (Neural net) (Fluid net) (Fibrous net) (SBL) (SFL) (LL) (SL) (S/DAL) (FL) (DFL) ( ) All rights reserved : ( ) / For personal use only SBL All rights reserved : ( ) / For personal use only SFL ( ) All rights reserved ( ) : ( ) / For personal use only All rights reserved : ( ) / For personal use only PFL : ( ) All rights reserved / / For personal use only All rights reserved : ( ) / / For personal use only All rights reserved : ( ) For personal use only 1.. (2016). (.. ed., ( ). 10 ). :. 2.. (2016). ( 4. ed., " " hani). :. 3. Myers, &. (2016). : (.. ed.). : 4. ,&. (2016). ( 4. ed., " ". hani). :.. 5. Maciocia, G. (2006). The channels of acupuncture : Clinical use of the secondary channels and eight extraordinary vessels. Philadelphia, Pa.: Churchill Livingstone. 6. Wang, J., & Robertson, J. (2008). Applied channel theory in Chinese medicine : Wang Ju-Yi's lectures on channel therapeutics. Seattle: Eastland Press. 7. Deadman, Al-Khafaji, Baker, Al-Khafaji, Mazin, & Baker, Kevin. (2015). A manual of acupuncture. Hove, England : Vista, Calif., USA: Journal of Chinese Medicine Publications ; Distributed in North America by Eastland Press. All rights reserved