Zhao Li, Guo Changqing
Zhongguo Zhen Jiu. 2016 Mar;36(3):299-302.
With Jianyu (LI 15), Jianliao (TE 14) and Jianzhen (SI 9) for instance, the three acupoints used to treat shoulder bi syndrome by needle knife, and through traceability and researching constant structure, the acupoint position, insertion trace, manipulation and clinical significance of needle knife medicine were discussed. Accurate position is one of the characteristics of acupoints selection of needle knife medicine. As for the acupoints selection method, the mean of body surface localization is always used. The phanerous or palpable bone processes, muscles and tendons are taken as positioning marks; pressing areas where appear sour, numb, or distensible and other sensations is considered as the principle of press positioning. So acupoints position method is the combination of observation and palpation. Different insertion methods can effectively relieve the accretive bursae synovialis, tendon, joint capsule and the compressed nerve, so that shoulder bi syndrome is relieved.
以肩髃（LI 15）、肩髎（TE 14）、肩贞（SI 9）为例，探讨了运用针刀治疗肩部痹证的3个穴位，通过溯源及恒定结构研究，论述了针刀医学的穴位定位、进针路径、操作方法及临床意义。精准定位是针刀医学选穴的特点之一。在选穴方法上，多采用体表定位法，以明显或可触及的骨突、肌肉、肌腱为定位标志，以按压出现酸、麻、胀等感觉的部位为按压定位原则。所以穴位定位方法是观察与触诊相结合。不同的进针方法能有效松解增生的滑囊、肌腱、关节囊及受压神经，从而缓解肩部痹证。
