![针灸学[临床篇]](https://doubookpic.tinynews.org/25ad5656d5b697b491e1da00baea56763c41e108f4b3338188e48e93cc04676e/s1000351.jpg)
具体描述
现代临床实用骨科学：从基础理论到前沿技术 作者： 王建国、李明华、张伟 编著 出版社： 人民卫生出版社 装帧： 精装 定价： 388.00 元 --- 内容简介： 《现代临床实用骨科学》是一部集骨科基础研究、临床诊断、手术技术及康复理念于一体的权威性、系统性著作。本书汇集了国内外顶尖骨科专家的智慧与临床经验，旨在为广大骨科临床医生、研究生及相关医务人员提供一本全面、深入、与时俱进的参考手册和学习教材。全书内容紧密结合临床实践，力求在理论深度与操作实用性之间找到最佳平衡点。 本书共分为七大部分，三十五章节，内容涵盖了骨科疾病谱的广度和深度，尤其侧重于近年来快速发展的微创技术、生物力学研究及其在临床决策中的应用。 --- 第一部分：骨科基础与生物力学（Fundamentals and Biomechanics） 本部分奠定了读者理解骨科疾病发生、发展及治疗的生物学基础。 第一章：骨组织与关节的分子生物学 深入探讨成骨细胞、破骨细胞的分化与调控机制，分析骨重建的分子信号通路，包括Wnt/$eta$-catenin信号通路、RANKL/OPG系统在骨质疏松和骨愈合中的作用。详细阐述软骨细胞的代谢特性及退变机制，为骨关节炎的病理生理学理解提供微观基础。 第二章：骨骼生物力学与材料学 详细阐述皮质骨和松质骨的力学特性（弹性模量、屈服强度、疲劳极限）。重点分析应力骨折的发生机制，以及不同负荷模式（压、拉、剪、扭）对骨骼结构的影响。材料学方面，系统介绍了钛合金、钴铬合金、陶瓷材料的相容性、耐磨性和疲劳寿命，为人工关节的设计选型提供理论依据。同时，探讨了生物活性材料（如磷酸钙陶瓷、生物活性玻璃）在骨缺损修复中的最新进展。 第三章：创伤愈合与内固定力学 全面梳理骨折愈合的四个阶段：血肿形成、软骨形成、骨性愈合和塑形重塑。深入分析不同固定方式（刚性固定与柔性固定）的力学原理，对比螺钉、钢板、髓内钉在不同类型骨折中的受力情况，强调“生物力学匹配”在内固定设计中的核心地位。 --- 第二部分：脊柱外科（Spine Surgery） 本部分聚焦脊柱退变性疾病、畸形矫正及脊柱肿瘤与感染的诊疗策略。 第四章：颈椎病（Cervical Spondylosis）的诊断与阶梯治疗 详述颈椎的生物力学特点与退变序列。重点介绍影像学（MRI、CT三维重建）的判读标准，尤其是对神经根和脊髓压迫程度的精确评估。治疗上，详细阐述保守治疗（物理因子、药物）的适应症，并系统介绍： 前路手术： ACDE（椎间盘切除融合术）的入路选择、植骨技术（椎间融合器应用）及并发症预防。 后路手术： 椎板成形术、后路椎弓根螺钉内固定技术（包括S2AI螺钉技术），强调脊柱稳定性的重建与平衡。 第五章：腰椎间盘疾病与椎管狭窄 深入探讨腰椎间盘突出症的神经根受压机制。手术部分着重对比：微创经皮椎间盘镜（MD）、椎间孔镜（PEJD）与传统开放式椎间融合术（PLIF/TLIF）的适应症、手术入路及长期疗效。对复杂性椎管狭窄的减压策略，特别是对于合并脊柱不稳的病例，强调减压与融合时机的把握。 第六章：脊柱畸形矫正（Scoliosis and Kyphosis） 涵盖青少年特发性脊柱侧弯（AIS）的评估（Cobb角、Risser征、矢状面平衡）。详细介绍矫形截骨（如Ponte截骨、Smith-Petersen截骨）的时机与技术要点。对成人复杂性脊柱畸形的长期矫正目标、矢状面重建（Sagittal Realignment）的量化指标及其实现方法进行了深入剖析。 第七章：脊柱感染与肿瘤 阐述脊柱结核、化脓性脊柱炎的影像学特征（如Pott病）及抗菌治疗方案。对于脊柱肿瘤（原发性与转移性），强调术前肿瘤分级（如Enneking分级）、神经减压的彻底性与内固定植骨的充分性。 --- 第三部分：关节外科与置换（Arthroplasty） 本部分聚焦髋、膝关节的退行性病变、创伤及人工关节置换的最新技术。 第八章：髋关节置换（THA） 从股骨头无菌性坏死的病理分型出发，详述人工髋关节置换术（THA）的入路选择（前、后、侧方入路）的优缺点对比。重点阐述微创技术（如小切口入路、骨标志法）的应用。对翻修手术中骨缺损的评估及填充技术（如骨移植、衬垫技术）给予详细指导。 第九章：膝关节置换（TKA） 系统介绍全膝关节置换术（TKA）的力线重建原则，包括机械轴线与个体生理轴线的调整。细致讲解初次置换（Primary TKA）中的韧带平衡技术，以及单髁置换术（UKA）的精准适应症。对常见翻修术中的松动原因分析及处理流程进行了梳理。 第十-十一章：运动损伤与关节镜技术（Arthroscopy） 肩关节： 重点介绍肩袖损伤（Rotator Cuff Tears）的修复技术，包括锚点选择、缝合技术（单排、双排、锚式）及术后早期康复方案。对肩关节不稳（Bankart病变）的稳定化手术进行详细阐述。 膝关节： 详细描述半月板修复与切除的标准指征。前交叉韧带（ACL）重建的解剖学隧道定位技术（利用解剖隧道技术），以及不同移植物（自体、异体、同种异体）的选择与固定方式的比较。 --- 第四部分：创伤骨科与骨折内固定（Trauma Orthopedics） 本部分依据AO/OTA分类系统，系统讲解四肢及骨盆骨折的评估与标准化治疗。 第十二章：复杂四肢骨折的生物力学与评估 强调“损伤控制性骨科治疗（Damage Control Orthopedics, DCO）”理念。详细介绍Gustilo-Anderson分类的实际应用，以及骨缺血的早期识别。 第十三章：干骺端及关节周围骨折 重点讲解胫骨近端平台骨折（Schatzker分型）的复位原则，强调关节面解剖的精确复位。对股骨近端（髋部）骨折，对比人工关节置换与内固定（动力性髋螺钉DHS）的适应症及手术时机。 第十四章：手部与足踝创伤 对手部骨折（如舟骨、掌骨）的特殊生物力学考量及微血管吻合在开放性损伤中的应用。足踝部分，详述踝关节骨折的Pilon骨折、Trimalleolar骨折的复位挑战与踝关节融合/置换的选择。 第十五章：骨盆与髋臼骨折 基于Tile和Young-Burgess分类系统，详细指导骨盆环的稳定性和力学重建。重点讲解经皮椎弓根螺钉（PPS）在后方固定中的应用，以及髋臼骨折（如后壁、骨柱骨折）的后入路或髂腹入路复位技术。 --- 第五部分：手外科与显微外科（Hand and Microsurgery） 本部分聚焦手部复杂损伤的修复与功能重建。 第十六章：手部常见骨折与脱位 对手指末节、掌骨、桡骨远端骨折的特殊处理技术，如Spica夹板的应用、小夹板技术。 第十七章：神经与肌腱修复 详细图解周围神经的显微外科修复技术（束膜外/束膜内缝合），强调神经松解的必要性。对屈肌与伸肌腱的修复方案进行对比，并提供标准化的早期功能性康复方案。 第十八章：血管化游离皮瓣与骨移植 介绍局部皮瓣（如桡动脉反行皮瓣）与游离皮瓣（如腓肠肌皮瓣）在软组织覆盖中的应用。详细阐述带血供的腓骨游离植骨技术在骨缺损和不愈合中的应用流程。 --- 第六部分：骨肿瘤与骨感染（Tumors and Infections） 第十九章：骨肿瘤的诊断与多学科管理 强调影像学（MRI、CT、PET-CT）在定性与分期中的关键作用。对骨巨细胞瘤、骨肉瘤、软骨肉瘤的规范化新辅助化疗与保肢手术（肿瘤置换假体）技术进行深入探讨。 第二十章：骨感染（Osteomyelitis）的治疗策略 区分急性与慢性骨髓炎的病理生理特点。详述死骨清除、局部负压吸引（NPWT）及抗生素骨水泥瘤的应用，以及骨缺损的Ilizarov外固定架技术在感染期后的应用。 --- 第七部分：康复与生物制剂（Rehabilitation and Biologics） 第二十一章：骨科术后康复的循证医学 详细规划术后早期、中期、晚期的康复目标。如人工关节置换的早期活动度训练，脊柱术后的核心肌群激活训练。强调康复进程的量化评估（如VAS、ROM、功能评分）。 第二十二章：骨质疏松与生物制剂 详述骨质疏松的诊断标准（T值、Z值）。重点分析新型抗骨吸收药物（如地舒单抗）与促进成骨药物（如特立帕肽）的作用机制与临床应用时机。 --- 特色与创新： 1. 临床决策路径图： 全书嵌入近百个“临床决策路径图”，将复杂的诊断和治疗流程可视化，便于快速掌握。 2. 手术视频资源链接： 附带二维码链接至配套的在线视频库，收录了书中所述核心手术（如椎间孔镜入路、单髁置换技术）的实际操作录像。 3. 并发症管理专栏： 针对每类手术最常见的并发症（如深静脉血栓、神经损伤、假体松动），提供详细的预防措施和抢救流程。 4. 循证医学证据（EBM）： 书中引用的所有关键性治疗方案均标注了相关的关键性临床试验（RCTs）或系统综述证据等级。 本书是骨科领域近年来集大成之作，不仅是学习的阶梯，更是临床工作中的得力助手。
作者简介
目录信息
CONTENTS
PREFACE
PART A
General Introduction l Mechanisms and Principles of Acupuncture and Moxi-
bustion Therapy
A. Mechanisms of Acupuncture and Moxibustion Therapy
1. Dredging Meridians, Regulating Qi and Blood Circulation
2. Reinforcing Deficiency and Reducing Excess Strengthening Body Resistance to Remove
Pathogenic Factors
3. Equtlibrating Yin and Yang, Regulating Physical Functions
B. Treatment Principle of Acupuncture and Moxibustion
l. Remforcing Deficiency and Reducing Excess
1) Reinforcing Deficiency
(1) Reinforcing the Diseased Meridian
(2) Reinforcing the Exterior-lnterior Meridian
(3) Reinforcing the Mother Organ Meridian
2) Reducing Excess
(1) Reducing the Diseased Meridian
(2) Reducing the Exterior-lnterior Meridian
(3) Reducing the Son Organ Meridian
3) Reinforcing and Reducing in Combination
2 Clearing Away Heat and Warming Cold
1) Clearing Away Heat
(1) Cleanng Away Exterior Heat
(2) Clearing Away Interior Heat
a. Clearing Away Lung Heat
b. Removing Heat in the Liver and Gallbladder
c. Removing Heat in the Spleen and Stomach
(3) Removing Deficiency Heat
a. Removing Lung Heat due to Deficiency
b. Removing Heart Heat due to Deficiency
c. Removing Deficiency Heat of the Liver and Kidney
2) Warmmg Cold
(1) Warming Yang to Dispel Cold
a. Warming the Lung to Dispel Cold
b. Warming Middle Jiao to Dispel Cold
c. Warming the Kidney to Dispel Cold
(2) Warming Yang and Tonifymg Deficiency
3) Warming Yang and Removing Heat in Combination
(1) Syndrome with Heat in the Upper and Cold in the Lower
(2) Syndrome due to Exterior Cold and Interior Heat
3. Treating the Incidental and Fundamental
1) Treating Biao (the incidental) for Acute Cases
2) Treating Ben (the Fundamental) for Chronic Cases
3) Treating Biao and Ben in Combination
4.Treating the Same Disease with Different Methods and Treating Different Diseases with
the Same Method
1) Treating the Same Disease with Different Methods
2) Treating Different Diseases with the Same Method
General Introduction ll The Science of Acupoint Prescription
A. Method of Acupoint Selection
1. Selection of the Local Points
2. Selection of the Distal Points
3. Selection of the Left-right Points
4 Selection of Symptomatic Points
B. Selection of Points According to Syndromes
1. Lung
1) Syndromes of the Viscera
(1) Lung Yin Deficiency
(2) Lung Qi Deficiency
(3) Invasion of the Lung by Wind Cold
(4) Accumulation of Heat in the Lung
(5) Obstruction of the Lung due to Phlegm
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Lung Meridian
2. Large Intestine
1) Syndromes of the Viscera
(1) Cold Syndrome
(2) Heat Syndrome
(3) Deficiency Syndrome
(4) Excess Syndrome
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Mendian
3.Spleen
1) Syndromes of the Viscera
(1) Spleen Qi Deficiency
(2) Excess Syndrome of the Spleen
(3) Cold Syndrome of the Spleen
(4) Heat Syndrome of the Spleen
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Meridian
4.Stomach
1) Syndromes of the Viscera
(1) Deficiency Cold Syndrome
(2) Excess Heat Syndrome
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Meridian
5. Heart
1) Syndromes of the Viscera
(1) Heart Yang Deficiency
(2) Heart Yin Deficiency
(3) Flaring-up of Heart Fire
(4) Heart Orifice Misted by Phlegm Fire
(5) Blood Stasis of Heart
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in ttie Meridian
(2) Accumulation of Pathogenic Heat in the Meridian
6.Small Intestine
1) Syndromes of the Viscera
(1) Cold Syndrome
(2) Heat Syndrome (Heat in the Heart Shifting to the Small Intestine)
(3) Hernia
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Meridian
7. Kidney
1) Syndromes of the Viscera
(1) Kidney Yang Deficiency
(2) Failure of the Kidney in Receiving Qi
(3) Kidney Yin Deficiency
(4) Hyperactivity of Yang due to Yin Deficiency
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Meridian
8. Bladder
1) Syndromes of the Viscera
(1) Deficiency Cold Syndrome
(2) Excess Heat Syndrome
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Meridian
9. Pericardium
10.Sanjiao
1) Syndromes of the Viscera
(1) Deficiency Syndrome
(2) Excess Syndrome
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Meridian
11. Liver
1) Syndromes of the Viscera
(1) Liver Qi Stagnation
(2) Hyperactivity of Liver Fire
(3) Hyperactivity of Liver Yang
(4) Intemal Stirring of Liver Wind
2) Syndrome of the Meridian
Accumulation of the Cold in the Liver Meridian
12 Gallbladder
l) Syndromes of the Viscera
(1) Excess Syndrome
(2) Deficiency Syndrome
2) Syndrome of the Meridian
Stagnant Wind and Cold in the Meridian
C. The Application of Specific Acupoints
1. Five-Shu Points
2. Yuan- (Source) Points
3. Back-Shu Points
4. Front-Mu Points
5. Luo- (Connecting) Points
6. Xi- (Cleft) Points
7. Lower He- (Sea) Points
8. Eight Influential Points
9. Eight Confluent Points
10. Crossing Points
11. Four General Points and Ma Danyang Twelve Points
D. Combining Point Methods
1 Combining Point Methods of Different Body Parts
1) Combining Points on the Same Meridians
2) Combining Exterior-lnterior Points
3) Combining Points on Meridians with the Same Name
4) Combining Anterior-Posterior Points
5) Combining Superior-lnferior Points
6) Combining Bilateral Points
7) Combining Distal-Local Points
8) Combining Lateral-Medial Points
2.Combining Methods of Specific Acupoints
1) Combination of Back-Shu and Front-Mu Points
2) Combination of Source and Connecting Points
3) Combination of Xi- (Cleft) Points and Eight Influential-Points
Appendix: The Indications of Acupuncture and Moxibustion
1. Indications of Acupuncture
2. Therapeutic Effects and Indications of Moxibustion
PART B
Chapter l Internal Diseases
1. Endogenous Fever (内伤发热, Nei Shang Pa Re)
Appendix: High Fever (高热, Gao Re)
2. Syncope Syndrome (厥证, Jue Zheng)
3. Convulsive Diseases (痉证, Jing Zheng)
4. Collapse Syndrome (脱证, Tuo Zheng)
5. Hemorrhagic Syndrome ( 血证, Xue Zheng)
6. Eruptions (发疹, Fa Zhen)
7. Common Cold ( 感冒, Gan Mao)
8. Sunstroke ( 中暑， Zhong Shu)
9. Cough (咳嗽， Ke Sou)
10. Sweating Syndrome (汗证, Han Zheng)
11. Chest Blockage Syndrome (胸痹, Xiong Bi Zheng)
12. Palpitation (心悸, Xin Ji)
13. Hiccup ( 呃逆, E Ni)
14. Acid Regurgitation (吞酸, Tun Suan)
15. Vomiting (呕吐, Ou Tu)
16. Stomachache (胃痛i, Wei Tong)
17. Abdominal Pain (腹痛，Fu Tong)
18. Diarrhea (泄泻, Xie Xie)
19. Dysentery (痢疾, Li Ji)
20. Constipation (便 秘, Bian Bi)
21. Prolapse of Rectum (脱肛， Tuo Gang)
22. Hypochondriac Pain (胁痛, Xie Tong)
23. Jaundice Syndrome (黄疸, Huang Dan)
24. Tympanites (臌胀, Gu Zhang)
25. Edema (水肿, Shui Zhong)
26. Xiao Ke Syndrome (消渴, Wasting and Thirsting Syndrome)
27. Obesity (肥胖, Fei Pang)
28. Emaciation (消瘦, Xiao Shou)
29. Heat in the Upper and Cold in the Lower (上热下寒， Shang Re Xia Han)
Appendix: Cool Syndrome (冷证E, Leng Zheng)
30. Insomnia ( 失眠, Shi Mian)
31. Sleepiness (嗜睡S, Shi Shui)
32. Amnesia (健忘, Jian Wang)
33. Lassitude (倦怠, Juan Dai)
34. Manic-Depressive Disorder (癫狂, Dian Kuang)
35. Melancholy (郁证, Yu Zheng)
36. Stranguria (淋证， Lin Zheng)
37. Seminal Emission (遗精, Yi Jing)
Appendix: Sexual Intercourse in Dream (梦交, Meng Jiao)
38. Impotence ( 阳痿, Yang Wei)
39. Hemia (疝气, Shan Qi)
40. Headache ( 头痛, Tou Tong)
41. Dizziness (眩晕, Xuan Yun)
42. Windstroke ( 中风, Zhong Feng)
43. Bi Syndrome (痹证, Bi Zheng)
44. Flaccidity Syndrome (痿证, Wei Zheng)
45. Torticollis (落枕, Lao Zhen)
46. Pain in the Elbow Joint (肘痛, Zhou Tong)
47. Lumbar Pain (腰痛, Yao Tong)
Chapter ll Gynecological Diseases
48. irregular Menstruation ( 月经不调, Yue Jing Bu Tiao)
49. Amenorrhea (经闭, Jing Bi)
50. Metrorrhagia and Metrostaxis ( 崩漏, Beng Lou)
51. Dysmenorrhea (痛经, Tong Jing)
52. Morbid Leukorrhea (带下, Dai Xia)
53. Moming Sickness (妊娠恶阴, Ren Shen E Zu)
54. Malposition of Fetus (胎位不正, Tai Wei Bu Zheng)
55. Eclampsia (子痫, Zi Xian)
56. Prolonged Labor (滞产, Zhi Chan)
57. Retention of Placenta (胞衣不下, Bao Yi Bu Xia)
58. Lochiostasis (恶露不下, E Lu Bu Xia)
59. Lochiorrhea (恶露不绝e, E Lu Bu Jue)
60. Postpartum Vertigo ( 产后血晕, Chan Hou Xue Yun)
61. Postpartum Abdominal Pain (产后腹痛, Chan Hou Fu Tong)
62. Hypogalactia ( 乳少, Ru Shao)
63. Pruritus Vulvae ( 阴痒, Yin Yang)
64. infertility (不孕症, Bu Yun Zheng)
Chapter lll Pediatric Diseases
65. infantile Pertussis Cough (小儿顿咳, Xiao Er Dun Ke)
66. Children's Diarrhea (小儿泄泻, Xiao Er Xie Xie)
67. infantile Malnutrition Syndrome (小儿遗尿, Xiao Er Gan Ji)
68. infantile Convulsion (小儿惊风, Xiao Er Jing Feng)
69. Nocturnal Enuresis in Children (小儿遗尿, Xiao Er Yi Niao)
70. Morbid Night Crying (小儿夜啼, Xiao Er Ye Ti)
Chapter iV Diseases of Eyes, Ears, Nose and Throat
7!. Conjunctivitis (目赤肿痛, Mu Chi Zhong Tong)
72. Ptosis to the Eyelid (眼睑下垂, Yan Jian Xia Chui)
73. Dacryorrhea (流泪, Liu Lei)
74. Nebula (目翳, Mu Yi)
75. Sudden Blindness (暴盲, Bao Mang)
76. Night Blindness (夜盲, Ye Mang)
77. Toothache ( 牙痛, Ya Tong)
78. Halitosis (口臭, Kou Chou)
79. Sialorrhea ( 口角流涎, Kou Jiao Liu Xian)
80. Aphtha ( 口疮, Kou Chuang)
8!. Swelling and Pain of the Throat (咽喉肿痛, Yan Hou Zhong Tong)
82. Globus Hystericus (梅核气,, Mei He Qi)
83. Aphonia (失音, Shi Yin)
84. Tinnitus and Deafness (耳鸣, Er Ming耳聋 Er Long)
85. Auricular itch (耳痒, Er Yang)
86. Deafiiess and Muteness (聋哑, Long Ya)
87. Rhinorrhea (鼻渊, Bi Yuan)
Chapter V Dermatological and Other Diseases
88. Rosa Cea (酒渣鼻, Jiu Zha Bi)
89. Nail-Like Furuncle (疔疮, Ding Chuang)
90. Erysipelas ( 丹毒, Dan Du)
91. Stopping Smoking (戒烟, Jie Yan)
92. Periarthritis of the Shoulder (肩凝证, Jian Ning Zheng)
Appendix Reference Books
index l Terms of TCM in English Alphabetical Order
index ll Terms of TCM in Chinese Alphabetical Order
· · · · · · (收起)
PREFACE
PART A
General Introduction l Mechanisms and Principles of Acupuncture and Moxi-
bustion Therapy
A. Mechanisms of Acupuncture and Moxibustion Therapy
1. Dredging Meridians, Regulating Qi and Blood Circulation
2. Reinforcing Deficiency and Reducing Excess Strengthening Body Resistance to Remove
Pathogenic Factors
3. Equtlibrating Yin and Yang, Regulating Physical Functions
B. Treatment Principle of Acupuncture and Moxibustion
l. Remforcing Deficiency and Reducing Excess
1) Reinforcing Deficiency
(1) Reinforcing the Diseased Meridian
(2) Reinforcing the Exterior-lnterior Meridian
(3) Reinforcing the Mother Organ Meridian
2) Reducing Excess
(1) Reducing the Diseased Meridian
(2) Reducing the Exterior-lnterior Meridian
(3) Reducing the Son Organ Meridian
3) Reinforcing and Reducing in Combination
2 Clearing Away Heat and Warming Cold
1) Clearing Away Heat
(1) Cleanng Away Exterior Heat
(2) Clearing Away Interior Heat
a. Clearing Away Lung Heat
b. Removing Heat in the Liver and Gallbladder
c. Removing Heat in the Spleen and Stomach
(3) Removing Deficiency Heat
a. Removing Lung Heat due to Deficiency
b. Removing Heart Heat due to Deficiency
c. Removing Deficiency Heat of the Liver and Kidney
2) Warmmg Cold
(1) Warming Yang to Dispel Cold
a. Warming the Lung to Dispel Cold
b. Warming Middle Jiao to Dispel Cold
c. Warming the Kidney to Dispel Cold
(2) Warming Yang and Tonifymg Deficiency
3) Warming Yang and Removing Heat in Combination
(1) Syndrome with Heat in the Upper and Cold in the Lower
(2) Syndrome due to Exterior Cold and Interior Heat
3. Treating the Incidental and Fundamental
1) Treating Biao (the incidental) for Acute Cases
2) Treating Ben (the Fundamental) for Chronic Cases
3) Treating Biao and Ben in Combination
4.Treating the Same Disease with Different Methods and Treating Different Diseases with
the Same Method
1) Treating the Same Disease with Different Methods
2) Treating Different Diseases with the Same Method
General Introduction ll The Science of Acupoint Prescription
A. Method of Acupoint Selection
1. Selection of the Local Points
2. Selection of the Distal Points
3. Selection of the Left-right Points
4 Selection of Symptomatic Points
B. Selection of Points According to Syndromes
1. Lung
1) Syndromes of the Viscera
(1) Lung Yin Deficiency
(2) Lung Qi Deficiency
(3) Invasion of the Lung by Wind Cold
(4) Accumulation of Heat in the Lung
(5) Obstruction of the Lung due to Phlegm
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Lung Meridian
2. Large Intestine
1) Syndromes of the Viscera
(1) Cold Syndrome
(2) Heat Syndrome
(3) Deficiency Syndrome
(4) Excess Syndrome
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Mendian
3.Spleen
1) Syndromes of the Viscera
(1) Spleen Qi Deficiency
(2) Excess Syndrome of the Spleen
(3) Cold Syndrome of the Spleen
(4) Heat Syndrome of the Spleen
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Meridian
4.Stomach
1) Syndromes of the Viscera
(1) Deficiency Cold Syndrome
(2) Excess Heat Syndrome
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Meridian
5. Heart
1) Syndromes of the Viscera
(1) Heart Yang Deficiency
(2) Heart Yin Deficiency
(3) Flaring-up of Heart Fire
(4) Heart Orifice Misted by Phlegm Fire
(5) Blood Stasis of Heart
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in ttie Meridian
(2) Accumulation of Pathogenic Heat in the Meridian
6.Small Intestine
1) Syndromes of the Viscera
(1) Cold Syndrome
(2) Heat Syndrome (Heat in the Heart Shifting to the Small Intestine)
(3) Hernia
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Meridian
7. Kidney
1) Syndromes of the Viscera
(1) Kidney Yang Deficiency
(2) Failure of the Kidney in Receiving Qi
(3) Kidney Yin Deficiency
(4) Hyperactivity of Yang due to Yin Deficiency
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Meridian
8. Bladder
1) Syndromes of the Viscera
(1) Deficiency Cold Syndrome
(2) Excess Heat Syndrome
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Meridian
9. Pericardium
10.Sanjiao
1) Syndromes of the Viscera
(1) Deficiency Syndrome
(2) Excess Syndrome
2) Syndromes of the Meridian
(1) Stagnant Wind and Cold in the Meridian
(2) Accumulation of Pathogenic Heat in the Meridian
11. Liver
1) Syndromes of the Viscera
(1) Liver Qi Stagnation
(2) Hyperactivity of Liver Fire
(3) Hyperactivity of Liver Yang
(4) Intemal Stirring of Liver Wind
2) Syndrome of the Meridian
Accumulation of the Cold in the Liver Meridian
12 Gallbladder
l) Syndromes of the Viscera
(1) Excess Syndrome
(2) Deficiency Syndrome
2) Syndrome of the Meridian
Stagnant Wind and Cold in the Meridian
C. The Application of Specific Acupoints
1. Five-Shu Points
2. Yuan- (Source) Points
3. Back-Shu Points
4. Front-Mu Points
5. Luo- (Connecting) Points
6. Xi- (Cleft) Points
7. Lower He- (Sea) Points
8. Eight Influential Points
9. Eight Confluent Points
10. Crossing Points
11. Four General Points and Ma Danyang Twelve Points
D. Combining Point Methods
1 Combining Point Methods of Different Body Parts
1) Combining Points on the Same Meridians
2) Combining Exterior-lnterior Points
3) Combining Points on Meridians with the Same Name
4) Combining Anterior-Posterior Points
5) Combining Superior-lnferior Points
6) Combining Bilateral Points
7) Combining Distal-Local Points
8) Combining Lateral-Medial Points
2.Combining Methods of Specific Acupoints
1) Combination of Back-Shu and Front-Mu Points
2) Combination of Source and Connecting Points
3) Combination of Xi- (Cleft) Points and Eight Influential-Points
Appendix: The Indications of Acupuncture and Moxibustion
1. Indications of Acupuncture
2. Therapeutic Effects and Indications of Moxibustion
PART B
Chapter l Internal Diseases
1. Endogenous Fever (内伤发热, Nei Shang Pa Re)
Appendix: High Fever (高热, Gao Re)
2. Syncope Syndrome (厥证, Jue Zheng)
3. Convulsive Diseases (痉证, Jing Zheng)
4. Collapse Syndrome (脱证, Tuo Zheng)
5. Hemorrhagic Syndrome ( 血证, Xue Zheng)
6. Eruptions (发疹, Fa Zhen)
7. Common Cold ( 感冒, Gan Mao)
8. Sunstroke ( 中暑， Zhong Shu)
9. Cough (咳嗽， Ke Sou)
10. Sweating Syndrome (汗证, Han Zheng)
11. Chest Blockage Syndrome (胸痹, Xiong Bi Zheng)
12. Palpitation (心悸, Xin Ji)
13. Hiccup ( 呃逆, E Ni)
14. Acid Regurgitation (吞酸, Tun Suan)
15. Vomiting (呕吐, Ou Tu)
16. Stomachache (胃痛i, Wei Tong)
17. Abdominal Pain (腹痛，Fu Tong)
18. Diarrhea (泄泻, Xie Xie)
19. Dysentery (痢疾, Li Ji)
20. Constipation (便 秘, Bian Bi)
21. Prolapse of Rectum (脱肛， Tuo Gang)
22. Hypochondriac Pain (胁痛, Xie Tong)
23. Jaundice Syndrome (黄疸, Huang Dan)
24. Tympanites (臌胀, Gu Zhang)
25. Edema (水肿, Shui Zhong)
26. Xiao Ke Syndrome (消渴, Wasting and Thirsting Syndrome)
27. Obesity (肥胖, Fei Pang)
28. Emaciation (消瘦, Xiao Shou)
29. Heat in the Upper and Cold in the Lower (上热下寒， Shang Re Xia Han)
Appendix: Cool Syndrome (冷证E, Leng Zheng)
30. Insomnia ( 失眠, Shi Mian)
31. Sleepiness (嗜睡S, Shi Shui)
32. Amnesia (健忘, Jian Wang)
33. Lassitude (倦怠, Juan Dai)
34. Manic-Depressive Disorder (癫狂, Dian Kuang)
35. Melancholy (郁证, Yu Zheng)
36. Stranguria (淋证， Lin Zheng)
37. Seminal Emission (遗精, Yi Jing)
Appendix: Sexual Intercourse in Dream (梦交, Meng Jiao)
38. Impotence ( 阳痿, Yang Wei)
39. Hemia (疝气, Shan Qi)
40. Headache ( 头痛, Tou Tong)
41. Dizziness (眩晕, Xuan Yun)
42. Windstroke ( 中风, Zhong Feng)
43. Bi Syndrome (痹证, Bi Zheng)
44. Flaccidity Syndrome (痿证, Wei Zheng)
45. Torticollis (落枕, Lao Zhen)
46. Pain in the Elbow Joint (肘痛, Zhou Tong)
47. Lumbar Pain (腰痛, Yao Tong)
Chapter ll Gynecological Diseases
48. irregular Menstruation ( 月经不调, Yue Jing Bu Tiao)
49. Amenorrhea (经闭, Jing Bi)
50. Metrorrhagia and Metrostaxis ( 崩漏, Beng Lou)
51. Dysmenorrhea (痛经, Tong Jing)
52. Morbid Leukorrhea (带下, Dai Xia)
53. Moming Sickness (妊娠恶阴, Ren Shen E Zu)
54. Malposition of Fetus (胎位不正, Tai Wei Bu Zheng)
55. Eclampsia (子痫, Zi Xian)
56. Prolonged Labor (滞产, Zhi Chan)
57. Retention of Placenta (胞衣不下, Bao Yi Bu Xia)
58. Lochiostasis (恶露不下, E Lu Bu Xia)
59. Lochiorrhea (恶露不绝e, E Lu Bu Jue)
60. Postpartum Vertigo ( 产后血晕, Chan Hou Xue Yun)
61. Postpartum Abdominal Pain (产后腹痛, Chan Hou Fu Tong)
62. Hypogalactia ( 乳少, Ru Shao)
63. Pruritus Vulvae ( 阴痒, Yin Yang)
64. infertility (不孕症, Bu Yun Zheng)
Chapter lll Pediatric Diseases
65. infantile Pertussis Cough (小儿顿咳, Xiao Er Dun Ke)
66. Children's Diarrhea (小儿泄泻, Xiao Er Xie Xie)
67. infantile Malnutrition Syndrome (小儿遗尿, Xiao Er Gan Ji)
68. infantile Convulsion (小儿惊风, Xiao Er Jing Feng)
69. Nocturnal Enuresis in Children (小儿遗尿, Xiao Er Yi Niao)
70. Morbid Night Crying (小儿夜啼, Xiao Er Ye Ti)
Chapter iV Diseases of Eyes, Ears, Nose and Throat
7!. Conjunctivitis (目赤肿痛, Mu Chi Zhong Tong)
72. Ptosis to the Eyelid (眼睑下垂, Yan Jian Xia Chui)
73. Dacryorrhea (流泪, Liu Lei)
74. Nebula (目翳, Mu Yi)
75. Sudden Blindness (暴盲, Bao Mang)
76. Night Blindness (夜盲, Ye Mang)
77. Toothache ( 牙痛, Ya Tong)
78. Halitosis (口臭, Kou Chou)
79. Sialorrhea ( 口角流涎, Kou Jiao Liu Xian)
80. Aphtha ( 口疮, Kou Chuang)
8!. Swelling and Pain of the Throat (咽喉肿痛, Yan Hou Zhong Tong)
82. Globus Hystericus (梅核气,, Mei He Qi)
83. Aphonia (失音, Shi Yin)
84. Tinnitus and Deafness (耳鸣, Er Ming耳聋 Er Long)
85. Auricular itch (耳痒, Er Yang)
86. Deafiiess and Muteness (聋哑, Long Ya)
87. Rhinorrhea (鼻渊, Bi Yuan)
Chapter V Dermatological and Other Diseases
88. Rosa Cea (酒渣鼻, Jiu Zha Bi)
89. Nail-Like Furuncle (疔疮, Ding Chuang)
90. Erysipelas ( 丹毒, Dan Du)
91. Stopping Smoking (戒烟, Jie Yan)
92. Periarthritis of the Shoulder (肩凝证, Jian Ning Zheng)
Appendix Reference Books
index l Terms of TCM in English Alphabetical Order
index ll Terms of TCM in Chinese Alphabetical Order
· · · · · · (收起)
读后感
用户评价
这本书的装帧设计着实让人眼前一亮，封面那种沉稳又不失深邃的蓝色调，配上烫金的书名，拿在手里就感觉分量十足。我特意挑选了一个光线好的下午，在书房里慢慢翻阅。最初的几页，我注意到作者在引言部分对“仁心仁术”的阐释，写得极其细腻，不仅仅是传统医术的复述，更融入了现代医学伦理的思考。这种将古典智慧与当代视角相结合的做法，是很多同类书籍所欠缺的。尤其是关于穴位定位的图解部分，采用了高清的三维人体模型插图，线条的精准度和阴影的层次感处理得非常到位，即便对于初学者来说，也能清晰地辨识出不同经络的走向和关键取穴点，这大大降低了学习的门槛。我特别欣赏它在描述具体操作手法时所采用的那种近乎于诗意的语言，比如描述“得气”的瞬间，那种“气至病所，脉弦而松”的境界，让人仿佛能透过文字感受到针尖与经络的微妙互动。整体来看，这本书在视觉传达和理论构建上都达到了一个相当高的水准，让人有强烈的阅读冲动，想要立刻投入到实践的探索中去。
我是一名康复科的年轻医生，在选择参考书时，最看重的是其临床实用性和案例的代表性。这本书在案例分析这块做得非常扎实，它并没有停留在理论层面，而是深入到了各种复杂病症的辨证论治过程。我仔细研究了其中关于“疑难杂症”的章节，比如一些慢性疼痛综合征和功能性障碍的治疗思路。作者不是简单地罗列几个常用穴位，而是构建了一个完整的思维框架：从病机分析到选穴原则，再到手法加减，每一步都有理有据，逻辑链条异常清晰。特别是对于不同年龄段患者的个体化治疗方案的探讨，体现了极高的临床智慧。举个例子，书中讨论了老年患者体虚状态下如何调整针刺的深度和刺激强度，这在许多教材中常常被一笔带过，但这本书却进行了详细的阐述，提供了非常实用的剂量控制参考。读完这些案例，我感觉自己对如何应对那些“教科书上没有写明”的棘手情况，心里更有底气了。这绝不是一本只能用来“做样子”的书，而是真正能指导临床决策的利器。
这本书的参考文献和索引系统做得极其专业和严谨，这对于做学术研究或者需要快速查阅资料的专业人士来说，简直是福音。我尝试着查找了几个我感兴趣的特定病症的最新研究进展，发现凡是书中提及的具有争议性的观点或需要佐证的结论，其后都清晰地标注了引文的出处和年份。这种对学术规范的尊重，使得整本书的可信度大大提高。此外，它的术语对照表非常全面，不仅包含了规范的中文术语，还对一些历史遗留的旧称和国际上通用的拉丁文或英文名称进行了对照，这对于那些需要进行跨文化学术交流的读者来说，提供了极大的便利。更值得称赞的是，书后的索引设计非常人性化，它不仅按笔画和拼音排列了穴位名称，还特别增加了一个“病症索引”，可以直接通过你关心的疾病名称，快速定位到书中涉及该病的所有理论阐述和治疗方案。这种细致入微的组织结构，体现了出版方对读者需求的深刻理解，极大地提升了这本书作为案头工具书的价值和使用效率。
阅读这本书的过程，体验就像是跟随一位经验丰富、谈吐风趣的导师进行一对一的实地教学。它的文字表达非常注重读者的体验感，那种娓娓道来、层层递进的叙事方式，让人在吸收知识的同时，精神上也得到了极大的愉悦。我个人对书中的“穴位应用小贴士”特别感兴趣，这些部分通常以小标题或者边栏的形式出现，内容非常生活化。比如，书中提到在特定节气如何通过按摩某些特定穴位来预防季节性疾病，这些小窍门虽然看似简单，却是作者多年临床经验的沉淀，非常接地气。而且，作者在讲解复杂概念时，经常会穿插一些形象的比喻，比如将气血运行比作水流的涨落，将病灶比作需要疏通的隘口，这些比喻既生动又准确，极大地增强了概念的可理解性。这种“润物细无声”的教学风格，让阅读过程充满了发现的乐趣，完全没有传统学术著作那种枯燥乏味的感觉，让人忍不住想一页接一页地读下去，生怕错过任何一个精妙的见解。
这本书的学术深度和广度让我这个老中医都感到惊喜，它在传承基础上对传统理论的再挖掘和提升，是真正有价值的贡献。我注意到作者在论述“经络实质”时，引用了大量的古代医籍，比如《内经》、《难经》中的晦涩段落，并用现代生物学和物理学的概念进行了富有洞察力的解读，构建了一种跨越时空的对话感。这种深厚的学术功底，使得全书的论述有根有据，避免了当代针灸研究中常见的“玄学化”倾向。更值得称道的是，它对不同流派针灸思想的兼收并蓄，没有偏废任何一方。比如，它对特定流派的特定手法（如特定流派的烧山火、泻青龙等）进行了细致的比较分析，指出它们在适应证上的细微差异和理论基础的异同。这种宏观的视野和微观的剖析相结合，让读者在学习具体技术的同时，也能建立起一个完整的针灸理论体系地图。对于希望深入研究针灸学理论源流的读者来说，这本书无疑是一本绝佳的“放大镜”和“导航仪”。
