确定原发性头痛压痛穴的有效方法:高丽手针疗法的对应穴

K. Park, T. Yoo
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引用次数: 5

摘要

目的:需要一种有效、客观的方法来确定原发性头痛的部位。本研究采用韩式手部疗法(KHT)中指对应穴位。对象与方法:选取600例门诊原发性头痛患者。进行病史、体格检查和常规实验室检查。体检时,我们一起触诊头部和中指,并相互比较。我们决定了左右两侧和一侧的位置。触诊点为双侧前额、眶周、耳前、颞、顶骨、枕部,距头颈中线2 ~ 3 cm,前额至枕部。在中指按压膀胱微经(I) I-1、I-2、I-3和胆囊微经(M) M-1、M-2、M-3、M-4、M-5、M-6等穴位。结果:400例偏头痛患者中,头两侧及中指痛点48例,右侧196例,左侧156例。疼痛部位呈弥漫性而非局部性。200例紧张性头痛患者中,右侧沿头中线及中指敏感67例,左侧沿中线敏感105例,两侧沿中线敏感28例。结论:为客观有效地诊断和治疗原发性头痛,应用KHT的相应穴位,可节省体检时确定和确定部位的时间。
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Useful Method To Confirm Tender Points Of Primary Headache: Corresponding Points Of Koryo Hand Acupuncture Therapy
Purpose: Effective and objective method for decide the location of primary headache is needed. In this study we used corresponding points on the middle finger of hand of Korean Hand Therapy (KHT). Subjects and Methods: The 600 outpatients with primary headache were included. History, physical exam and routine laboratory tests were performed. On physical examination, we palpated head and middle finger together and compared with each other. We decided the right or left side and sites of one side. The palpated points were bilateral forehead, periorbital, preauricular, temporal, parietal, and occipital, 2-3 centimeter apart from midline of head and neck from forehead to occipital. On the middle finger we pressed KHT points such as Urinary Bladder micromeridian(I) I-1, I-2, I-3 and Gallbladder micromeridian(M) M-1, M-2, M-3, M-4, M-5, and M-6 using tip probe and or roller stimulator. Results: Among 400 migraineurs, 48 had pain sensitive points on the both sides of head and middle fingers, 196 had on the right side and 156 had on the left side. The painful sites were diffuse rather than localized. Among 200 patients with tension type headache, 67 had sensitive points on the right side along midline of head and middle finger, 105 had sensitive points on the left side along midline and 28 had sensitive points on both side along midline. Conclusion: For diagnosis and treatment of primary headache objectively and effectively, we can save the time to decide and to confirm location during physical examination if we apply corresponding points of KHT.
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