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阳蹻脉-中医疣病网

阳蹻脉

阳蹻脉(Motility Channel of Yang; Yang Heel Vessel,Yang HV),奇经八脉之一。首载于《内经》。《灵枢.寒热病》及《灵枢.大惑论》有所载述。《难经》进行了整理修订并纳入奇经八脉。晋代《针灸甲乙经》将此经脉与其他经脉之交会穴载入。元代滑寿所著《十四经发挥》及明代李时珍所著《奇经八脉考》,对此经脉有较详细的载述。此经脉主一身左右阳侧之运动,而不与督脉相交会。

目录

  • 1 循行
  • 2 病候
  • 3 交会穴
  • 4 参看

循行

《灵枢.寒热病》提到足太阳经于项中两筋间入脑后才分出阴蹻与阳蹻两脉,两脉又相交会于外眼角,未能详述此经脉之循行。《难经》载此经脉循行也过于简略。《奇经八脉考》载述方详。阳蹻脉是足太阳经的支脉,起始于足跟中,出于外踝下足太阳经申脉穴,当踝后绕跟,以仆参为本,上外踝上三寸,以跗阳为郄,直上循股外廉,循胁后髀,上会手太阳、阳维于臑俞,上行肩膊外廉,会手阳明于巨骨,会手阳明、少阳于肩髃,上人迎夹口吻,会手足阳明、任脉于地仓,同足阳明上而行巨髎,复会任脉于承泣,至目内眦与手足太阳、足阳明、阴蹻五脉会于睛明穴,从睛明上行入发际,下耳后,入风池而终(见图)。

阳蹻脉循行图

 

病候

《素问.缪刺论》云:“邪客于足阳蹻之脉,令人目痛,从内眦始。”《难经》云:“阳蹻为病,阴缓而阳急。”指内踝向上之阴蹻脉弛缓,而外踝向上之阳蹻脉拘急,常形成足外翻。又阳蹻脉气盛则目张而不寐。

交会穴

申脉、仆参、跗阳(足太阳)、居髎(足少阳)、臑俞(手太阳)、巨骨、肩髃(手阳明)、地仓、巨髎、承泣(足阳明)、睛明(足太阳)、风池(足少阳),共12穴,左右合计24穴。

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