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Acupoint Prescription for Lower Extremity Pain and Knee Edema

Acupoint Prescription for Lower Extremity Pain and Knee Edema: ST36, GB39, SP9/GB34, SP6, LR3
下肢疼痛與膝腫配穴解析：足三里、懸鐘、二陵、三陰交、太衝
Clinical Focus｜臨床重點： This prescription targets both acute symptoms (pain, swelling) and underlying constitutional factors (Dampness, Qi/Blood stasis, Liver/Kidney deficiency), utilizing the confluence of major lower limb energy pathways.
此配方同時針對急性症狀（疼痛、腫脹）和根本體質因素（濕氣、氣血瘀滯、肝腎不足），運用了下肢主要經絡的交會點。
Overview: Multi-Target Approach to Pain and Swelling

Lower extremity pain and knee swelling often involve a combination of inflammation, local fluid retention (Dampness/Phlegm in TCM), and muscle/tendon stiffness. This prescription combines points for **local and systemic anti-inflammatory effects** (ST36), **fluid drainage** (SP9), **tendon relaxation** (GB34), and **tonification of supporting organs** (SP6, LR3).

下肢疼痛和膝腫通常涉及炎症、局部積液（中醫的濕/痰）以及肌肉/筋腱僵硬。此配方結合了具有**局部及全身抗炎作用**（足三里）、**利水消腫**（陰陵泉）、**舒筋活絡**（陽陵泉），以及**補益相關臟腑**（三陰交、太衝）的穴位。

Mechanism Analysis by Functional Group
依功能分組的機制解析
I. Resolving Dampness, Swelling, and Bone/Tendon Issues
I. 化濕、消腫與骨/筋問題處理
  • **Yinlingquan (SP9):** The He-point of the Spleen Meridian, crucial for **draining Dampness** and resolving edema, directly targeting knee swelling.
    **陰陵泉（SP9）：** 脾經合穴，對於**利濕消腫**至關重要，直接針對膝關節腫脹。
  • **Yanglingquan (GB34):** The Influential Point of Tendons/Sinews (筋會), primarily used to **relax tendons and activate collaterals**, essential for managing knee and ankle joint stiffness and pain.
    **陽陵泉（GB34）：** 筋會，主要用於**舒筋活絡**，對於處理膝關節和踝關節的僵硬與疼痛至關重要。
  • **Xuanzhong (GB39):** The Influential Point of Marrow (髓會), used to address deep bone/joint pain and nourish the marrow, strengthening the structural support of the knee and ankle.
    **懸鐘（GB39）：** 髓會，用於處理深層骨骼/關節疼痛和滋養骨髓，強化膝踝的結構支持。
II. Root Strengthening and Systemic Anti-Inflammation
II. 固本強體與全身性抗炎
  • **Zusanli (ST36):** The general constitutional point for **tonifying Qi and Blood**, providing the systemic energy needed for repair, and contributing significant anti-inflammatory effects through neuro-regulation.
    **三里（ST36）：** 補益**氣血**的全身性強壯點，提供修復所需的系統能量，並透過神經調節貢獻顯著的抗炎作用。
  • **Sanyinjiao (SP6):** The confluence of the three Yin meridians (Spleen, Liver, Kidney), used to **tonify Liver/Kidney essence** and strengthen the Spleen’s function in metabolizing Dampness.
    **三陰交（SP6）：** 三條陰經（脾、肝、腎）的交會點，用於**補益肝腎精華**，並強化脾臟運化水濕的功能。
  • **Taichong (LR3):** The Source point of the Liver Meridian, used to **smooth Liver Qi and relieve stasis and localized pain**, particularly effective for foot and ankle pain related to tension.
    **太衝（LR3）：** 肝經原穴，用於**疏肝理氣、緩解瘀滯和局部疼痛**，對與緊張相關的足部和踝關節疼痛特別有效。
Clinical Conclusion

This balanced prescription directly treats the local symptoms (Swelling: SP9, Pain/Stiffness: GB34/GB39) while addressing the deeper causes of chronic pain and joint degeneration (Tonification: ST36, SP6, LR3). The combination effectively clears obstruction and strengthens the lower body framework.

這個平衡的配方直接治療局部症狀（消腫：陰陵泉，止痛/僵硬：陽陵泉/懸鐘），同時解決慢性疼痛和關節退化的深層原因（補益：足三里、三陰交、太衝）。此組合有效疏通經絡，並強化下肢骨骼和肌肉結構。

🔽 References｜參考文獻（折疊） Click to expand｜點擊展開
  1. Bao, Y., et al. **Acupuncture for Knee Osteoarthritis: A Systematic Review and Meta-Analysis**. *Evid Based Complement Alternat Med*. 2021;2021:6690460. (Review of acupuncture efficacy on knee pain/swelling)
    Bao, Y. 等. **針灸治療膝骨關節炎：系統評價和薈萃分析**. *Evid Based Complement Alternat Med*. 2021;2021:6690460. (針灸對膝痛/腫脹療效的綜述)
  2. Zhu, Y. **Clinical Study on Treatment of Knee Osteoarthritis by Acupuncture Therapy Based on the Theory of “Hui Xue” (Influential Points)**. *J Acupunct Tuina Sci*. 2012;10(2):87-90. (Focuses on the use of Influential Points like GB34 and GB39)
    朱毅. **基於八會穴理論的針灸治療膝骨關節炎臨床研究**. *J Acupunct Tuina Sci*. 2012;10(2):87-90. (著重於使用八會穴如陽陵泉和懸鐘)
  3. Zhang, R., et al. **Acupuncture for pain relief in patients with lower limb peripheral neuropathy: A systematic review and meta-analysis of randomized controlled trials**. *J Tradit Chin Med*. 2021;41(1):1-10. (Discusses the mechanism of acupuncture on peripheral pain)
    Zhang, R. 等. **針灸緩解下肢周圍神經病變患者疼痛：隨機對照試驗的系統評價和薈萃分析**. *J Tradit Chin Med*. 2021;41(1):1-10. (討論針灸對周圍疼痛的機制)

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