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Acupoint Prescription for Motor Impairment of the Leg and Foot (Foot Weakness)

Acupoint Prescription for Motor Impairment of the Leg and Foot (Foot Weakness): ST38, GB39, ST42
足緩難行(足部無力)配穴解析:條口、絕骨、衝陽
Clinical Focus|臨床重點: This prescription combines a key point for tendon and sinew disorders (GB39, the Marrow Influential Point), a local distal point for foot circulation (ST42), and a unique point for muscular function (ST38) to restore motor function in the lower limb.
此配方結合了治療筋骨疾病的要穴(絕骨,髓會),一個足部的遠端局部穴位(衝陽),以及一個獨特的調節肌肉功能的穴位(條口),以恢復下肢運動功能。
Overview: Nourishing Marrow and Activating Collaterals (補髓通絡)

“Foot weakness and difficulty walking” (足緩難行) often falls under the category of **Wei Syndrome (痿證)** or paralysis due to stroke sequelae. The underlying pathology involves deficiency of Qi and Blood, resulting in lack of nourishment to the sinews, muscles, and bones. The strategy is to utilize points that specifically **strengthen the marrow and improve local circulation and nerve conduction**.

「足緩難行」通常歸類於**痿證**或中風後遺症所致的癱瘓。其基本病機是氣血不足,導致筋脈、肌肉和骨骼失去濡養。治療策略是利用專門**強壯骨髓並改善局部循環和神經傳導**的穴位。

Mechanism Analysis by Functional Group
依功能分組的機制解析
I. Fundamental Tonification of Marrow and Sinews
I. 骨髓與筋腱的根本補益
  • **Juegu (GB39):** The Influential Point of the Marrow (髓會). This is the key point for all bone and marrow related disorders, especially important in stroke recovery and lower limb weakness to **nourish the marrow and strengthen the bones and sinews** (補髓健筋).
    **絕骨(GB39):** 髓會。是所有骨骼和骨髓相關疾病的關鍵穴位,對於中風恢復和下肢無力,用於**滋養骨髓,強健筋骨**至關重要。
II. Activating Channels and Promoting Motor Function
II. 疏通經絡與促進運動功能
  • **Tiaokou (ST38):** While traditionally used for shoulder pain, it is strategically located to strongly affect the entire **Stomach Meridian (Yangming) in the leg**, offering powerful local **tendon and muscle activation** effects for the lower limb, essential for improving walking.
    **條口(ST38):** 雖然傳統用於肩痛,但在腿部胃經上有戰略性位置,為下肢提供強大的局部**筋腱和肌肉激活**作用,對於改善行走功能至關重要。
  • **Chongyang (ST42):** The Source Point of the Stomach Meridian on the foot. It is used to **regulate the Qi and Blood flow in the foot** itself (通經活絡), improving sensation and local motor control in the distal extremity.
    **衝陽(ST42):** 胃經在足部的原穴。用於**調節足部自身的氣血流通**,改善末梢肢體的感覺和局部運動控制。
Clinical Conclusion

This three-point combination provides both proximal stimulation for systemic support (GB39) and powerful local/segmental effects (ST38, ST42) along the Yangming channel, making it a targeted treatment for improving lower extremity strength and mobility, a common presentation in neurodegenerative and post-stroke rehabilitation.

這個三穴組合同時提供近端刺激以支持全身(絕骨),以及沿著陽明經的強大局部/節段效應(條口、衝陽),使其成為改善下肢力量和活動度的靶向治療,這在神經退行性疾病和中風後康復中非常常見。

🔽 References|參考文獻(折疊) Click to expand|點擊展開
  1. 石學敏. **石學敏針灸學**. 中國中醫藥出版社; 2017. (關於條口、絕骨在神經系統疾病和癱瘓中的應用)
  2. 高樹中. **針灸臨床應用與研究**. 人民衛生出版社; 2012. (關於絕骨作為髓會,在治療下肢痿證中的重要性)
  3. 趙志高. **條口透承山配合絕骨穴治療中風後遺症下肢功能障礙的臨床研究**. *中國針灸*. 2018;38(4):393-396. (類似配穴組合的臨床療效觀察)

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