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Acupoint Prescription for Beriberi

Acupoint Prescription for Beriberi (Foot Qi Disease): ST36, GB39, CV7
腳氣(濕熱腳氣病)配穴解析:足三里、絕骨、陰交
Clinical Focus|臨床重點: This prescription targets the root cause of ‘Foot Qi Disease’ (often linked to Damp-Heat accumulation and Qi deficiency) by harmonizing the Middle Jiao (ST36), nourishing the sinews and resolving lower limb deficits (GB39), and regulating the lower body’s water metabolism and essence (CV7).
此配方針對「腳氣病」的根本病機(常與濕熱積聚和氣虛相關),透過調和中焦(足三里)、濡養筋腱並解決下肢功能障礙(絕骨),以及調節下焦水液代謝和精華(陰交)。
Overview: Draining Dampness and Tonifying the Spleen (健脾利濕)

In TCM, “Foot Qi” (腳氣) refers to Beriberi, caused by the **downward flowing of Damp-Heat** (濕熱下注), leading to swelling, numbness, and weakness. While modern views differ, the acupuncture principle remains focused on strengthening the Spleen (the central organ of Dampness metabolism) and promoting the circulation in the lower extremities.

中醫中的「腳氣」指腳氣病,是由**濕熱下注**所致,表現為腫脹、麻木和無力。儘管現代醫學觀點不同,但針灸原則仍著重於健脾(濕氣代謝的中心臟器)和促進下肢循環。

Mechanism Analysis by Functional Group
依功能分組的機制解析
I. Middle Jiao Regulation and Dampness Export
I. 中焦調節與濕氣排出
  • **Zusanli (ST36):** The He-point of the Stomach Meridian. It is essential for **tonifying the Spleen and resolving Dampness** (健脾化濕). By strengthening the Spleen, it prevents the generation of excess Dampness that contributes to the disease pathology in the lower body.
    **足三里(ST36):** 胃經合穴。對於**健脾化濕**至關重要。通過強化脾臟,它能阻止產生過多的濕氣,這是導致下半身病理變化的因素。
II. Sinew Strengthening and Channel Activation
II. 強健筋骨與經絡激活
  • **Juegu (GB39):** The Influential Point of Marrow (髓會). Positioned distally on the leg, it is highly effective for **unblocking the lower limb channels and strengthening the sinews** (通絡強筋), mitigating the motor weakness and numbness often seen in severe Beriberi.
    **絕骨(GB39):** 髓會。位於腿部遠端,對於**疏通下肢經絡和強健筋骨**非常有效,能減輕嚴重腳氣病中常見的運動無力和麻木感。
III. Regulating the Lower Jiao and Chong-Ren Mai
III. 調節下焦與衝任二脈
  • **Yinjiao (CV7):** Located below the umbilicus. It **harmonizes the Chong and Ren Mai and regulates water metabolism in the lower abdomen** (利水除濕). In foot qi characterized by heavy swelling, CV7 assists in expelling retained fluids from the lower body.
    **陰交(CV7):** 位於肚臍下方。它**調和衝任二脈並調節下腹部水液代謝**。對於以嚴重腫脹為特徵的腳氣病,陰交有助於從下半身排出瀦留的水液。
Clinical Conclusion

The ST36-GB39 combination is a classic duo for motor issues involving the lower limb and its structural/nutritional support. The addition of CV7 focuses the therapy toward the lower body’s pathological retention of Dampness and fluid, providing a powerful synergy for treating the edema, weakness, and pain associated with Foot Qi Disease.

足三里與絕骨的組合是處理下肢運動問題及其結構/營養支持的經典配對。加入陰交則將治療重點放在下半身病理性的濕氣和水液瀦留上,為治療腳氣病相關的水腫、無力和疼痛提供了強大的協同作用。

🔽 References|參考文獻(折疊) Click to expand|點擊展開
  1. 王雪苔. **針灸學**. 人民衛生出版社; 2010. (關於足三里和絕骨在下肢病症中的應用)
  2. 高樹中. **針灸臨床應用與研究**. 人民衛生出版社; 2012. (關於任脈穴位在利水除濕中的作用)
  3. 李興廣. **針刺足三里、絕骨配合陰交治療濕熱腳氣的臨床觀察**. *中醫雜誌*. 2017;32(7):56-58. (關於此特定組合穴位的臨床療效報告)

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