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Acupoint Prescription for Epigastric and Abdominal Distension

Acupoint Prescription for Epigastric and Abdominal Distension: ST44, GB39
心腹脹滿配穴解析:內庭、絕骨
Clinical Focus|臨床重點: This minimal prescription utilizes two key distal points to clear Yangming Channel Heat (ST44) and resolve Liver/Gallbladder Qi Stagnation (GB39), which are common causes of abdominal distension, providing a strong effect of “clearing heat and harmonizing Qi” (清熱理氣).
此精簡配方利用兩個關鍵遠端穴位來清除陽明經熱(內庭)和疏解肝膽氣滯(絕骨),這是腹部脹滿的常見原因,具有強大的「清熱理氣」功效。
Overview: Clearing Heat and Promoting Smooth Qi Flow (疏利氣機)

“Epigastric and abdominal distension” (心腹脹滿) is caused by the obstruction and stagnation of Qi in the Middle Jiao (中焦). The underlying pathologies often involve residual Heat in the Stomach/Intestines (陽明熱盛) or Liver Qi invasion causing Qi blockage. The strategy is to **clear heat from the abdomen via the foot and regulate the channels of the side (Shaoyang and Jueyin)**.

「心腹脹滿」是由中焦氣機阻滯和鬱滯所致。潛在病機通常涉及胃腸殘留的熱邪(陽明熱盛)或肝氣侵犯導致的氣機阻塞。治療策略是透過足部**清除腹部熱邪,並調節側部經絡(少陽、厥陰)**。

Mechanism Analysis by Functional Group
依功能分組的機制解析
I. Distal Clearance of Yangming Visceral Heat
I. 遠端清除陽明腑熱
  • **Neiting (ST44):** The Ying-spring point of the Stomach Meridian. Known for its powerful action of **clearing Stomach Fire (清胃火)** and resolving heat-induced bloating, pain, and restlessness. As a distal point, it quickly draws heat away from the upper and middle abdomen.
    **內庭(ST44):** 胃經滎穴。以其強大的**清胃火**作用而聞名,能解決熱邪引起的脹滿、疼痛和煩躁。作為遠端穴位,它能迅速將熱從上腹和中腹部導出。
II. Unblocking Channels and Harmonizing Gallbladder Qi
II. 疏通經絡與調和膽氣
  • **Juegu (GB39):** Though the Marrow Influential Point, it is a key point on the Gallbladder Meridian (Shaoyang) and is effective for **smoothing the flow of Qi throughout the side and lower body** (疏利氣機). This helps resolve the Qi stagnation component of the distension, often linked to Liver/Gallbladder disharmony.
    **絕骨(GB39):** 雖然是髓會,但它是膽經(少陽)上的關鍵穴位,對**疏通整個側面和下半身的氣機**有效。這有助於解決脹滿中常與肝膽不和相關的氣滯成分。
Clinical Conclusion

The ST44-GB39 pair effectively manages both the **Heat (Yangming) and Stagnation (Shaoyang)** components of abdominal distension. By utilizing these distal points, the treatment can quickly regulate the Qi and clear the pathological heat from the abdominal region without requiring direct needling over the distended area, offering both efficacy and patient comfort.

內庭和絕骨的組合有效地同時處理腹部脹滿的**熱邪(陽明)和氣滯(少陽)**成分。通過使用這些遠端穴位,治療可以快速調節氣機並清除腹部病理性熱邪,而無需在脹滿區域直接針刺,兼顧療效和患者舒適度。

🔽 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. (關於內庭穴清熱理氣的臨床應用)
  2. 高樹中. **針灸臨床應用與研究**. 人民衛生出版社; 2012. (關於遠端穴位治療腹部脹滿的機理)
  3. 李麗娜. **針刺內庭、絕骨配合其他穴位治療消化不良所致腹脹的臨床觀察**. *中醫藥臨床雜誌*. 2019;31(2):120-122. (類似配穴組合的臨床療效觀察)

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