五官科疾病拔罐療法

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mso-hansi-font-family:"Times New Roman"">牙痛是以牙齒及牙紅腫疼痛為主要症狀的口腔疾病，一般是由於口腔不潔或過食油膩食物、胃腑積熱、胃火上衝，或風火邪毒侵犯、傷及牙齒，或腎陰虧損、虛火上炎、灼爍牙齦等引起病症。

mso-hansi-font-family:"Times New Roman";color:blue">●診斷

mso-ascii-font-family:"Times New Roman";mso-hansi-font-family:"Times New Roman"">（一）根尖周炎引發的牙痛診斷

1 "Times New Roman";mso-hansi-font-family:"Times New Roman"">牙痛一般由蛀牙、牙折裂引起。

2 "Times New Roman";mso-hansi-font-family:"Times New Roman"">自發性持續痛，也會向同側頭顳部蔓延，能指出病牙部位。

3 "Times New Roman";mso-hansi-font-family:"Times New Roman"">牙有伸長感，咀嚼時痛，垂直輕叩患牙有明顯疼痛。

4 "Times New Roman";mso-hansi-font-family:"Times New Roman"">根尖軟組織有壓痛，或有管。

5 "Times New Roman";mso-hansi-font-family:"Times New Roman"">頜下淋巴結腫、壓痛。

6 "Times New Roman";mso-hansi-font-family:"Times New Roman"">體溫升高。

mso-ascii-font-family:"Times New Roman";mso-hansi-font-family:"Times New Roman"">（二）牙髓炎引起的牙痛

1 "Times New Roman";mso-hansi-font-family:"Times New Roman"">一般蛀牙、牙磨損、牙折裂等會引起牙痛。

2 mso-hansi-font-family:"Times New Roman"">自發性陣發痛，並會向同側頭、面部蔓延，夜間時尤其疼痛，在急性期時不能指出病牙部位。

3 "Times New Roman";mso-hansi-font-family:"Times New Roman"">冷熱刺激會加劇疼痛。

4 "Times New Roman";mso-hansi-font-family:"Times New Roman"">輕叩病牙會有疼痛感。

mso-hansi-font-family:"Times New Roman";color:blue">●選穴及治療方法

mso-ascii-font-family:"Times New Roman";mso-hansi-font-family:"Times New Roman"">刺絡罐法

mso-ascii-font-family:"Times New Roman";mso-hansi-font-family:"Times New Roman"">所選穴位：大椎、肩井

mso-ascii-font-family:"Times New Roman";mso-hansi-font-family:"Times New Roman"">治療方法：讓患者取坐位，在對穴位皮膚進行常規消毒後，先用三棱針點刺所選穴位，然後再用閃火法將罐吸拔在穴位上，留罐10"MS Mincho"">∼15mso-ascii-font-family:"Times New Roman";mso-hansi-font-family:"Times New Roman"">分鐘。每日1"Times New Roman";mso-hansi-font-family:"Times New Roman"">次。

mso-ascii-font-family:"Times New Roman";mso-hansi-font-family:"Times New Roman"">塗藥罐法

mso-ascii-font-family:"Times New Roman";mso-hansi-font-family:"Times New Roman"">所選穴位：患側頰車、下關、合谷

mso-ascii-font-family:"Times New Roman";mso-hansi-font-family:"Times New Roman"">治療方法：讓患者取坐位，先在頰車、下關穴位處塗上風油精，然後再用閃火法將罐吸拔在穴位上。隨後再在合谷穴用出針罐法，留罐10"MS Mincho"">∼15mso-ascii-font-family:"Times New Roman";mso-hansi-font-family:"Times New Roman"">分鐘。每日1"Times New Roman";mso-hansi-font-family:"Times New Roman"">次。

mso-hansi-font-family:"Times New Roman";color:green">慢性鼻炎

mso-hansi-font-family:"Times New Roman"">慢性鼻炎是鼻腔黏膜和黏膜下層的慢性炎症。比較早期的慢性鼻炎常表現為鼻黏膜的慢性充血腫脹，稱「慢性單純性鼻炎」，若發展為鼻黏膜和鼻甲骨的增生肥厚，則稱「慢性肥厚性鼻炎」。

mso-hansi-font-family:"Times New Roman";color:blue">●診斷

1 mso-hansi-font-family:"Times New Roman"">鼻塞："Times New Roman"">可呈現交替性，即左側臥時左鼻腔阻塞；右側臥時右鼻腔阻塞。

2 mso-hansi-font-family:"Times New Roman"">鼻涕多："Times New Roman"">黏液性、黏液膿性或膿性分泌。

3 "Times New Roman";mso-hansi-font-family:"Times New Roman"">嗅覺減退，頭脹頭昏，咽部不適。

4 mso-ascii-font-family:"Times New Roman";mso-hansi-font-family:"Times New Roman"">檢查鼻腔發現：mso-hansi-font-family:"Times New Roman"">鼻黏膜彌漫性充血、鼻甲腫脹、黏膜表面或僅於鼻腔底部有分泌物聚積，而中鼻道及嗅溝沒有膿液。這也是與副鼻竇炎的區別所在。

mso-hansi-font-family:"Times New Roman";color:blue">●選穴及治療方法

mso-ascii-font-family:"Times New Roman";mso-hansi-font-family:"Times New Roman"">單純火罐法

mso-ascii-font-family:"Times New Roman";mso-hansi-font-family:"Times New Roman"">所選穴位：①mso-hansi-font-family:"Times New Roman"">中脘、肺俞、膈俞　②mso-hansi-font-family:"Times New Roman"">風池、脾俞、足三里

mso-ascii-font-family:"Times New Roman";mso-hansi-font-family:"Times New Roman"">治療方法：在上述2"Times New Roman";mso-hansi-font-family:"Times New Roman"">組穴位中，每次治療只選取1"Times New Roman";mso-hansi-font-family:"Times New Roman"">組，交替選取治療。患者取坐位，用閃火法將罐吸拔在穴位上，留罐5"MS Mincho"">∼20mso-ascii-font-family:"Times New Roman";mso-hansi-font-family:"Times New Roman"">分鐘。每日1"Times New Roman";mso-hansi-font-family:"Times New Roman"">次，10"Times New Roman";mso-hansi-font-family:"Times New Roman"">次為1"Times New Roman";mso-hansi-font-family:"Times New Roman"">個療程。

mso-ascii-font-family:"Times New Roman";mso-hansi-font-family:"Times New Roman"">挑刺罐法

mso-ascii-font-family:"Times New Roman";mso-hansi-font-family:"Times New Roman"">所選穴位：①mso-hansi-font-family:"Times New Roman"">大椎、合谷　②"Times New Roman"">肺俞、足三里　mso-bidi-font-family:"MS Mincho"">③mso-ascii-font-family:"Times New Roman";mso-hansi-font-family:"Times New Roman"">風池、曲池

mso-ascii-font-family:"Times New Roman";mso-hansi-font-family:"Times New Roman"">治療方法：在上述3"Times New Roman";mso-hansi-font-family:"Times New Roman"">組穴位中，每次治療只選取其中的1"Times New Roman";mso-hansi-font-family:"Times New Roman"">組，然後交替使用。讓患者取坐位，在對穴位皮膚進行常規消毒後，先用三棱針對穴位進行挑刺直至出血，然後用閃火法將罐吸拔在穴位上，留罐15"MS Mincho"">∼20mso-ascii-font-family:"Times New Roman";mso-hansi-font-family:"Times New Roman"">分鐘。這樣的治療每週2"Times New Roman";mso-hansi-font-family:"Times New Roman"">次，待症狀緩解後改為每週1"Times New Roman";mso-hansi-font-family:"Times New Roman"">次，5"Times New Roman";mso-hansi-font-family:"Times New Roman"">次為1"Times New Roman";mso-hansi-font-family:"Times New Roman"">個療程，在2"Times New Roman";mso-hansi-font-family:"Times New Roman"">個療程之間應間隔1"Times New Roman";mso-hansi-font-family:"Times New Roman"">週。

mso-hansi-font-family:"Times New Roman";color:blue">●注意事項