颈椎酸痛点到即解.rtf
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颈椎酸痛点到即解宣宾
颈椎酸痛点压足四五趾之间压痛点(肯定有压之特痛点),足跟大筋与内外踝平行凹陷处压痛点,每点压五_十分钟,若加压手对应部位,手第二掌骨全息颈,效果更好.
独穴按揉治落枕
治疗方法：
(1)选穴：
病侧肩胛骨正中线中点稍外侧，按压时有明显酸胀麻痛感。
(2)操作步骤：
病人取坐位，抬头挺胸，双手臂自然下垂，手掌放于大腿上，全身肌肉放松。术者站在病人身后，先在穴位上用掌根按揉1-2分钟，然后用拇指、食指按揉穴位致红、热，再用大拇指指腹按揉，先轻后重逐渐加力，同时嘱病人做头、颈部的伸屈、旋转运动。一般按揉至颈部活动自如即可，大约10-15分钟。1次未愈者，12小时后再行第2次按揉治疗，效果极佳。
火柴杆耳穴速点治疗急性扭伤134例
选择一根火柴杆,采用无磷的一头.截面平整,如截面带有四边小棱,用手指把小棱捻转掉,使截面近似圆滑,避免木刺扎伤皮肤.确定诊断扭伤部位,取患者健侧耳朵,一般不需要消毒过程,医者左手捏住患者健侧耳边,右手拇食指持火柴杆无磷一头1/3处.在耳与人体相对应区域,寻找阳性反应点,即敏感点,点时,指力要平稳,使患者能忍受为度,钓在2至3秒钟完成,速见效果,令患者试动扭伤部位,如疼痛效果欠佳,在原点的基础上,上下左右再点,达到效果满意为止.有红肿严重瘀血,局部毛细血管撕裂时,应先做冷敷待毛细血管不出血后,再施火柴杆耳穴速点治疗.不受疗程限制,每天点一次.
临床观察134例,颈部扭伤5例,一次痊愈4例(占80.00%),2至3次痊愈1例(占20.00%);腰扭伤31例,一次痊愈21例(占67.74%),2至3次痊愈10例(占32.26%);肩扭伤5例,一次痊愈2例(占40.00%),显效3例(占60%);肘扭伤4例,一次痊愈1例(占25%),2至3次痊愈2例(占50%),显效1例(占25%);腕扭伤,髋扭伤,膝扭伤,踝扭伤共134例,痊愈118例(占88.06%).显效16例(占11.94),有效率为100%.
颈椎病推拿小窍门
横突点压法
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说个我常用,也用了几年的方法,和无忧法师的有点类似.
点压拨C67横突后侧,骨头和斜方肌之间的缝隙,向内下伸进你的手指.常有放射感向肩胛骨内侧缘跑,也可向同侧手臂走,有的会感觉到胸内.
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作用:1肩胛骨内侧疼痛
2颈椎病,颈肩痛,特别是斜方肌,肩胛提肌胀厚,僵硬,一般手法处理下来缓解不好的,点拨后立刻感觉轻松.
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原理:这里有根副神经.还有些其他脊神经. 副神经支配斜方肌等肌肉.
注意:点不易找准,找到后手下会有根粉丝大小的条索.另外不要多点,比较的疼痛.
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-想起重要的一点的经验,补充一下:
C12横突外侧和后侧慎点,特别是椎动脉型颈椎病,有头晕的,特别是横突处摸到软组织胀厚似有小结的,慎.有时很轻很轻的力都会出现头晕加重,恶心出现,重者会晕厥.
某初学时曾有几个教训,晕了的,虽躺一会就好了,但不出现为好.
现在某一摸就知道可不可以点揉,秘诀是手感不同:
能点揉的是手下是条索和硬结,较硬,多可推动,周围软组织柔软:
不能点揉的是手下多为胀胀的结节,韧,揉之不易活动,周围紧张......
介绍个我常用的治疗颈椎病的神奇小手法--------横突点按压揉法
很简单的个小手法，在九几年的中国骨伤杂志上还曾经有过一篇论文，专门介绍横突点揉法，我其实就是看了这篇论文自学自练，到现在也用了有好几年，感觉虽然没有搬扭拽踹拉等手法，但对常见颈部疾病却有很好的效果。
介绍如下：常规松解颈肩软组织后，一手扶患者头，以一手拇指点揉患者颈椎横突，依次从第一颈椎横突顺次点揉，我常用手法是先试探性确定患者横突后以拇指尖端或内侧缘逐渐试探性加压点按，边点按边观察和询问患者反应，点压时用力方向为从颈外侧向内，不主张点压和揉横突前。因为点压横突和横突间有时会有较大疼痛，且附近有较多神经血管和腺体，所以一定要循序渐渐加力，并让患者体会神经传导，通常会有和脊柱神经解剖一样的传导反应，比如1-4椎会有头枕额面耳鼻舌甚至牙齿等不同酸麻胀痛等反应，患者有反应后保持五六秒，然后减低压力，在点揉处施以小范围点揉。然后换下一个横突间，依次操作。
5---7椎一般会有向肩背手臂，手指掌等酸麻胀痛或其他反应，在斜角肌处可适当用力或不用力弹拨。极少数会有向胸或心脏传导，向心脏反射时应减低或停住手法，以防点压到颈动脉窦出现意外。
点压时一般会有神经反射传导现象，对有些有单纯较大疼痛时可调整用力方向或重新触诊，如实在无反应则不必追求。
一侧操作完后换侧按上法操作。
这个手法看似简单其实有很多意想不到的好处，比如神经反射，有些相关疾病可能谁都没有想到的，一点压，患处出现反应，比如颈椎引起的牙疼，鼻炎啦，眼部疾患啦，咽喉疾患，耳部疾病什么的，一般会有反应。像我前几天做过的个妇女，在颈椎疾病基本消失后，点压时患者鼻子出现往外冒热气现象，经询问患者常感鼻部干燥不适，2次后点压时鼻部反射消失，干燥不适也随之消失，但患者又出现牙龈不适，知其对应处牙龈常发炎疼痛，数次后该症状消失，咽喉又出现反应了，患者多年咽炎也随即有较大好转，呵呵。很是好玩，患者可不知你用的什么神奇手法，只知道一点唰的哪有毛病哪就有反应。这是你爱说是啥神功就是啥神功，当然大家看了学会的人多了，忽悠时可就得悠着点了。
对神经根型颈椎病，颈源性肘，腕等也同样神奇，如患者有相关毛病而不相信你说的，来，大叔压一下，唰，一切OK，搞定。
我常用它来装神弄鬼，来个病号，慢着，不用你说什么症状，我检查检查，横突部一压，嘿嘿，伟大的神医诞生了。
当然这也需要有很好的解剖和扎实的疾病诊断分析能力，在触摸式要马上在短短几分几秒内根据手下的感觉判断可能的情况。
至于原理什么的，就不用说太多了，都是高人，高来高去的(怎么像介绍飞贼？贼不走空？) ，无非个失稳，内外平衡，什么肩胛提肌什么的肌肉的附着点，无菌性炎症，挛缩牵拉卡压，等等，胡萝卜加大棒子，点一下揉三揉，慢慢气顺了，内外平衡了等。
击打脚心治疗落枕
一位老中医告诉我击打脚心治疗落枕，我不懂其中道理，请教各位老师赐教!
这个有几个原因
1：击打的部位上是全息中的颈部
2：击打的经络是肾经和膀胱经和胆经
3：其它的原因
我用过此疗法，也是在本论坛看到的。当时那位患者症状很重，常规手法做了10分钟左右没效果。然后用此法，3拳上去，症状完全消失。我印象很深刻。具体机理我也不知道。
怪治"落枕"
[用料]整砖1块
[制用法]患者平躺在床上，两腿自然合拢，全身放松，由一人扶住其双腿，另一人将一本薄书垫在其落枕一侧的脚底处，用一块整砖隔书击脚底三四次即可。
[功效]用治落枕牵动脖颈疼痛难忍。
注：此法为一老中医所传授，治疗1次疼痛减轻，次日自愈，已治愈落枕者几十人。
没那么复杂!用拳头直接击打脚底(脚后部)效果也很显著!
实际是刺激的后脚跟的大筋.看看董氏奇穴中的.正筋，正宗的主治就明白了.也是以筋治筋的原理!
针刺悬钟穴治落枕
落枕多是由于睡眠时头部处于过高或过低的位置，致使颈项部肌被牵拉所伤、脉络受损所致。我采用针刺悬钟穴治疗落枕，效果显著，简介如下：
[取穴]：外踝尖上3寸，当腓骨后缘与腓骨长、短肌腱之间凹陷处取之。
[针刺方法]：取穴左右悬钟或单侧一穴均可，行平补平泻法，留针30分钟，一日一次，一般1～3次即愈。
病案举例
病案1汪某，男，33岁，2005年2月28日初诊。患者当日起床后，即感颈项强痛，不能旋转活动而来请求针灸治疗。经检查局部无红肿，无寒热，其他亦无异常，诊为落枕。即取左悬钟，针下痛止，手法平补平泻，留针30分钟，一次而愈。
病案2姜某，女，46岁，2006年3月15日初诊。自诉10余天前，起床后颈项强痛不能转动，经治疗效果不佳，继而左臂亦痛不能抬举。检查局部无红肿，全身其他情况良好，诊为落枕。遂取右悬钟，针下痛止，并能转动颈项，手法平补平泻，留针30分钟，后臂可伸举，连针3天，来电告谢已愈。
治疗颈部扭筋(落枕)的穴位及指压法
在颈窝旁2厘米处的"眼点"，一面吐气一面用力压6秒钟(压到稍微感疼痛程度)，连续3次。其次在第四颈椎旁2厘米处采用同样要领连续压10次。再用手刀劈颈窝5次。只要按照上述顺序，连续1-3次，就能使你的颈部转动自如，也不感到疼痛(在第二次和第三次指压时，也可以指压颈和肩膀交界的"肩根"，指压方法和肩井指压法相同)。
如果扭了筋而想勉强扭动，则会更加疼痛，招致反效果，使原本很快就可治愈的病拖到1-2个星期才能治愈。
我在门诊上遇到过很多这种病人，是采用疼点指压和风池、肩井指压等，一般都立即见效。本人不主张在急性期热敷/烤电/推拿等，因为急性期 热敷/烤电/推拿后容易引起局部肿痛，加重病情!个人一点愚见!
立杆见影针灸治疗之---落枕
取穴：绝骨。患者坐位或站立位，自外踝沿腓骨向上拇指上滑，于3寸处拇指陷入骨陷，即穴，刺之、得气，行针数分钟立效。针入时，本人体会多即有突破感，立时症状减轻或消失。嘱活动头颈部，留针数分钟，1次愈!
单用手三里治疗落枕
周##,女,37岁.自诉2日前晨起感颈部疼痛,不能转侧,疼痛放射到肩部,自贴膏药未取效.查体:左侧项背部疼痛,左侧斜方肌张力略增高,颈项活动受限,屈伸不利.X线正侧位片示：颈部未见异常.诊断：落枕.遂取左侧手三里按下法治疗，一次后，患者自觉颈部疼痛消失，颈部转动自如.第2天巩固治疗1次后，痊愈.
取穴：手三里穴
定位：在前臂背面侥侧，阳溪穴与曲池连线上，曲池穴下2寸处.
操作：患者取坐位，医者用拇指按揉手三里穴，以患者耐受为度，同时配合患者颈部活动，幅度由小至大，时间约5分钟.
手三里为手阳明大肠经穴,其支脉沿颈部上行,与足太阳膀胱经相接,根据"经络所过,主治所及"的理论,指揉手三里可达到疏通经脉,缓解止痛的目的.应强调操作中取穴的准确,手法的力度,以及患者颈部活动配合的情况,三者有机的结合,可以使紧张的颈肌得到缓通,痉挛的经脉得以畅达,经通脉和,其病自愈!
我治落枕一针特效穴
我坐针灸门诊10年,落枕患者来针刺内关透外关,留针10分钟.无不歪脖子进来,好着走出去.一次就好!!请同仁试试看.
落枕的治疗手法
落枕医者用拇指放于患者患侧内关穴食指中指放外关穴，拇指用力从内关穴透向外关穴3分钟，1分钟后让患者活动颈部，点穴3分钟后放手,然后医者站于患者背后让患者向患侧转头到疼痛处停止，找到最疼点后用拇指放在疼处让患者低头，用拇指做向下向外侧平推各30次，做后此痛点会消失，让患者再转头找新痛点，同样低头做平推，依此法做到痛点消失或基本消失即可，一般80/100患者一次治愈，其余2-3次治愈，每天治疗一次。用指腹或指侧从痛点向下方用指推法推30次，再从痛点向外侧推30次。
自己治疗落枕的方法
1.点穴：用拇指点按风池、肩井、合谷穴，每穴半分钟。
2.松筋：首先在颈部两侧寻找压痛点，在压痛点上用拇指按揉约1分钟，再用手捏拿颈部和肩部肌肉，约2分钟。这样反复操作5次
3.活动颈部：如果左右活动受限:揉按患侧肘部的压痛点(在曲池和手三里之间寻找),同时嘱患者最大限度地左右活动颈部;前后不能着:按压患侧肩胛骨内上角旁压痛点,同时嘱患者最大限度地前后活动颈部.
4.抱颈：双手手指交叉，掌根抱住颈部，双掌根相对用力，捏挤颈部，并向上提起，反复10次，再用手掌在患部使用掌擦法操作20次。
落枕经验治疗
治法：患者取坐位，医者用大拇指点按少泽穴3~5分钟，用泻法，刺激轻至重，患者同时做颈部左右前后活动，一般可即刻缓解。
析解： 落枕是由于颈部肌肉痉挛，经络不通，气血阻滞所致，少泽为太阳经之井穴，颈项部为手 太阳所过，故点按少泽穴可达疏通颈项部经络气血阻滞的作用
落枕穴治疗落枕
施术:用毫针直刺0.5-1寸.用强刺激手法,使胀麻感向上传导,留针20分钟,留针期间,每隔5分钟捻转提插1次.
说明:落枕穴是经外奇穴.手掌向下取穴,在手背面,第2,3掌骨间,掌指关节后5分处.施治时先针健侧穴(颈部疼痛的对侧),令其转动颈部,然后再刺患侧的穴位.曾治疗落枕者10例,都是针1次即愈.
压痛点在膀胱上的话：针绝骨佳，在督脉就是后溪佳
远道辨经取穴治疗落枕
即根据疼痛部位所属经脉，选取不同的穴位针刺，疼痛部位在脊椎及椎旁肌者属太阳和督脉，取后溪穴，疼痛在颈外侧及肩胛上者属少阳经，取中渚穴；疼痛以胸锁乳突肌为主者属阳明经，取三间穴。
有效率，99%。一次治愈率，70%。
落枕良方
落枕不是什么大病，但是却让人难受，本人所介绍之方，非常有效，又很好操作，方法如下，取双则《悬钟》穴，顺时针推五分钟，力量向上发，边推边嘱患者摇头。
三小时后就可痊愈。屡试不爽，绝对有效。
点穴治疗落枕
落枕是指颈部筋膜、肌肉、肌腱及韧带等软组织的无菌性炎症。多因睡眠的枕头过高，睡姿不当，以及睡时颈肩部受凉引起。本病起病急，颈肩部疼痛，活动受限影响到生活、工作。治疗方法：(1)选穴：病侧肩胛骨正中线中点稍外侧，按压时有明显酸胀麻痛感。(2)操作步骤：病人取坐位，抬头挺胸，双手臂自然下垂，手掌放于大腿上，全身肌肉放松。术者站在病人身后，先在穴位上用掌根按揉1USUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUS________________________________________________________________________________________________________________________________USUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUS________________________________________________________________________________________________________________________________USUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUS________________________________________________________________________________________________________________________________USUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUS________________________________________________________________________________________________________________________________USUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUS________________________________________________________________________________________________________________________________USUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUS________________________________________________________________________________________________________________________________USUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUS________________________________________________________________________________________________________________________________USUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSU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......
颈椎酸痛点到即解宣宾
颈椎酸痛点压足四五趾之间压痛点(肯定有压之特痛点),足跟大筋与内外踝平行凹陷处压痛点,每点压五_十分钟,若加压手对应部位,手第二掌骨全息颈,效果更好.
独穴按揉治落枕
治疗方法：
(1)选穴：
病侧肩胛骨正中线中点稍外侧，按压时有明显酸胀麻痛感。
(2)操作步骤：
病人取坐位，抬头挺胸，双手臂自然下垂，手掌放于大腿上，全身肌肉放松。术者站在病人身后，先在穴位上用掌根按揉1-2分钟，然后用拇指、食指按揉穴位致红、热，再用大拇指指腹按揉，先轻后重逐渐加力，同时嘱病人做头、颈部的伸屈、旋转运动。一般按揉至颈部活动自如即可，大约10-15分钟。1次未愈者，12小时后再行第2次按揉治疗，效果极佳。
火柴杆耳穴速点治疗急性扭伤134例
选择一根火柴杆,采用无磷的一头.截面平整,如截面带有四边小棱,用手指把小棱捻转掉,使截面近似圆滑,避免木刺扎伤皮肤.确定诊断扭伤部位,取患者健侧耳朵,一般不需要消毒过程,医者左手捏住患者健侧耳边,右手拇食指持火柴杆无磷一头1/3处.在耳与人体相对应区域,寻找阳性反应点,即敏感点,点时,指力要平稳,使患者能忍受为度,钓在2至3秒钟完成,速见效果,令患者试动扭伤部位,如疼痛效果欠佳,在原点的基础上,上下左右再点,达到效果满意为止.有红肿严重瘀血,局部毛细血管撕裂时,应先做冷敷待毛细血管不出血后,再施火柴杆耳穴速点治疗.不受疗程限制,每天点一次.
临床观察134例,颈部扭伤5例,一次痊愈4例(占80.00%),2至3次痊愈1例(占20.00%);腰扭伤31例,一次痊愈21例(占67.74%),2至3次痊愈10例(占32.26%);肩扭伤5例,一次痊愈2例(占40.00%),显效3例(占60%);肘扭伤4例,一次痊愈1例(占25%),2至3次痊愈2例(占50%),显效1例(占25%);腕扭伤,髋扭伤,膝扭伤,踝扭伤共134例,痊愈118例(占88.06%).显效16例(占11.94),有效率为100%.
颈椎病推拿小窍门
横突点压法
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说个我常用,也用了几年的方法,和无忧法师的有点类似.
点压拨C67横突后侧,骨头和斜方肌之间的缝隙,向内下伸进你的手指.常有放射感向肩胛骨内侧缘跑,也可向同侧手臂走,有的会感觉到胸内.
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作用:1肩胛骨内侧疼痛
2颈椎病,颈肩痛,特别是斜方肌,肩胛提肌胀厚,僵硬,一般手法处理下来缓解不好的,点拨后立刻感觉轻松.
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原理:这里有根副神经.还有些其他脊神经. 副神经支配斜方肌等肌肉.
注意:点不易找准,找到后手下会有根粉丝大小的条索.另外不要多点,比较的疼痛.
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-想起重要的一点的经验,补充一下:
C12横突外侧和后侧慎点,特别是椎动脉型颈椎病,有头晕的,特别是横突处摸到软组织胀厚似有小结的,慎.有时很轻很轻的力都会出现头晕加重,恶心出现,重者会晕厥.
某初学时曾有几个教训,晕了的,虽躺一会就好了,但不出现为好.
现在某一摸就知道可不可以点揉,秘诀是手感不同:
能点揉的是手下是条索和硬结,较硬,多可推动,周围软组织柔软:
不能点揉的是手下多为胀胀的结节,韧,揉之不易活动,周围紧张......
介绍个我常用的治疗颈椎病的神奇小手法--------横突点按压揉法
很简单的个小手法，在九几年的中国骨伤杂志上还曾经有过一篇论文，专门介绍横突点揉法，我其实就是看了这篇论文自学自练，到现在也用了有好几年，感觉虽然没有搬扭拽踹拉等手法，但对常见颈部疾病却有很好的效果。
介绍如下：常规松解颈肩软组织后，一手扶患者头，以一手拇指点揉患者颈椎横突，依次从第一颈椎横突顺次点揉，我常用手法是先试探性确定患者横突后以拇指尖端或内侧缘逐渐试探性加压点按，边点按边观察和询问患者反应，点压时用力方向为从颈外侧向内，不主张点压和揉横突前。因为点压横突和横突间有时会有较大疼痛，且附近有较多神经血管和腺体，所以一定要循序渐渐加力，并让患者体会神经传导，通常会有和脊柱神经解剖一样的传导反应，比如1-4椎会有头枕额面耳鼻舌甚至牙齿等不同酸麻胀痛等反应，患者有反应后保持五六秒，然后减低压力，在点揉处施以小范围点揉。然后换下一个横突间，依次操作。
5---7椎一般会有向肩背手臂，手指掌等酸麻胀痛或其他反应，在斜角肌处可适当用力或不用力弹拨。极少数会有向胸或心脏传导，向心脏反射时应减低或停住手法，以防点压到颈动脉窦出现意外。
点压时一般会有神经反射传导现象，对有些有单纯较大疼痛时可调整用力方向或重新触诊，如实在无反应则不必追求。
一侧操作完后换侧按上法操作。
这个手法看似简单其实有很多意想不到的好处，比如神经反射，有些相关疾病可能谁都没有想到的，一点压，患处出现反应，比如颈椎引起的牙疼，鼻炎啦，眼部疾患啦，咽喉疾患，耳部疾病什么的，一般会有反应。像我前几天做过的个妇女，在颈椎疾病基本消失后，点压时患者鼻子出现往外冒热气现象，经询问患者常感鼻部干燥不适，2次后点压时鼻部反射消失，干燥不适也随之消失，但患者又出现牙龈不适，知其对应处牙龈常发炎疼痛，数次后该症状消失，咽喉又出现反应了，患者多年咽炎也随即有较大好转，呵呵。很是好玩，患者可不知你用的什么神奇手法，只知道一点唰的哪有毛病哪就有反应。这是你爱说是啥神功就是啥神功，当然大家看了学会的人多了，忽悠时可就得悠着点了。
对神经根型颈椎病，颈源性肘，腕等也同样神奇，如患者有相关毛病而不相信你说的，来，大叔压一下，唰，一切OK，搞定。
我常用它来装神弄鬼，来个病号，慢着，不用你说什么症状，我检查检查，横突部一压，嘿嘿，伟大的神医诞生了。
当然这也需要有很好的解剖和扎实的疾病诊断分析能力，在触摸式要马上在短短几分几秒内根据手下的感觉判断可能的情况。
至于原理什么的，就不用说太多了，都是高人，高来高去的(怎么像介绍飞贼？贼不走空？) ，无非个失稳，内外平衡，什么肩胛提肌什么的肌肉的附着点，无菌性炎症，挛缩牵拉卡压，等等，胡萝卜加大棒子，点一下揉三揉，慢慢气顺了，内外平衡了等。
击打脚心治疗落枕
一位老中医告诉我击打脚心治疗落枕，我不懂其中道理，请教各位老师赐教!
这个有几个原因
1：击打的部位上是全息中的颈部
2：击打的经络是肾经和膀胱经和胆经
3：其它的原因
我用过此疗法，也是在本论坛看到的。当时那位患者症状很重，常规手法做了10分钟左右没效果。然后用此法，3拳上去，症状完全消失。我印象很深刻。具体机理我也不知道。
怪治"落枕"
[用料]整砖1块
[制用法]患者平躺在床上，两腿自然合拢，全身放松，由一人扶住其双腿，另一人将一本薄书垫在其落枕一侧的脚底处，用一块整砖隔书击脚底三四次即可。
[功效]用治落枕牵动脖颈疼痛难忍。
注：此法为一老中医所传授，治疗1次疼痛减轻，次日自愈，已治愈落枕者几十人。
没那么复杂!用拳头直接击打脚底(脚后部)效果也很显著!
实际是刺激的后脚跟的大筋.看看董氏奇穴中的.正筋，正宗的主治就明白了.也是以筋治筋的原理!
针刺悬钟穴治落枕
落枕多是由于睡眠时头部处于过高或过低的位置，致使颈项部肌被牵拉所伤、脉络受损所致。我采用针刺悬钟穴治疗落枕，效果显著，简介如下：
[取穴]：外踝尖上3寸，当腓骨后缘与腓骨长、短肌腱之间凹陷处取之。
[针刺方法]：取穴左右悬钟或单侧一穴均可，行平补平泻法，留针30分钟，一日一次，一般1～3次即愈。
病案举例
病案1汪某，男，33岁，2005年2月28日初诊。患者当日起床后，即感颈项强痛，不能旋转活动而来请求针灸治疗。经检查局部无红肿，无寒热，其他亦无异常，诊为落枕。即取左悬钟，针下痛止，手法平补平泻，留针30分钟，一次而愈。
病案2姜某，女，46岁，2006年3月15日初诊。自诉10余天前，起床后颈项强痛不能转动，经治疗效果不佳，继而左臂亦痛不能抬举。检查局部无红肿，全身其他情况良好，诊为落枕。遂取右悬钟，针下痛止，并能转动颈项，手法平补平泻，留针30分钟，后臂可伸举，连针3天，来电告谢已愈。
治疗颈部扭筋(落枕)的穴位及指压法
在颈窝旁2厘米处的"眼点"，一面吐气一面用力压6秒钟(压到稍微感疼痛程度)，连续3次。其次在第四颈椎旁2厘米处采用同样要领连续压10次。再用手刀劈颈窝5次。只要按照上述顺序，连续1-3次，就能使你的颈部转动自如，也不感到疼痛(在第二次和第三次指压时，也可以指压颈和肩膀交界的"肩根"，指压方法和肩井指压法相同)。
如果扭了筋而想勉强扭动，则会更加疼痛，招致反效果，使原本很快就可治愈的病拖到1-2个星期才能治愈。
我在门诊上遇到过很多这种病人，是采用疼点指压和风池、肩井指压等，一般都立即见效。本人不主张在急性期热敷/烤电/推拿等，因为急性期 热敷/烤电/推拿后容易引起局部肿痛，加重病情!个人一点愚见!
立杆见影针灸治疗之---落枕
取穴：绝骨。患者坐位或站立位，自外踝沿腓骨向上拇指上滑，于3寸处拇指陷入骨陷，即穴，刺之、得气，行针数分钟立效。针入时，本人体会多即有突破感，立时症状减轻或消失。嘱活动头颈部，留针数分钟，1次愈!
单用手三里治疗落枕
周##,女,37岁.自诉2日前晨起感颈部疼痛,不能转侧,疼痛放射到肩部,自贴膏药未取效.查体:左侧项背部疼痛,左侧斜方肌张力略增高,颈项活动受限,屈伸不利.X线正侧位片示：颈部未见异常.诊断：落枕.遂取左侧手三里按下法治疗，一次后，患者自觉颈部疼痛消失，颈部转动自如.第2天巩固治疗1次后，痊愈.
取穴：手三里穴
定位：在前臂背面侥侧，阳溪穴与曲池连线上，曲池穴下2寸处.
操作：患者取坐位，医者用拇指按揉手三里穴，以患者耐受为度，同时配合患者颈部活动，幅度由小至大，时间约5分钟.
手三里为手阳明大肠经穴,其支脉沿颈部上行,与足太阳膀胱经相接,根据"经络所过,主治所及"的理论,指揉手三里可达到疏通经脉,缓解止痛的目的.应强调操作中取穴的准确,手法的力度,以及患者颈部活动配合的情况,三者有机的结合,可以使紧张的颈肌得到缓通,痉挛的经脉得以畅达,经通脉和,其病自愈!
我治落枕一针特效穴
我坐针灸门诊10年,落枕患者来针刺内关透外关,留针10分钟.无不歪脖子进来,好着走出去.一次就好!!请同仁试试看.
落枕的治疗手法
落枕医者用拇指放于患者患侧内关穴食指中指放外关穴，拇指用力从内关穴透向外关穴3分钟，1分钟后让患者活动颈部，点穴3分钟后放手,然后医者站于患者背后让患者向患侧转头到疼痛处停止，找到最疼点后用拇指放在疼处让患者低头，用拇指做向下向外侧平推各30次，做后此痛点会消失，让患者再转头找新痛点，同样低头做平推，依此法做到痛点消失或基本消失即可，一般80/100患者一次治愈，其余2-3次治愈，每天治疗一次。用指腹或指侧从痛点向下方用指推法推30次，再从痛点向外侧推30次。
自己治疗落枕的方法
1.点穴：用拇指点按风池、肩井、合谷穴，每穴半分钟。
2.松筋：首先在颈部两侧寻找压痛点，在压痛点上用拇指按揉约1分钟，再用手捏拿颈部和肩部肌肉，约2分钟。这样反复操作5次
3.活动颈部：如果左右活动受限:揉按患侧肘部的压痛点(在曲池和手三里之间寻找),同时嘱患者最大限度地左右活动颈部;前后不能着:按压患侧肩胛骨内上角旁压痛点,同时嘱患者最大限度地前后活动颈部.
4.抱颈：双手手指交叉，掌根抱住颈部，双掌根相对用力，捏挤颈部，并向上提起，反复10次，再用手掌在患部使用掌擦法操作20次。
落枕经验治疗
治法：患者取坐位，医者用大拇指点按少泽穴3~5分钟，用泻法，刺激轻至重，患者同时做颈部左右前后活动，一般可即刻缓解。
析解： 落枕是由于颈部肌肉痉挛，经络不通，气血阻滞所致，少泽为太阳经之井穴，颈项部为手 太阳所过，故点按少泽穴可达疏通颈项部经络气血阻滞的作用
落枕穴治疗落枕
施术:用毫针直刺0.5-1寸.用强刺激手法,使胀麻感向上传导,留针20分钟,留针期间,每隔5分钟捻转提插1次.
说明:落枕穴是经外奇穴.手掌向下取穴,在手背面,第2,3掌骨间,掌指关节后5分处.施治时先针健侧穴(颈部疼痛的对侧),令其转动颈部,然后再刺患侧的穴位.曾治疗落枕者10例,都是针1次即愈.
压痛点在膀胱上的话：针绝骨佳，在督脉就是后溪佳
远道辨经取穴治疗落枕
即根据疼痛部位所属经脉，选取不同的穴位针刺，疼痛部位在脊椎及椎旁肌者属太阳和督脉，取后溪穴，疼痛在颈外侧及肩胛上者属少阳经，取中渚穴；疼痛以胸锁乳突肌为主者属阳明经，取三间穴。
有效率，99%。一次治愈率，70%。
落枕良方
落枕不是什么大病，但是却让人难受，本人所介绍之方，非常有效，又很好操作，方法如下，取双则《悬钟》穴，顺时针推五分钟，力量向上发，边推边嘱患者摇头。
三小时后就可痊愈。屡试不爽，绝对有效。
点穴治疗落枕
落枕是指颈部筋膜、肌肉、肌腱及韧带等软组织的无菌性炎症。多因睡眠的枕头过高，睡姿不当，以及睡时颈肩部受凉引起。本病起病急，颈肩部疼痛，活动受限影响到生活、工作。治疗方法：(1)选穴：病侧肩胛骨正中线中点稍外侧，按压时有明显酸胀麻痛感。(2)操作步骤：病人取坐位，抬头挺胸，双手臂自然下垂，手掌放于大腿上，全身肌肉放松。术者站在病人身后，先在穴位上用掌根按揉1USUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUS________________________________________________________________________________________________________________________________USUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUS________________________________________________________________________________________________________________________________USUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUS________________________________________________________________________________________________________________________________USUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUS________________________________________________________________________________________________________________________________USUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUS________________________________________________________________________________________________________________________________USUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUS________________________________________________________________________________________________________________________________USUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUS________________________________________________________________________________________________________________________________USUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSUSU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