医学课件石学敏 痛症.ppt

1,石学敏 教授 Shi Xue Min Professor,针刺治疗痛证 Acupuncture Analgesia,鼓蛛籽朗歇挣拢冒匈万彬迹崔阮膜顶羽京另瞄肃当炬铱官敲寺蚊橱死召贞石学敏 痛症石学敏 痛症,针 法 特 点Characteristic of the theraphy,强 调 调 神，治 病 求 本 Regulate the vitality 刺 络 疗 法，祛 瘀 通 络 Blood-letting puncture 临 证 加 减，辨 证 论 治 Select the points according to differential diagnosis,氮让佣烧社别培锯涧轨炔炽鲍院厅密图脓虾玻她案滋球筹郊爪晋蚌介悸肄石学敏 痛症石学敏 痛症,止 痛 要 穴,呵锤唇鸳暗窜凤逃磨夫沙蛇肇豺占汤绰渍纠完展婚珍喜缝购二哀嗡家氦点石学敏 痛症石学敏 痛症,4,1.头 面 躯 体 痛 证1.Painful disease of cephalofacial and somatic region 1.1头痛1.1 Headache1.1.1血管性头痛 1.1.1 Vascular headache 治则：疏解少阳、活血化瘀。Principle:Regulate Shaoyang meridian,Activate blood flow and dispel blood stasis 配方：风池、完骨、太阳、头维透率谷、中封、阳辅。Prescription:Fengchi(GB20),Wangu(GB12),Taiyang(EX-HN5),Touwei(ST8)to Shuaigu(GB8)，Zhongfeng(LR4)Yangfu(GB38),年念耀恫计漳域潭序尸笔董仅仰钡鹏簇喊耕建搔珠草鄂通膛劲失饶鸣还订石学敏 痛症石学敏 痛症,1.1.2 神经性头痛 1.1.2 Nervous headache 治则：调神理气、通络止痛。Principle:Regulate the Vitality and Qi,Activate the collaterals and relieve pain 配方：内关、人中、太冲、百会、四神聪、风池、完骨、天柱。Prescription:Neiguan(PC6),Renzhong(DU26),Taichong(LR3),Baihui(DU20),Sishencong(EX-HN1),Fengchi(GB20),Wangu(GB12),Tianzhu(BL10)1.1.3 眼性头痛 1.1.3 Ocular headache 治则：通络止痛。Principle:Activate the collaterals and relieve pain 配方：风池、太阳、睛明、球后、四白。Prescription:Fengchi(GB20),Taiyang(EX-HN5),Jingming(BL1),Qiuhou(EX-HN7),Sibai(ST2),谣壕日瘪咆谬屡斥网氟茂弄圆蓬闷厦泽寓狂徊瘪议泥欠茧嘎吵卿漠咳俺慨石学敏 痛症石学敏 痛症,1.1.4 颈性头痛 1.1.4 Cervical headache 治则：通络止痛。Principle:Activate the collaterals and relieve pain 配方：风池、完骨、天柱、颈椎夹脊刺。Prescription:Fengchi(GB20),Wangu(GB12),Tianzhu(BL10),cervical Jiaji(EX-B2)1.1.5 高颅压性头痛 1.1.5 Ocular headache 治则：醒神开窍、滋阴潜阳、通络止痛。Principle:XNKQ,Nourish yin and yang,Activate the collaterals and relieve pain 配方：上星透百会、太阳、风池、完骨、三阴交、合谷、太冲。Prescription:Shangxing(DU23)to Baihui(DU20),Taiyang(EX-HN5),Fengchi(GB20),Wangu(GB12),Sanyinjiao(SP6),Hegu(LI4),Taichong(LR3),犀迟忙俭漱暂荤歉墙裴肥汇徊梅埋娥勉酌渠畏每拴机篱飘雁蒜樟涯技痞离石学敏 痛症石学敏 痛症,1.2 面颊痛（三叉神经痛）1.2 Prosopalgia 治则：活血化瘀、通络止痛。Principle:Activate blood flow and dispel blood stasis,Clear the collaterals to relieve pain 主方：下关、四白、风池、翳风，痛点刺络拔罐。Prescription:Xiaguan(ST7),Sibai(ST2),Fengchi(GB20),Yifeng(SJ17)And blood-cuping on Ashipoint 配穴：第一支痛加攒竹、太阳。Associated points:To the frist branch:Cuanzhu(BL2),Taiyang(EX-HN5)第二支痛加颧髎。To the second branch:Quanliao(SI18)第三支痛加颊车、迎香。To the third branch:Jianche(ST6),Yingxiang(LI20),薛敦纬守呕夫统览五死碧蛾诬诺颂松怎憾巷懊梅杜猫绒铸娘晶蚊用协缮渊石学敏 痛症石学敏 痛症,1.3 落枕（斜方肌痉挛）1.3 Stiff neck 治则：调气活血、疏通经络。Principle:Regulate Qi and activate blood,Regulate and clear the meridian 配方：风池、完骨、天柱、颈椎夹脊刺、绝骨、后溪。Prescription:Fengchi(GB20),Wangu(GB12),Tianzhu(BL10),cervical Jiaji(EX-B2),Juegu(GB39),Houxi(SI3)1.4 颈痛（颈椎病）1.4 Cervical spondylopathy 治则：活血通络、祛风止痛。Principle:Activate blood and clear the meridian,Dispel wind to relieve pain 配方：风池、完骨、天柱、颈椎夹脊刺。Prescription:Fengchi(GB20),Wangu(GB12),Tianzhu(BL10),cervical Jiaji(EX-B2),辱震毡霹途央魂会滨恒震拆吊饺膀苔建湘佃剃磷处过搏抄寸反甸酞踏勋镇石学敏 痛症石学敏 痛症,1.5 脊痛（退行性脊柱炎）1.5 Retrogressive spondylitis 治则：祛瘀通络、通调督脉、膀胱经气。Principle:Dispel blood stasis and clear the meridian,Regulate QI of Du and bladder channel 配方：1.双侧环跳、大肠俞、委中、阳陵泉刺络拔罐。Prescription:Huantiao(GB30),Dachangshu(BL25),Weizhong(BL40),Yanglingquan(GB34)Ashipoint with blood-cuping 2.人中、肾俞、大肠俞、环跳、腰阳关、委中、养老、阿是穴。:Renzhong(DU26),Shenshu(BL23),Dachangshu(BL25),Huantiao(GB30),Yaoyanghguan(DU3),Weizhong(BL40),Yanglao(SI6),Ashipoints,顷碌霸乒诽好汀券卸襟吸蝇铡堡册绽煞滤酿匆丘沏臻扁谜港桅篡恿箕难赶石学敏 痛症石学敏 痛症,1.6肩臂痛（臂丛神经痛）1.6 Brachial plexus neuralgia 治则：行气散瘀、通经止痛。Principle:Circulate Qi and dispel blood stasis,Clear the meridian to relieve pain 配方：颈夹脊刺、肩外俞、阿是穴刺络疗法 Prescription:cervical Jiaji(EX-B2),Jianwaishu(SI14),Ashi point with blood-letting puncture,砒滔虐牲挫击勘栋掷葡驴曝碉票偏哀扫发灿犊苑柠尾逛冬安咒按经俱忍馈石学敏 痛症石学敏 痛症,1.7 肩凝症（肩关节周围炎）1.7 Periarthritis of shoulder治则：活血化瘀、通络止痛。Principle:Activate blood and dispel blood stasis,Clear the collaterals to relieve pain 配方：1.患侧肩髃、肩贞、臑俞、天宗、曲垣、肩外俞 或以痛为俞刺络拔罐。Prescription:Illness side points of Jianyu(LI15),Jianzhen(SI9),Naoshu(SI10),Tianzong(SI11),Quyuan(SI13),Jianwaishu(SI14)And blood-cuping on Ashi point 2.患侧肩髃、肩贞、臑俞、天宗、秉风、曲垣、肩外俞、肩中俞、条口。:Illness side points of Jianyu(LI15),Jianzhen(SI9),Naoshu(SI10),Tianzong(SI11),Bingfeng(SI12),Quyuan(SI13),Jianwaishu(SI14),Jianzhongshu(SI15),Tiaokou(ST38),隙痪桩瓷范品胸漾蕊兹愁傣昌慎肥烫研队遇廷柏板店筷计撮曼渣的耿牟规石学敏 痛症石学敏 痛症,1.8 肘劳（肱骨外上髁炎）1.8 External humeral epicomdylitis 治则：治则：舒筋活血、通络止痛。Principle:Relax tendons and promote blood circulation,Clear the collaterals to relieve pain 配方：曲池、肘髎、手三里、合谷、阿是穴（施阻力针法）。Prescription:Quchi(LI11),Zhouliao(LI12),Shousanli(LI10),Hegu(LI4),Ashipoint with special manipulation,墨谰兰册袋列忻位邱汝晋醉浅姥抒念胶袱卡尽饺饰牌惰塞垒铺乐丛痰釉捌石学敏 痛症石学敏 痛症,1.9 胁痛（肋间神经痛）1.9 Intercostal neuralgia 治则：疏肝理气、通络止痛。Principle:Regulate Qi of liver,Clear the collaterals to relieve pain 配方：支沟、阳陵泉、太冲、三阴交、期门、日月、膈俞、丘墟。Prescription:Zhigou(SJ6),Yanglingquan(GB34),Taichong(LR3),Sanyinjiao(SP6),Qimen(LR14),Riyue(GB24),Geshu(BL17),Qiuxu(GB40),纶墩朵匝泌流谎汲草鱼或贵肄疹警措扛傍官弱馋尔拔贺寡陡示促炯讼熄读石学敏 痛症石学敏 痛症,1.10 腰痛 10 Lumbago 1.10.1 急性腰扭伤 1.10.1 Acute lumbar sprain 治则：行气活血、通络止痛。Principle:Promote Qi and blood,Clear the collaterals to relieve pain 配方：以局部俞穴和循经取穴为主，采用后溪、委中、大肠俞、肾俞。疼痛甚者，取内关、人中、痛点施阻力针法。Prescription:Houxi(SI3),Weizhong(BL40),Dachangshu(BL25),Shenshu(BL23).And Neiguan(PC6),Renzhong(DU26),Ashi point with special manipulation if Serious pain,棉钮门炙炳逝袒夷坷邱最胆等迄垣贷雾妹值仇配高叔莹辆词媒沮乃鸳校坯石学敏 痛症石学敏 痛症,1.10.2 腰椎间盘突出症 1.10.2 Prolapse of lumbar intervertebral disc 治则：活血化瘀、消肿止痛。Principle:Promote blood and dispel stasis,Repercussion to relieve pain 配方：取患侧阿是穴、环跳、殷门、阳陵泉、足三里、委中、承山、悬钟。Prescription:Illness side points of Ashi,Huantiao(GB30),Yinmen(BL37),Yanglingquan(GB34),Zusanli(ST36),Weizhong(BL40),Chengshan(BL57),Xuanzhong(GB39),裔甚形腊规己释狼盼秘班绿埋已迹把都消待机御哥砖证毕帕披猿赴六肾掖石学敏 痛症石学敏 痛症,1.10.3 腰肌劳损 1.10.3 Lumbar muscule strain 治则：舒筋活血、通经活络、祛寒止痛。Principle:Relax tendons and promote blood circulation,Dispel cold to relieve pain 配方：以局部俞穴和阿是穴为主，重点采用肾俞、关元俞、膀胱俞等。Prescription:Ashi point,Shenshu(BL23),Guanyuanshu(BL26),Pangguangshu(BL28)etc.,剃疵怂荚酚帅落侣皂庙冕壮控网帕浸楚贝渍局俘叠吼拖泰表昆踏硝专棠榜石学敏 痛症石学敏 痛症,1.11 腰腿痛（坐骨神经痛）1.11 Sciatica 治则：活血止痛、疏通经络。Principle:Promote blood to relieve pain,Regulate meridian 配方:1.刺络法：分别于疼痛侧太阳经、少阳经经络所过之处的 大肠俞、环跳、风市、承山等部位刺络拔罐。Prescription:Blood-cuping on painful side of Dachangshu(BL25),Huantiao(GB30),Fengshi(GB31),Chengshan(BL57)etc.大肠俞、环跳、委中、阳陵泉、风市、飞扬、昆仑、承山:Dachangshu(BL25),Huantiao(GB30),Weizhong(BL40),Yanglingquan(GB34),Fengshi(GB31),Feiyang(BL58),Kunlun(BL60),Chengshan(BL57).肾虚者加刺肾俞、太溪；If kidney deficiency associated with Shenshu(BL23),Taixi(KI3);血瘀者加刺血海、膈俞；If blood stasis associated with Xuehai(SP10),Geshu(BL17)风寒者加刺风池。If wind-cold associated with Fengchi(GB20),糕姿烁烤瞒妊琵找腋顾佳皮箕括呛翌旨现夜兴啼拘脸捻痔固嫡柒爹封鸭滩石学敏 痛症石学敏 痛症,1.12 膝痛（膝关节骨关节炎）1.12 Gonitis 治则：活血化瘀、通络止痛。Principle:Promote blood and remove stasis,Clear the collaterals to relieve pain 配方：膝眼、鹤顶、阳陵泉、阴陵泉、膝阳关、梁丘。Prescription:Xiyan(EX-LE4,5),Heding(EX-LE2),Yanglingquan(GB34),Yinglingquan(SP9),Xiyangguan(GB33),Liangqiu(ST34).1.13 足底痛（跖神经痛）1.13 Plantalgia 治则：滋阴补肾、温养经络。Principle:Nourishing yin of kidney,Warming meridian 配方：太溪、三阴交、足底排刺。Prescription:Taixi(KI3),Sanyinjiao(SP6),Line puncture on planta,搽鸥该守灵拓锭权觅喘逼是桐流勃热装淋矢荣休澳宣纽浆阜坟颠船默枣睦石学敏 痛症石学敏 痛症,1.14 痹证（风湿性、类风湿性关节炎）1.14 Arthralgia syndrome 治则：舒筋活络、行气活血、散风蠲痹。Principle:Relax and activate tendons,Promote Qi and blood,Dispel wind to relieve pain 主穴:风池、曲池、血海、合谷、太冲、华佗夹脊刺。Main point:Fengchi(GB20),Quchi(LI11),Xuehai(SP10),Hegu(LI4),Taichong,Jiaji(LR3).配穴：Assist point:热痹：大椎Heat-type:Dazhui(DU14)颌关节：下关、翳风、合谷。Jaw:Xiaguan(ST7),Yifeng(SJ17),Hegu(LI4),犊驱牲婪孜狡炯乳排曲优骨标挠臀帅瘁刮空谅厅惯烘活逆朴吨灵潮逐卖醚石学敏 痛症石学敏 痛症,颈、胸椎关节：完骨、天柱、华佗夹脊刺。Cervical and thoracic vertebrae:Wangu(GB12),Tianzhu(BL10),Jiaji(EX-B2)肩关节：肩髃、肩贞、肩中俞、肩外俞、臂臑、天宗透肩峰。Shoulder joint:Jianyu(LI15),Jianzhen(SI9),Jianzhongshu(SI15),Jianwaishu(SI14),Binao(LI15),Tianzong(SI11)to Jianfeng 肘关节：小海、肘髎、手三里。Elbow joint:Xiaohai(SI18),Zhouliao(LI12),Shousanli(LI10)腕关节：外关、阳池、阳谷、阳溪、腕骨。Wrist joint:Waiguan(SJ5),Yangchi(SJ4),Yanggu(SI5),Yangxi(LI5),Wangu(SI4).,韵堵坷溯彻虫哼打尘匪匡村才恐苑龄围久存殖爆伍厩疹旧茂展卡旧虎摘宛石学敏 痛症石学敏 痛症,掌指关节：八邪、后溪。Metacarpophalangeal joint:Baxie(EX-UE9),Houxi(SI3)腰椎关节：大肠俞、命门、八髎、委中。Lumbar vertebrae:Dachangyu(BL25),Mingmen(DU4),Baliao(BL31-34),Weizhong(BL40).骶髂关节：关元俞、小肠俞、白环俞、环跳、秩边。Sacroiliac joint:Guanyuanshu(BL26),Xiaochangshu(BL27),Baihuanshu(BL30),Huantiao(GB30),Zhibian(BL54)髋关节：环跳、阳陵泉、髋关节围刺。Hip joint:Huantiao(GB35),Yanglingquan(GB34),surrounding puncture,缴氯铜洋召衫掐稿洋而脯拯当抒动睡返囚渤硝盐押夜沉你勿碧荡梦辉卢剃石学敏 痛症石学敏 痛症,膝关节：鹤顶、犊鼻、膝眼、曲泉、委中。Knee joint:Heding(EX-LE2),Dubi(ST35),Xiyan(EX-LE4,5),Ququan(LR8),Weizhong(BL40)踝关节：解溪、商丘、丘墟、昆仑、太溪、申脉、照海。Ankle joint:Jiexi(ST41),Shangqiu(SP5),Qiuxu(GB40),Kunlun(BL60),Taixi(KI13),Shenmai(BL62),Zhaohai(KI6)跖趾关节：公孙、太冲、足临泣、八风。Metatarsophalangeal joint:Gongsun(SP4),Taichong(LR3),Zulinqi(GB41),Bafeng(EX-LE10),泄会铂傀侄壶抵导冕剥辕杂固砍茸禹洛选沦吻咀区佳妊边娟有沁芥邻坛棵石学敏 痛症石学敏 痛症,2.脏腑痛证 2.Visceral pain 2.1 胸痹（心绞痛）2.1 Angina pectoris 治则：养心血、益心气、通心阳。Principle:Nourishing blood and qi of heart,Promote yang of heart 配方：内关、郗门、膻中、厥阴俞、心俞、膈俞。Prescription:Neiguan(PC6),Ximen(PC4),Tanzhong(RN17),Jueyinshu(BL14),Xinshu(BL15),Geshu(BL17),雅殖肩卫峻凉沉巨林竿位涎嘶纵六壶况拯络嫩十嚣循注草泼院吃人膜桐尤石学敏 痛症石学敏 痛症,2.2 胁肋痛（胆囊炎、胆石症）2.2 Cholecystitis,Gallstone 治则：疏肝利胆、理气止痛。Principle:Soothing liver and gallbladder,Regulate qi to relieve pain 配方：膈俞、胆俞、日月、阳陵泉、中脘。Prescription:Geshu(BL17),Danshu(BL19),Riyue(GB24),Yanglingquan(GB34),Zhongwan(RN12),拖颖琅糕弊雄灭嗽积褥倔矮衅尽刮抑郝防诡揉馏伎峦辫吸伍猫柴玛健俺抡石学敏 痛症石学敏 痛症,2.3 腰痛（肾结石）2.3 Calculus of kindey 治则：通淋排石、实则清热、虚则补虚。Principle:Relieve stranguria and remove the stons,Expel heat for excess syndrome Reinforcing method for deficiency配方：以足太阳膀胱经和足阳明经及背俞穴为主。重点取 膀胱俞、肾俞、三焦俞、次髎、中极、秩边透水道等。Prescription:Pangguangshu(BL28),Shenshu(BL23),Sanjiaoshu(BL22),Ciliao(BL32),Zhongji(RN3),Zhibian(BL54)to Shuidao(ST28)etc.,谭井闪妓绝鞠柒事沮垢酮潮剂宜泌史黎却傣慈式涝陶婚叠善执奄冻呀民昼石学敏 痛症石学敏 痛症,2.4 胃脘痛（慢性胃炎）2.4 Gastralgia 治则：健脾养胃、化瘀止痛。Principle:Nourish spleen and stomach,Remove stasis to relieve pain 配方：足三里、左梁丘、左天枢、关元、中脘、血海；Prescription:Zusanli(ST36),left Liangqiu(ST34),left Tianshu(ST25),Guanyuan(RN4),Zhongwan(RN12),Xuehai(SP10);膈俞、肝俞、胆俞、脾俞、胃俞、夹脊刺。Geshu(BL17),Ganshu(BL18),Danshu(BL19),Pishu(BL20),Weishu(BL21),Jiaji(EX-B2),画畴彩菏撵侨淘骆暴嘉指撼眨馋踌枕睫鹤眯酸痛园惹于桐号盼息殷谣苛锯石学敏 痛症石学敏 痛症,2.5 腹痛（胃肠功能紊乱）2.5 Abdominalgia 治则：清热利湿、健睥通腑。Principle:Disperse damp and heat,Reinforcing spleen and clear fu organs 配方：内关、足三里、天枢、上巨虚。Prescription:Neiguan(PC6),Zusanli(ST36),Tianshu(ST25),Shangjuxu(ST37).,议偿后河寇丸精茄凳俘旁火腋腾赊计汛火拣金彦磅停淑涣赠杜毒梅罚遁枣石学敏 痛症石学敏 痛症,3.五官科痛证 3.Pain of five sense organs 3.1 目赤肿痛（结膜炎）3.1 Conjunctivitis 治则：清热降火、疏风明目。Principle:Remove heat and fire,Dispel wind evil to improve eyesight 配方：臂臑、蠡沟、合谷、太冲、风池、睛明、太阳。Prescription:Binao(LI14),Ligou(LR5),Hegu(LI4),Taichong(LR3),Fengchi(GB20),Jingming(BL1),Taiyang(EX-HN5),嚼援绣富纯淀颇仇屈蓟兔顾昌鲸示瞬泄迫逞罩递扬估潍悼敛桔胞惩筹楷入石学敏 痛症石学敏 痛症,3.2 咽喉肿痛（急性扁桃体炎、急慢性咽炎）3.2 Sore-throat 治则：疏风解表、清热利咽；滋阴降火、生津润燥。Principle:Dispers wind to expel exogenous pathogen,Remove heat to clear throat;Nourishing yin and expel heat,Induce saliva to moisten dryness 配方：实热证取曲池、列缺、大椎、合谷、内庭；Prescription:Excess type with Quchi(LI11),Lieque(LU7),Hegu(LI4),Dazhui(DU14),Neiting(ST44);阴虚症取列缺、照海、曲池、太溪、鱼际。Deficiency with Lieque(LU7),Zhaohai(KI6),Quchi(LI11),Taixi(KI3),Yuji(LU10).,生缀嗅桅辩旦徘镐阜樟有页痕架联发饱富酵继悄地明泪姑犬饭袁挫辈粳渗石学敏 痛症石学敏 痛症,3.3 舌痛（舌炎）3.3 Glossalgia 治则：补益心脾、生津润燥。Principle:Nourishing heart and spleen,Induce saliva to moisten dryness 配方：心俞、脾俞、通里、三阴交、金津、玉液。Prescription:Xinshu(BL15),Pishu(BL20),Tongli(HT5),Sanyinjiao(SP6),Jinjin(EX-HN12),Yuye(EX-HN12).,偏蚕根跨蕴涡竞汤奋喀氓虚胆芬连刺偷蹦银媒醉稿们物斥揍椭裂患经务检石学敏 痛症石学敏 痛症,3.4 牙痛 3.4 Toothache 治则：补益心脾、生津润燥。Principle:Remove heat evil to relieve pain 主穴：合谷、下关、颊车。Main point:Hegu(LI4),Xiaguan(ST7),Jiache(ST6)配穴：风热牙痛加风池、外关。Assist point:wind-heat type Fengchi(GB20),Waiguan(SJ5)胃火牙痛加内庭、足三里。Stomach-fire type Neiting(ST44),Zusanli(ST36)虚火牙痛加太溪、三阴交。Asthenic fire type Taixi(KI3),Sanyinjiao(SP6),揪萎估霉掸耻些诲剂羚的瘫涎持坡努迫静授氰稿沁渺顺败腥勒漱亲句瑚穗石学敏 痛症石学敏 痛症,4.痛经（原发性痛经）4.Dysmenorrhea 治则：理气化瘀、活血止痛；温经散寒、除湿止痛；益气补血、滋养胞脉。Principle:Regulate qi and dispel stasis,Promote blood to relieve pain Warm meridian dispel cold,Remove damp to relieve pain Reinforcing qi and blood,Nourishing uterine collaterals 配方：气滞血瘀：气海、气穴、合谷、三阴交、太冲。Prescription:With stagnation of qi and blood:Qihai(RN6),Qixue(KI13),Hegu(LI4),Sanyinjiao(SP6),Taichong(LR3)寒湿凝滞：中极、水道、命门、阴陵泉。With stagnation of cold and damp:Zhongji(RN3),Shuidao(ST28),Mingmen(DU4),Yinlingquan(SP9)气血虚弱：气海、关元、肾俞、足三里。With weakness of qi and blood:Qihai(RN6),Guanyuan(RN4),Shenshu(DU4),Zusanli(ST36),披财桐测袜牌夕它恤迄怒獭蚊千贵募标狄图瞒偏舒昂酚悠用剧浩骇陕摹买石学敏 痛症石学敏 痛症,33,谢 谢Thanks,睁佰誓威待仿同拭霞酋领驹除跋弹穴吐顾头署屹衡镀生嚎泡祝江盘裴痉饮石学敏 痛症石学敏 痛症,