• <tr id="yyy80"></tr>
  • <sup id="yyy80"></sup>
  • <tfoot id="yyy80"><noscript id="yyy80"></noscript></tfoot>
  • 99热精品在线国产_美女午夜性视频免费_国产精品国产高清国产av_av欧美777_自拍偷自拍亚洲精品老妇_亚洲熟女精品中文字幕_www日本黄色视频网_国产精品野战在线观看 ?

    Chief physician Zhang Tang-fa’s experience of acupuncture for gouty arthritis

    2018-06-28 09:27:54LiYuebing李躍兵WeiWei魏巍
    關(guān)鍵詞:魏巍基金項目教育廳

    Li Yue-bing (李躍兵), Wei Wei (魏巍)

    1 Hunan University of Chinese Medicine, Changsha 410208, China

    2 General Hospital of the Yangtze River Shipping, Wuhan 430000, China

    Chief physician Zhang Tang-fa is the director of Acupuncture Department of Wuhan No. 1 Hospital, a tutor of master degree candidate,the deputy president of Acupuncture Association of Hubei province, and the instructor of National Fourth Group of Senior Chinese Medicine Experts for Inheritance of Academic Experience. Prestigous in Hubei province, he used to be awarded with the honorable title ‘Master of Chinese Medicine in Hubei Province’[1-3].Director Zhang learned from Yang Jun-bo, a famous acupuncturist in Shanghai, for over 4 years and obtained real instruction from his teacher. He graduated from the Chinese Medicine Course of Shanghai Health Bureau in 1966 and then was assigned to be engaged in clinical, research and teaching profession of Chinese medicine and acupuncture in Wuhan No.1 Hospital for over 50 years. He has gradually formed his own unique clinical thinking and therapeutic methods from the long-term practice, and travelled to many countries like Algeria to guide the clinical practice of acupuncture in the local areas,making certain contribution to global popularization of Chinese acupuncture[4].

    Gouty arthritis (GA) is a metabolic disease characterized by metabolic disturbance of purine inside the human body due to genetic and environmental factors and elevation of uric acid in blood, by inflammatory reaction due to accumulation of urate in the tissues of the joint capsule, synovial membrane and cartilage, and is mostly seen in males above 40. GA mostly occurs in the small joints of the human body,particularly in the ankle and foot joints. Clinically, GA is mainly treated with non-steroid anti-inflammatory drugs. But this type of drugs is easy to induce adverse reaction in the digestive tract and damage the hepatic functions. Director Zhang has treated GA by acupuncture for many years and has gathered rich clinical experience in diagnosis and treatment[5-8]. As a master degree candidate of Zhang, I have been studying with my teacher for 3 years. Now, his beneficial experience in acupuncture treatment of GA is summarized as follows.

    1 Treatment Based on Syndrome Differentiation

    With profound study of the four classics of traditional Chinese medicine, Zhang believes that this disease belongs to Bi-impediment syndrome and acute arthritis in Chinese medicine based upon syndrome differentiation. In terms of the etiology and pathogenesis of GA, the medical masters in successive dynasties classified it as dampness, heat, blood stasis. In accordance with his clinical experience, Zhang believes that the etiology and pathogenesis of this disease are related to internal reason and external factors. The internal factors include the abnormal prenatal endowment of spleen and stomach, dysfunction of the spleen in transportation ability, and poor circulation of qi movement, leading to accumulation of water,dampness and phlegm inside the body. The external factors include improper food ingestion, and over intake of greasy and sweet food, causing damage to the spleen and stomach and dysfunction of qi movement, and hence resulting in conversion of the long-term accumulated water inside the body into toxin, which goes with the circulation of qi into the joints, further inducing this disease. The obstruction of pathogenic toxin in the joints induces joint pain. The accumulation of phlegm would produce gout stones or stone in the urinary tract[9-10]. Zhang points out that this disease is not closely related to external affection of six exogenous pathogens, and is neither different from Bi-impediment syndrome caused by deficiency of body constitution plus infection of pathogenic wind, cold and dampness,and that main etiology and pathogenesis are related to improper food ingestion, dysfunction of the spleen in transportation, dysfunction of the kidney in qi transformation, poor circulation of qi, and internal accumulation of water, dampness, phlegm and blood stasis, becoming pathogenic toxin, which flows into the joints and causes the problem. The disorder in renal functions is the main factor and improper food ingestion is an inducing factor. In terms of the therapeutic principle, it is necessary to focus on the spleen and kidney, by reinforcing and benefiting the spleen and kidney, clearing away heat and removing dampness in predominance. Zhang believes that the treatment of GA is not just simply to clear away heat and remove dampness, but to reinforce and benefit the spleen and kidney, to clear away heat, remove dampness, dissolve phlegm and eliminate the turbidity,so as to maintain smooth circulation of qi and normal metabolism of water, dampness and phlegm and fluid,for realizing the therapeutic purpose[11].

    2 Selecting the Acupoints Mainly from the Three Yin Meridians of Foot, Proposing Acupoints-selection Based on Zi Wu Liu Zhu(Midnight-noon Ebb-flow)

    Zhang treats GA mainly using the acupoints from the three yin meridians of foot, mostly from the Spleen Meridian of Foot Taiyin, plus the local acupoints of Taichong (LR 3), Taibai (SP 3), Taixi (KI 3), Zhaohai (KI 6)and Sanyinjiao (SP 6), and remote acupoints of Yinlingquan (SP 9), Zusanli (ST 36) and Xuehai (SP 10).Xuehai (SP 10) is supposed to expel wind and dredge the collaterals, selected in the implication to ‘treat blood before treating wind, and wind would go out as soon as blood flows’. Sanyinjiao (SP 6), a crossing acupoint of Meridians of Liver, Spleen and Kidney, is supposed to circulate qi and blood, dredge the collaterals and stop pain. It has been proved by modern study that Sanyinjiao (SP 6) is able to enhance the metabolic function of the kidney[12].

    Zhang studiesZhen Jiu Da Cheng(Complete Compendium of Acupuncture and Moxibustion)profoundly and is skillful in treating diseases by needling method of Zi Wu Liu Zhu (Midnight-noon Ebb-flow). For GA patients with clear onset time, Zhang can obtain better therapeutic effects by following the flowing rules of qi and blood, in combination of his clinical experience and acupoint-selection based upon the theory of Na Zi Fa (earthly branch method) of Zi Wu Liu Zhu (midnight-noon ebb-flow)[13]. There was a male GA patient, with serious pain in the first metatarsophalangeal joint of the right foot, and the pain was intolerable and usually attacked around 5 to 7 every afternoon, with visible urate crystal in the painful area. Many treatments failed. Master Zhang selected Yongquan (KI 1) and Taixi (KI 3) and gave acupuncture treatment during the time period of the tenth earthly branch (5:00-7:00 p.m.). The patient’s pain was alleviated after one treatment and disappeared after three treatments. The meridian qi of the Kidney Meridian is most exuberant during the time period of the tenth earthly branch, and GA is closely related to the kidney in the etiology and pathogenesis, and the pathogenic location is also on the pathway of the Kidney Meridian. Therefore, Yongquan (KI 1), the son acupoint of the Kidney Meridian of Foot Shaoyin, was selected and punctured with reducing manipulation,assisted by Taixi (KI 3) in the painful location. After the treatment by selecting the acupoint based upon the theory of Na Zi Fa (earthly branch method) of Zi Wu Liu Zhu (midnight-noon ebb-flow), the therapeutic effects were remarkable[14].

    3 Adopting Shallow Acupoint-towards-acupoint Needling with Multiple Needles, Combining with Reinforcing and Reducing Manipulations by Respiration

    In the treatment of GA by shallow acupoint-towardsacupoint needling with multiple needles in the local area, Zhang believes that the acupoint-towardsacupoint needling can reduce the number of the acupoints and enlarge the effects of acupuncture,strengthen the stimulation and also easily expand the needling sensation[15]. Taixi (KI 3) is punctured shallowly towards Zusanli (ST 36), Sanyinjiao (SP 6) is punctured shallowly towards Yinlingquan (SP 9), and Taibai (SP 3) is punctured shallowly towards Taichong (LR 3), for exciting the circulation of qi and blood, enlarging the therapeutic area, alleviating pain and promoting the restoration of the functions of the spleen and stomach.By the ancient acupuncture theory, Zhang uses the reducing manipulation by respiration in the treatment of GA, i.e. inserting the needle upon inspiration and withdrawing the needle upon expiration, and twisting the needle after the arrival of the needling sensation and stopping manipulation upon expiration. Zhang believes that the reinforcing-reducing manipulations by respiration should be combined with qi movement of the whole body, to ensure more remarkable effects[16].Zhang proposes to retain the needles for 20 min and believes that this period of time is able to realize the goal to treat the disease and leave time for other therapeutic methods.

    4 Proposing the Comprehensive Treatment of Acupuncture and Medications

    Zhang proposes the comprehensive therapeutic method to ‘deal with the exterior with the needles, and attack the interior with the drugs by integrated application of acupuncture and herbal medicine’[17-18].He usesSi Miao San(Four Marvels Powder) together with modifiedHuo Luo Xiao Ling Dan(Fantastically Effective Pill to Invigorate the Collaterals), includingTu Fu Ling(Rhizoma Smilacis Glabrae) 50 g,Yin Hua Teng(Caulis Lonicerae) 30 g,Wei Ling Xian(Radix Clematidis)15 g,Di Long(Lumbricus) 15 g,Jiang Can(Bombyx Batryticatus) 10 g,Yi Yi Ren(Semen Coicis) 50 g,HuangBai(Cortex Phellodendri) 12 g,Cang Zhu(Rhizoma Atractylodis) 15 g,Niu Xi(Radix Achyranthis Bidentatae)15 g,Ru Xiang(Olibanum) 12 g,Mo Yao(Myrrha) 12 g,Dang Gui(Radix Angelicae Sinensis) 12 g,Dan Shen(Radix Salviae Miltiorrhizae) 15 g,Bai Shao(Radix Paeoniae Alba) 30 g,Mu Gua(Fructus Chaenomelis)15 g,Ze Xie(Rhizoma Alismatis) 10 g,Han Fang Ji(Radix Aristolochiae Heterophyllae) 15 g,Yuan Hu(Rhizoma corydalis) 10 g,Bai Zhi(Radix Angelicae Dahuricae) 10 g,Mu Dan Pi(Cortex Moutan Radicis) 10 g,Gan Cao(Radix Glycyrrhizae Preparata) 6 g. Because GA patients usually present serious pain at night, and the problem involves blood system,Huo Luo Xiao Ling Dan(Fantastically Effective Pill to Invigorate the Collaterals)is used. Because GA patients often present spasm in the muscles and tendons with pain,Shao Yao Gan Cao Tang(Peony and Licorice Decoction) is added withMu Gua(Fructus Chaenomelis) for soothing the tendons and stopping pain. Because of intolerable serious pain,Yuan Hu(Rhizoma corydalis) andBai Zhi (Radix Angelicae Dahuricae)are added to stop pain. Because of tumefaction in the local area,Ze Xie(Rhizoma Alismatis)andHan Fang Ji(Radix Aristolochiae Heterophyllae) are added to remove dampness and eliminate tumefaction.Mu Dan Pi(Cortex Moutan Radicis) is used to activate blood, clear away heat and stop pain.

    At the same time, hydro-acupuncture is also proposed, i.e. acupoint-injection method. CompoundDan Shen(Radix Salviae Miltiorrhizae) injection is used,0.5-1.0 mL for each acupoint, once every other day, for three times per week. The needling sensation is comparatively stronger in the treatment by hydroacupuncture. Moreover, CompoundDan Shen(Radix Salviae Miltiorrhizae) injection is able to activate blood,dissolve blood stasis, dredge the collaterals and stop pain, and able to enlarge the therapeutic area and strengthen the therapeutic effect in combination of acupuncture.

    5 Emphasizing Health Education and Diet Regulation

    In reference to the beneficial experience of traditional medicine and modern medicine, Zhang is very good to communicate with the patients, to eliminate the patient’s fear and anxiety and help the patient to build up the correct view about disease and win the patient’s trust. Therefore, the patients could positively cooperate with Zhang in the treatment,leading to better therapeutic effects in acupuncture treatment[19]. In dietetic therapy, Zhang suggests low-purine diet for GA patients, telling the patients to follow the principles: sufficient volume of carbohydrate and fat, more stewing, boiling, steaming and blenching,less fries, more food with rich vitamin B1and vitamin C,such as rice, noodle, milk, egg, fruits and various vegetable oil, no liver, kidney, brain, clam, crab, fish,meat broth, chicken soup, peas, lentils, mushroom,asparagus, celery, cauliflower, spinach, alcohol, tea,coffee, and chilly stuffs.

    6 Case Study

    A male patient, 41 years old, first visited on May 6th,2008.

    Complaints and current history: Pain in the bilateral first metatarsophalangeal joints, accompanied by fever for one month, attacking every time after ingestion of bean foodstuff or alcoholic drinks, and serious and intolerable pain during the attack, with the second metatarsophalangeal joint and ankle involved. After onset, the patient presented poor appetite, reduced body weight, poor sleep, normal urination and defecation, a red tongue with yellow and sticky coating,a thready and rapid pulse. Lab test in Western hospital showed blood uric acid at 563 mmol/L.

    Diagnosis: GA.

    Therapeutic method: Acupuncture treatment was given together with acupoint-injection method and herbal medicine. The acupoints were Taichong (LR 3),Taixi (KI 3), Zusanli (ST 36), Sanyinjiao (SP 6), Yinlingquan(SP 9), and Taibai (SP 3). The needling method was as follows, Taixi (KI 3) toward Zusanli (ST 36), Sanyinjiao(SP 6) toward Yinlingquan (SP 9), Taibai (SP 3) toward Taichong (LR 3), with the needles retained for 20 min.CompoundDan Shen(Radix Salviae Miltiorrhizae)injection was used for acupoint-injection method. After the injection was mixed with 5% glucose by ratio of 1:10,0.5-1.0 mL was injected into each acupoint, and 2 or 3 acupoints were selected each time from the above acupoints. Acupuncture and acupoint-injection method were given once every other day, three sessions per week, and two weeks as one course. Chinese herbal medicines used wereSi Miao San(Four Marvels Powder)plus modifiedHuo Luo Xiao Ling Dan(Fantastically Effective Pill to Invigorate the Collaterals), includingTu Fu Ling(Rhizoma Smilacis Glabrae) 50 g,Yin Hua Teng(Caulis Lonicerae) 30 g,Wei Ling Xian(Radix Clematidis)15 g,Di Long(Lumbricus) 15 g,Jiang Can(Bombyx Batryticatus) 10 g,Yi Yi Ren(Semen Coicis) 50 g,Huang Bai(Cortex Phellodendri) 12 g,Cang Zhu(Rhizoma Atractylodis) 15 g,Niu Xi(Radix Achyranthis Bidentatae)15 g,Ru Xiang(Olibanum) 12 g,Mo Yao(Myrrha) 12 g,Dang Gui(Radix Angelicae Sinensis) 12 g,Dan Shen(Radix Salviae Miltiorrhizae) 15 g,Bai Shao(Radix Paeoniae Alba) 30 g,Mu Gua(Fructus Chaenomelis)15 g,Ze Xie(Rhizoma Alismatis) 10 g,Han Fang Ji(Radix Aristolochiae Heterophyllae) 15 g,Yuan Hu(Rhizoma corydalis) 10 g,Bai Zhi(Radix Angelicae Dahuricae) 10 g,Mu Dan Pi(Cortex Moutan Radicis) 10 g, andGan Cao(Radix Glycyrrhizae Preparata) 6 g, totally 14 packs,water decoction, one dose per day. At the return visit after two weeks, the patient’s blood uric acid was 241 mmol/L, in the normal scope. One month later, the patient’s blood uric acid was still in the normal range.

    7 Summary

    Under the guidance of treatment based on syndrome differentiation theory in Chinese medicine, Zhang treats GA by the therapeutic method the advantage of various schools, mostly combining holistic regulation and comprehensive treatment. He puts forward the following notes in acupuncture treatment of GA: be clear about the causative factor and adopt the symptomatic treatment first of all, then correctly use the reinforcing and reducing technique by respiration,combine the acupoint selection based upon the Na Zi Fa (earthly branch method) in Zi Wu Liu Zhu (midnightnoon ebb-flow), and thirdly correctly use the shallow penetrating method, pay attention to the direction,strength and depth of the needle insertion, and to the intensity of the needling stimulation, and finally combine acupoint-injection method and Chinese herbal medicine, use the acupoints alternatively in acupointinjection method, and apply herbal formula by the theory of syndrome differentiation.

    Conflict of Interest

    The authors declared that there was no potential conflict of interest in this article.

    Acknowledgments

    This work was supported by Fund Project of Hunan Province Education Office (湖南省教育廳科研基金項目,No. 14C0855); Scientific Fund Project of Health and Family Planning Commission of Wuhan Municipality (武漢市衛(wèi)生和計劃生育委員會科研基金項目, No.WZ16C03).

    Received: 23 August 2017/Accepted: 8 October 2017

    [1] Zhang HX. Brief introduction to academic thought of chief physician Zhang Tang-fa. Shanghai Zhenjiu Zazhi, 2003,22(6): 3-4.

    [2] Huang GF, Zhang TF. Analysis on clinical academic thoughts of Zhang Tang-fa. Shanghai Zhenjiu Zazhi, 2015,34(9): 804-806.

    [3] Xu HF, Wang L, Xin Y, Zhang HX, Zhou L. Introduction to professor Zhang Tang-fa’s academic experience on acupuncture and moxibustion. Yunnan Zhongyi Xueyuan Xuebao, 2017, 40(1): 84-86.

    [4] Zhang HX. Experience of senior TCM doctor Zhang Tang-fa in scalp acupuncture for children with Tourette’s syndrome. Shizhen Guoyi Guoyao, 2015, 26(10): 2535-2537.

    [5] Yin Y, Zhang HX, Zhang TF. Clinical observation on electroacupuncture combined with medicine for treatment of acute gouty arthritis. Zhongguo Zhen Jiu, 2005, 25(10):683-685.

    [6] Zou R, Zhang HX, Zhang TF, Xu Y. Observation on therapeutic effect of electroacupuncture combined with acupoint-injection on acute gouty arthritis. Zhongguo Zhen Jiu, 2007, 27(1):15-17.

    [7] Zou R, Zhang HX, Zhang TF, Xu Y. Treatment of acute gouty arthritis with electroacupuncture at different frequencies versus medication. Zhongguo Linchuang Kangfu, 2006, 10(43): 188-189.

    [8] Zou R, Zhang HX, Zhang TF. Development of studies on arthragra by acupuncture in the recent 5 years. Zhenjiu Linchuang Zazhi, 2006, 22(11): 48-50.

    [9] Zhou L, Tian JY, Zhang TF. Zhang Tang-fa on application of the thoughts of ‘treating unformed disease’ by acupuncture in the prevention and treatment of spleen and stomach diseases. Zhongguo Zhongyi Jichu Yixue Zazhi,2016, 22(6): 831-832.

    [10] Zhou L, Zhang TF. Zhang Tang-fa, a national famous and senior TCM doctor talks on ‘kidney being a pass of the stomach’. Zhonghua Zhongyiyao Zazhi, 2015, 30(9): 3152-3154.

    [11] Zhang HX, Huang GF, Zhou L, Wu WL, Zhang TF.Preliminary discussion on the relation of meridian with viscus. Zhenjiu Linchuang Zazhi, 2007, 23(1): 1-2.

    [12] Hong JH, Huang JL, Lu ZK. Acupuncture therapy for calculous renal colic: a meta analysis. Ya Tai Chuantong Yiyao, 2017, 13(19): 59-62.

    [13] Huang GF, Zhang HX. Pictures of Zhang Tang-fa's Acupuncture Clinical Cases. Beijing: People’s Military Medical Press, 2011: 174.

    [14] Huang GF, Zhang TF. Application of integrated chinese and Western therapy in treatment of pain. Xiandai Zhongxiyi Jiehe Zazhi, 2006, 15(2): 151.

    [15] Chen M, Zhang TF, Zhang HX, Zhou L, Huang GF.Clinical application of Fenglong (ST 40). Hubei Zhongyi Zazhi, 2006, 28(11): 18-19.

    [16] Zhang HX. Zhang Tang-fa’s characteristics of acupuncture academic ideology and clinical treatment of syndrome differentiation. Zhongguo Zhen Jiu, 2015, 35(10): 1045-1048.

    [17] Yang JM, Zhang TF. Analysis of misdiagnosis of degenerative spondyloarthropathy and treatment. Hubei Zhongyi Zazhi, 2011, 33(7): 63-64.

    [18] Wang Z, Zhang TF, Zhang HX, Zhang QJ. Clinical observation on acupoint injection for treatment of lumbago-leg pain in duced by primary osteoporosis.Zhongguo Zhen Jiu, 2008, 28(4): 261-264.

    [19] Zhang HX. Chief physician of Zhang Tang-fa’s acupuncture and moxibustion education idea. Hubei Zhongyiyao Daxue Xuebao, 2015, 17(4): 95-97.

    猜你喜歡
    魏巍基金項目教育廳
    ON CONTINUATION CRITERIA FOR THE FULLCOMPRESSIBLE NAVIER-STOKES EQUATIONS IN LORENTZ SPACES*
    吉林省教育廳新年賀詞
    我的老師
    常見基金項目的英文名稱(二)
    常見基金項目的英文名稱(一)
    2014中國省級教育門戶網(wǎng)站年度排行榜
    中國當(dāng)代著名作家:魏巍
    基金項目
    基金項目
    中國省級教育門戶網(wǎng)站排行榜
    精品一区二区免费观看| 国产一区二区亚洲精品在线观看| 日韩欧美精品v在线| 国产一区二区在线观看日韩| av中文乱码字幕在线| 一区福利在线观看| 欧美成人性av电影在线观看| 日本黄色片子视频| 搞女人的毛片| 村上凉子中文字幕在线| 一级毛片久久久久久久久女| 欧美色欧美亚洲另类二区| 国产欧美日韩精品一区二区| 97碰自拍视频| 深爱激情五月婷婷| 91精品国产九色| 色5月婷婷丁香| 精品人妻偷拍中文字幕| 国产成人福利小说| 国内精品久久久久久久电影| 在线播放无遮挡| 亚洲av中文av极速乱 | 亚洲欧美精品综合久久99| 午夜久久久久精精品| 亚洲三级黄色毛片| 免费看光身美女| 三级男女做爰猛烈吃奶摸视频| 97人妻精品一区二区三区麻豆| 国产精品日韩av在线免费观看| 亚洲最大成人手机在线| 免费人成在线观看视频色| 不卡一级毛片| 丰满乱子伦码专区| 欧美3d第一页| 婷婷亚洲欧美| 99久久中文字幕三级久久日本| 最近最新免费中文字幕在线| 国产高清三级在线| 国产精品综合久久久久久久免费| 亚洲最大成人av| 在线免费观看不下载黄p国产 | 乱人视频在线观看| 久久久国产成人精品二区| 91狼人影院| 亚洲精品一区av在线观看| 国产一区二区三区在线臀色熟女| 精品午夜福利视频在线观看一区| 波野结衣二区三区在线| 亚洲18禁久久av| 毛片女人毛片| 老女人水多毛片| 九九在线视频观看精品| 亚洲av成人av| 国产麻豆成人av免费视频| a级一级毛片免费在线观看| 成人毛片a级毛片在线播放| 国产欧美日韩精品亚洲av| 嫩草影院入口| 麻豆精品久久久久久蜜桃| 亚洲天堂国产精品一区在线| 亚洲成人久久性| 亚洲熟妇熟女久久| 国产日本99.免费观看| 欧美高清成人免费视频www| 国产乱人视频| 日本爱情动作片www.在线观看 | 少妇熟女aⅴ在线视频| 精品人妻视频免费看| 亚洲av一区综合| 特大巨黑吊av在线直播| 免费av不卡在线播放| 丰满的人妻完整版| av女优亚洲男人天堂| a级一级毛片免费在线观看| 波多野结衣高清无吗| or卡值多少钱| 免费看av在线观看网站| 少妇高潮的动态图| 他把我摸到了高潮在线观看| 在现免费观看毛片| 可以在线观看毛片的网站| 久久热精品热| 少妇裸体淫交视频免费看高清| 国产69精品久久久久777片| 两性午夜刺激爽爽歪歪视频在线观看| 久久99热这里只有精品18| 久久天躁狠狠躁夜夜2o2o| 黄色丝袜av网址大全| 又紧又爽又黄一区二区| 国产精品国产三级国产av玫瑰| 日本欧美国产在线视频| 色综合婷婷激情| 人人妻人人澡欧美一区二区| 久久午夜福利片| 天堂影院成人在线观看| 日韩欧美国产一区二区入口| 99久久无色码亚洲精品果冻| 人妻丰满熟妇av一区二区三区| 老熟妇仑乱视频hdxx| a级毛片免费高清观看在线播放| 免费在线观看成人毛片| 看十八女毛片水多多多| 国产精品一区二区三区四区久久| 美女 人体艺术 gogo| 欧美日本视频| 九九久久精品国产亚洲av麻豆| 久久久久国内视频| 国产精品电影一区二区三区| 91av网一区二区| 一个人观看的视频www高清免费观看| 直男gayav资源| 亚洲电影在线观看av| 波多野结衣高清作品| 国产亚洲av嫩草精品影院| 成年免费大片在线观看| 色尼玛亚洲综合影院| 天堂影院成人在线观看| 国产色婷婷99| 搞女人的毛片| 22中文网久久字幕| 搡女人真爽免费视频火全软件 | 日本 av在线| 乱人视频在线观看| 国产精品嫩草影院av在线观看 | 亚洲专区国产一区二区| 日韩欧美精品v在线| 综合色av麻豆| 色av中文字幕| 国产中年淑女户外野战色| 日韩一区二区视频免费看| 国产av在哪里看| 亚洲七黄色美女视频| 日本在线视频免费播放| 国产三级中文精品| 最近最新免费中文字幕在线| 午夜免费男女啪啪视频观看 | 91久久精品国产一区二区成人| 天堂影院成人在线观看| 在线观看av片永久免费下载| 欧美黑人巨大hd| 久久国产精品人妻蜜桃| av在线观看视频网站免费| 一区二区三区四区激情视频 | 九九爱精品视频在线观看| 日本成人三级电影网站| 丰满乱子伦码专区| 天堂影院成人在线观看| 欧美日本亚洲视频在线播放| 午夜免费激情av| 看片在线看免费视频| 国产精品福利在线免费观看| 午夜精品在线福利| 久久精品国产亚洲av涩爱 | 深夜a级毛片| 一边摸一边抽搐一进一小说| 成人精品一区二区免费| 男女做爰动态图高潮gif福利片| 久久久色成人| 99久久九九国产精品国产免费| 国产成年人精品一区二区| 国产中年淑女户外野战色| 黄色配什么色好看| 男女边吃奶边做爰视频| 九九爱精品视频在线观看| 国产免费一级a男人的天堂| 极品教师在线免费播放| 成人美女网站在线观看视频| 国产不卡一卡二| 亚洲最大成人手机在线| 伦精品一区二区三区| 国产伦精品一区二区三区视频9| 国内精品宾馆在线| 色综合色国产| 亚洲精品国产成人久久av| 成人亚洲精品av一区二区| 日本黄色视频三级网站网址| 一个人免费在线观看电影| 中文字幕人妻熟人妻熟丝袜美| 一进一出抽搐gif免费好疼| 免费大片18禁| 欧美最黄视频在线播放免费| 一区福利在线观看| 桃色一区二区三区在线观看| 动漫黄色视频在线观看| 美女xxoo啪啪120秒动态图| 国产在视频线在精品| 91午夜精品亚洲一区二区三区 | 一区二区三区高清视频在线| 亚洲国产精品成人综合色| 欧美一级a爱片免费观看看| 日本与韩国留学比较| 性色avwww在线观看| 中文字幕高清在线视频| 美女黄网站色视频| 欧美另类亚洲清纯唯美| 国产精品综合久久久久久久免费| 一个人观看的视频www高清免费观看| 国内精品久久久久精免费| 精品人妻视频免费看| 国产亚洲精品久久久com| 国产伦一二天堂av在线观看| 精品久久久久久久久av| 亚洲av电影不卡..在线观看| av在线蜜桃| 一夜夜www| 乱码一卡2卡4卡精品| av中文乱码字幕在线| 性色avwww在线观看| 中文资源天堂在线| 日日撸夜夜添| 中文字幕免费在线视频6| ponron亚洲| 69av精品久久久久久| 日韩一区二区视频免费看| 久久精品夜夜夜夜夜久久蜜豆| 日韩 亚洲 欧美在线| 白带黄色成豆腐渣| 欧美一区二区亚洲| 麻豆一二三区av精品| 国产主播在线观看一区二区| 国产69精品久久久久777片| 久久精品91蜜桃| 免费观看人在逋| 国产在线精品亚洲第一网站| 久久精品夜夜夜夜夜久久蜜豆| 51国产日韩欧美| 婷婷精品国产亚洲av| 亚洲最大成人av| 国产aⅴ精品一区二区三区波| 亚洲自拍偷在线| 毛片女人毛片| 小说图片视频综合网站| 日韩av在线大香蕉| 久久久久免费精品人妻一区二区| 麻豆国产97在线/欧美| 99热这里只有精品一区| 老熟妇仑乱视频hdxx| 最近视频中文字幕2019在线8| 欧美xxxx黑人xx丫x性爽| 日本免费a在线| 久久久国产成人免费| 午夜精品一区二区三区免费看| 久久欧美精品欧美久久欧美| 亚洲人成网站在线播放欧美日韩| 日日撸夜夜添| 给我免费播放毛片高清在线观看| 久久久精品大字幕| 人人妻,人人澡人人爽秒播| 久久久久久久午夜电影| 无人区码免费观看不卡| av在线亚洲专区| 欧美日韩精品成人综合77777| 天天躁日日操中文字幕| 国产在视频线在精品| 欧美日韩黄片免| 乱人视频在线观看| 两人在一起打扑克的视频| 国产免费男女视频| 一进一出好大好爽视频| 欧美色视频一区免费| 亚洲无线观看免费| 亚洲成人中文字幕在线播放| 免费看美女性在线毛片视频| 欧美3d第一页| 成年版毛片免费区| 免费电影在线观看免费观看| 男人的好看免费观看在线视频| 淫妇啪啪啪对白视频| 一区二区三区高清视频在线| a级毛片免费高清观看在线播放| 国产日本99.免费观看| 两性午夜刺激爽爽歪歪视频在线观看| 日韩精品有码人妻一区| 久久天躁狠狠躁夜夜2o2o| 亚洲av成人精品一区久久| 99久久久亚洲精品蜜臀av| 少妇的逼好多水| 草草在线视频免费看| 国内精品宾馆在线| 黄色日韩在线| 少妇猛男粗大的猛烈进出视频 | 特大巨黑吊av在线直播| 亚洲成人精品中文字幕电影| aaaaa片日本免费| 国产一级毛片七仙女欲春2| 少妇猛男粗大的猛烈进出视频 | 日韩一区二区视频免费看| 国产精品,欧美在线| 亚洲avbb在线观看| 久久精品国产自在天天线| 日本撒尿小便嘘嘘汇集6| 99久久久亚洲精品蜜臀av| 国产成人影院久久av| 亚洲av五月六月丁香网| 一区二区三区四区激情视频 | 美女被艹到高潮喷水动态| 九九久久精品国产亚洲av麻豆| 亚洲精品456在线播放app | 欧洲精品卡2卡3卡4卡5卡区| 日韩中字成人| 99久国产av精品| 日日啪夜夜撸| 免费在线观看成人毛片| 国产精品久久久久久亚洲av鲁大| 美女 人体艺术 gogo| 免费在线观看影片大全网站| 久9热在线精品视频| 又紧又爽又黄一区二区| 国模一区二区三区四区视频| 波野结衣二区三区在线| 久久天躁狠狠躁夜夜2o2o| 欧美精品啪啪一区二区三区| 一区二区三区四区激情视频 | 真人做人爱边吃奶动态| 国产黄a三级三级三级人| 国产在线精品亚洲第一网站| 国产精品人妻久久久影院| 欧美极品一区二区三区四区| 色哟哟哟哟哟哟| 亚洲av成人av| 亚洲精品日韩av片在线观看| 美女xxoo啪啪120秒动态图| 欧洲精品卡2卡3卡4卡5卡区| 波野结衣二区三区在线| 免费高清视频大片| 日本黄色片子视频| av天堂中文字幕网| 色哟哟·www| 欧美另类亚洲清纯唯美| 三级国产精品欧美在线观看| 欧美一区二区亚洲| 日韩欧美国产在线观看| 日韩欧美国产一区二区入口| 欧美黑人巨大hd| 看片在线看免费视频| 久久精品久久久久久噜噜老黄 | 精品日产1卡2卡| 不卡一级毛片| 在线观看美女被高潮喷水网站| 久久精品国产亚洲av天美| 亚洲专区国产一区二区| 久久中文看片网| 极品教师在线视频| 国产乱人视频| 一区二区三区免费毛片| 精品久久久噜噜| 一级a爱片免费观看的视频| 99久久精品国产国产毛片| 伊人久久精品亚洲午夜| 亚洲综合色惰| 99热6这里只有精品| 久久久久国产精品人妻aⅴ院| 久久这里只有精品中国| 99热6这里只有精品| 在线a可以看的网站| 亚洲狠狠婷婷综合久久图片| 99热这里只有精品一区| 我的老师免费观看完整版| 亚洲aⅴ乱码一区二区在线播放| 中文字幕av在线有码专区| 色综合亚洲欧美另类图片| 日本黄色片子视频| 在线a可以看的网站| 欧美精品国产亚洲| 亚洲欧美精品综合久久99| 欧美三级亚洲精品| 日本爱情动作片www.在线观看 | 欧美最黄视频在线播放免费| 精品人妻视频免费看| 亚洲精品影视一区二区三区av| 午夜老司机福利剧场| 麻豆精品久久久久久蜜桃| 欧美精品啪啪一区二区三区| 亚洲国产欧美人成| 久久草成人影院| 999久久久精品免费观看国产| 国产精品自产拍在线观看55亚洲| 在线播放国产精品三级| 神马国产精品三级电影在线观看| 国产人妻一区二区三区在| 国产午夜精品论理片| 他把我摸到了高潮在线观看| 51国产日韩欧美| 国语自产精品视频在线第100页| 国产精品人妻久久久影院| 色av中文字幕| 久久欧美精品欧美久久欧美| 久久久久国内视频| 国产成人一区二区在线| 搡女人真爽免费视频火全软件 | 99热网站在线观看| 精品无人区乱码1区二区| av.在线天堂| 精品免费久久久久久久清纯| 天堂影院成人在线观看| 亚洲乱码一区二区免费版| 国产精品美女特级片免费视频播放器| 不卡一级毛片| 亚洲四区av| 亚洲人成网站在线播放欧美日韩| 日本 欧美在线| 老司机深夜福利视频在线观看| av在线天堂中文字幕| 精品久久久久久久人妻蜜臀av| 亚洲内射少妇av| 人妻丰满熟妇av一区二区三区| 亚洲av美国av| 老师上课跳d突然被开到最大视频| 亚洲美女视频黄频| 特大巨黑吊av在线直播| 一级a爱片免费观看的视频| 女人被狂操c到高潮| 日本与韩国留学比较| 99热这里只有是精品在线观看| 日日啪夜夜撸| 国产中年淑女户外野战色| 欧美+亚洲+日韩+国产| 99精品久久久久人妻精品| 中文亚洲av片在线观看爽| 一夜夜www| 国产伦一二天堂av在线观看| 国产国拍精品亚洲av在线观看| 久久久久久久久久久丰满 | 嫩草影院新地址| 欧美国产日韩亚洲一区| 男女做爰动态图高潮gif福利片| 桃色一区二区三区在线观看| 日本黄色视频三级网站网址| 在线观看美女被高潮喷水网站| 国产综合懂色| 久久婷婷人人爽人人干人人爱| 亚洲欧美激情综合另类| 男人舔奶头视频| 欧美xxxx性猛交bbbb| 国产亚洲精品久久久久久毛片| 免费观看人在逋| 日韩一区二区视频免费看| 免费高清视频大片| 男女那种视频在线观看| 精品人妻1区二区| 欧美色欧美亚洲另类二区| 看免费成人av毛片| 嫩草影院新地址| 成人高潮视频无遮挡免费网站| 国产一区二区三区在线臀色熟女| 亚洲在线观看片| 男女做爰动态图高潮gif福利片| 精品99又大又爽又粗少妇毛片 | 成人鲁丝片一二三区免费| 亚洲av中文av极速乱 | 91久久精品电影网| 天天躁日日操中文字幕| 特级一级黄色大片| 日日干狠狠操夜夜爽| 色5月婷婷丁香| 十八禁网站免费在线| 亚洲天堂国产精品一区在线| 日韩中字成人| 亚洲成人久久爱视频| 男女啪啪激烈高潮av片| 久久国内精品自在自线图片| 久久精品91蜜桃| 男人的好看免费观看在线视频| 午夜福利在线在线| 男女视频在线观看网站免费| netflix在线观看网站| 精品午夜福利在线看| 亚洲国产精品久久男人天堂| 国产真实伦视频高清在线观看 | 大型黄色视频在线免费观看| 俺也久久电影网| 变态另类成人亚洲欧美熟女| 亚洲av熟女| 国产免费男女视频| 99九九线精品视频在线观看视频| 波多野结衣巨乳人妻| 国产一区二区激情短视频| 欧美最黄视频在线播放免费| 国产高清视频在线观看网站| 久久国产精品人妻蜜桃| 他把我摸到了高潮在线观看| 久久精品国产亚洲av天美| 一a级毛片在线观看| 如何舔出高潮| 日韩欧美精品v在线| 美女高潮的动态| 精品人妻1区二区| 在线看三级毛片| 欧美又色又爽又黄视频| 非洲黑人性xxxx精品又粗又长| 麻豆久久精品国产亚洲av| 夜夜夜夜夜久久久久| 99久久精品热视频| 欧美潮喷喷水| 欧美zozozo另类| 日本黄大片高清| 色视频www国产| 久久久久久久久大av| 中文字幕高清在线视频| 天天躁日日操中文字幕| 亚洲专区中文字幕在线| 国产精品久久电影中文字幕| 日韩欧美三级三区| 国产成人一区二区在线| 春色校园在线视频观看| 人人妻人人澡欧美一区二区| 中文在线观看免费www的网站| 九九热线精品视视频播放| 欧美不卡视频在线免费观看| 国产人妻一区二区三区在| 亚洲成人久久爱视频| 97人妻精品一区二区三区麻豆| 九色国产91popny在线| 国产精品精品国产色婷婷| 国语自产精品视频在线第100页| av女优亚洲男人天堂| 18禁黄网站禁片免费观看直播| 十八禁国产超污无遮挡网站| 国产精品自产拍在线观看55亚洲| 女同久久另类99精品国产91| 非洲黑人性xxxx精品又粗又长| 国产精品av视频在线免费观看| 精品国内亚洲2022精品成人| 欧美激情在线99| 一区二区三区高清视频在线| 欧美日韩亚洲国产一区二区在线观看| 丰满人妻一区二区三区视频av| 中国美白少妇内射xxxbb| 一边摸一边抽搐一进一小说| 国产av在哪里看| 中文在线观看免费www的网站| 舔av片在线| 国产亚洲精品久久久久久毛片| 日本撒尿小便嘘嘘汇集6| 午夜福利欧美成人| 成人综合一区亚洲| 国产高清有码在线观看视频| 国产精品综合久久久久久久免费| 亚洲久久久久久中文字幕| 亚洲精品粉嫩美女一区| 国产乱人伦免费视频| 日韩 亚洲 欧美在线| 久久这里只有精品中国| 色综合婷婷激情| 日韩欧美精品免费久久| 国产乱人视频| 最新在线观看一区二区三区| 国产乱人视频| 精华霜和精华液先用哪个| 久99久视频精品免费| 午夜福利高清视频| 51国产日韩欧美| 精品人妻视频免费看| 日本三级黄在线观看| 国产欧美日韩精品亚洲av| 亚洲无线观看免费| 亚洲av一区综合| 亚洲av二区三区四区| 亚洲四区av| 麻豆久久精品国产亚洲av| 久久久国产成人免费| 午夜福利高清视频| 热99re8久久精品国产| 免费看a级黄色片| 久久草成人影院| 男女做爰动态图高潮gif福利片| 中文字幕人妻熟人妻熟丝袜美| 精品午夜福利在线看| 午夜视频国产福利| 深爱激情五月婷婷| 国产精品一区二区三区四区免费观看 | 在线a可以看的网站| 亚洲最大成人手机在线| 国产乱人视频| 国产单亲对白刺激| 亚洲美女视频黄频| 精品一区二区三区av网在线观看| 久久精品综合一区二区三区| 色5月婷婷丁香| 一个人观看的视频www高清免费观看| 夜夜看夜夜爽夜夜摸| 国产精品美女特级片免费视频播放器| av在线观看视频网站免费| 亚洲av不卡在线观看| 国产精品国产三级国产av玫瑰| 联通29元200g的流量卡| 欧美性猛交黑人性爽| 在线观看免费视频日本深夜| 日本黄色片子视频| 亚洲熟妇熟女久久| 亚洲专区国产一区二区| 又爽又黄无遮挡网站| 国产精品三级大全| 久久香蕉精品热| 精品午夜福利视频在线观看一区| 欧美日韩中文字幕国产精品一区二区三区| 日本成人三级电影网站| 蜜桃亚洲精品一区二区三区| 亚洲av日韩精品久久久久久密| 日韩中文字幕欧美一区二区| 女的被弄到高潮叫床怎么办 | 成年版毛片免费区| xxxwww97欧美| 99在线人妻在线中文字幕| av天堂中文字幕网| 男人狂女人下面高潮的视频| 亚洲av日韩精品久久久久久密| av.在线天堂| 蜜桃久久精品国产亚洲av| 欧美性感艳星| ponron亚洲| 九色国产91popny在线| 91久久精品国产一区二区成人| 最好的美女福利视频网| 免费在线观看日本一区|