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1. 贵州中医药大学形态实验室
2. 澳门大学健康科学学院
Published:2020
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XU Zhao, Lü Fang-yi, YU Bing-jie, et al. Hierarchical structure of Five-shu points and Source-point of Triple Energizer Meridian in rabbits[J]. Acupuncture research, 2020, 45(7): 557-563.
XU Zhao, Lü Fang-yi, YU Bing-jie, et al. Hierarchical structure of Five-shu points and Source-point of Triple Energizer Meridian in rabbits[J]. Acupuncture research, 2020, 45(7): 557-563. DOI: 10.13702/j.1000-0607.190654.
目的:探索分析家兔"关冲""液门""中渚""阳池""支沟""天井"的定位法、取穴法及穴区形态结构。方法:新西兰兔20只
以人体腧穴WHO标准和国家标准的位置为标准点
家兔解剖学结构为基础
结合X射线成像结果
对10只新西兰兔进行体表解剖标志法定位、取穴。处死家兔后解剖穴区
比较家兔与人体定位区域同源同功的组织
校正定位位置。另外麻醉10只家兔
标记穴位
针刺后处死并进行血管灌注
解剖观测针灸针与周围组织结构的毗邻关系。结果:"关冲"定位在前足指
在第4指末节外侧
爪甲根角侧后方1×10
(-3)
m;针刺层次为皮肤、浅筋膜、深筋膜、第4爪甲廓深面的甲根。"液门"定位在第4、5指间
指蹼缘上方被毛交界处凹陷中;针刺层次为皮肤、浅筋膜、深筋膜、蚓状肌。"中渚"定位在第4、5掌骨间
第4掌骨头掌骨体交界处;针刺层次为皮肤、浅筋膜、深筋膜、蚓状肌。"阳池"定位在腕背侧
副腕骨与桡腕骨体表连线与指总伸肌尺侧缘凹陷相交处;针刺层次为皮肤、浅筋膜、深筋膜、指总伸肌腱尺侧。"支沟"定位在前臂后侧
腕背侧远端横纹上3寸
尺骨与桡骨间隙中;针刺层次为皮肤、浅筋膜、深筋膜、指总伸肌。"天井"定位在肘后侧
鹰嘴尖直上
横平肱骨体与肱骨外侧髁交界处;针刺层次为皮肤、浅筋膜、深筋膜、肱三头肌。结论:家兔前肢少阳经五输穴、原穴与头静脉及属支、臂血管分支及属支、臂内侧皮神经、尺神经及桡神经有密切关系
这是上述6个穴位的形态学基础。Objective To study the position and hierarchical structure of Five-shu points
i.e.
"Guanchong"(TE1)
"Yemen"(TE2)
"Zhongzhu"(TE3)
"Yangchi"(TE4) and "Zhigou"(TE6)
and the Source-point "Tianjing"(TE10) of the Triple Energizer(TE) Meridian in the rabbit. Methods Based on WHO Standard Acupuncture Point Locations in the Western Pacific Region(WHO Standard) and National Standard(GB/T 22103-2008) for Acupuncture Point Locations in human body
and combined with X-ray images
the hierarchical structure of Five-shu points and Source-point of the TE Meridian were observed in ten New Zealand rabbits. The acupoint locations were determined by comparing the same name tissues of the rabbits and human body after dissecting the above-mentioned acupoints. After inserting acupuncture needles into the aforementioned acupoints
the relationship between the acupuncture needle and adjacent structure were dissected and measured. Results "Guanchong"(TE1) was located on the lateral side of the 4(-3)m;针刺层次为皮肤、浅筋膜、深筋膜、第4爪甲廓深面的甲根。"液门"定位在第4、5指间
指蹼缘上方被毛交界处凹陷中;针刺层次为皮肤、浅筋膜、深筋膜、蚓状肌。"中渚"定位在第4、5掌骨间
第4掌骨头掌骨体交界处;针刺层次为皮肤、浅筋膜、深筋膜、蚓状肌。"阳池"定位在腕背侧
副腕骨与桡腕骨体表连线与指总伸肌尺侧缘凹陷相交处;针刺层次为皮肤、浅筋膜、深筋膜、指总伸肌腱尺侧。"支沟"定位在前臂后侧
腕背侧远端横纹上3寸
尺骨与桡骨间隙中;针刺层次为皮肤、浅筋膜、深筋膜、指总伸肌。"天井"定位在肘后侧
鹰嘴尖直上
横平肱骨体与肱骨外侧髁交界处;针刺层次为皮肤、浅筋膜、深筋膜、肱三头肌。结论:家兔前肢少阳经五输穴、原穴与头静脉及属支、臂血管分支及属支、臂内侧皮神经、尺神经及桡神经有密切关系
这是上述6个穴位的形态学基础。
Objective To study the position and hierarchical structure of Five-shu points
i.e.
"Guanchong"(TE1)
"Yemen"(TE2)
"Zhongzhu"(TE3)
"Yangchi"(TE4) and "Zhigou"(TE6)
and the Source-point "Tianjing"(TE10) of the Triple Energizer(TE) Meridian in the rabbit. Methods Based on WHO Standard Acupuncture Point Locations in the Western Pacific Region(WHO Standard) and National Standard(GB/T 22103-2008) for Acupuncture Point Locations in human body
and combined with X-ray images
the hierarchical structure of Five-shu points and Source-point of the TE Meridian were observed in ten New Zealand rabbits. The acupoint locations were determined by comparing the same name tissues of the rabbits and human body after dissecting the above-mentioned acupoints. After inserting acupuncture needles into the aforementioned acupoints
the relationship between the acupuncture needle and adjacent structure were dissected and measured. Results "Guanchong"(TE1) was located on the lateral side of the 4
(th)
terminal phalanx
and behind the corner of the onyx root. When needled
the penetrated tissues of the acupuncture needle are skin
superficial fascia
deep fascia
and the root region of the 4(th) terminal phalanx
and behind the corner of the onyx root. When needled
the penetrated tissues of the acupuncture needle are skin
superficial fascia
deep fascia
and the root region of the 4
(th)
phalanx
respectively. "Yemen"(TE2) was located between the 4(th) phalanx
respectively. "Yemen"(TE2) was located between the 4
(th)
and 5(th) and 5
(th)
onyxes
at the depression of intersection of coat hair superior to the fingerweb edge. When needled
the penetrated tissues of the acupuncture needle are the superficial fascia
deep fascia and lumbrical muscles of the forepaw
respectively. "Zhongzhu"(TE3) was located between the 4(th) onyxes
at the depression of intersection of coat hair superior to the fingerweb edge. When needled
the penetrated tissues of the acupuncture needle are the superficial fascia
deep fascia and lumbrical muscles of the forepaw
respectively. "Zhongzhu"(TE3) was located between the 4
(th)
and 5(th) and 5
(th)
metacarpal bones
at the depression proximal to the 4(th) metacarpal bones
at the depression proximal to the 4
(th)
metacarpophalangeal joint. When needled
the penetrated tissues are skin
superficial fascia
deep fascia
and lumbrical muscle
respectively. "Yangchi"(TE4) was positioned at the dorsal side of the forepaw
and the surface connection line between the accessory and radial bones intersected with the depression of the extensor digitorum communis on the ulnar side. When needled
the penetrated tissues are skin
superficial fascia
deep fascia
and the ulnar side of the common extensor tendon
respectively. "Zhigou"(TE6) was positioned between the radius and ulna
on the posterior aspect of the forelimb and 3 Bone-cun proximal to the distal dorsal forepaw crease. When needled
the penetrated tissues are skin
superficial fascia
deep fascia
and the extensor digitorum
respectively. "Tianjing"(TE10) was located at the junction of the body of humerus and the lateral condyle of humerus
on the posterior aspect of the elbow and proximal to the prominence of the olecranon. When needled
the penetrated tissues are skin
superficial fascia
deep fascia
and triceps brachii muscle
respectively. Conclusion The Five-shu points and Source-point of the TE Meridian on the forelimb in rabbits are innervated by the cutaneous branches of the ulnar radial nerve and the medial brachial cutaneous nerve at the superficial layer
and by the branches of the ulnar nerve and radial nerve in the deep layer
accompanied with cephalic vein and forearm blood vessels and their branches.
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