DOI QR코드

DOI QR Code

Suggestion on Locating Method for ST36 Acupoint Based on Neuroanatomical Features

족삼리 취혈방식 제안: 신경해부학적 특성을 기반으로

  • Heeyoung Moon (Department of Meridian and Acupoints, College of Korean Medicine, Kyung Hee University) ;
  • Da-Eun Yoon (Department of Meridian and Acupoints, College of Korean Medicine, Kyung Hee University) ;
  • Yeonhee Ryu (KM Science Research Division, Korea Institute of Oriental Medicine) ;
  • In-Seon Lee (Department of Meridian and Acupoints, College of Korean Medicine, Kyung Hee University) ;
  • Dody Chang (Dao Collective) ;
  • Poney Chiang (Department of Health Science, School of Kinesiology and Health Sciences, York University) ;
  • Younbyoung Chae (Department of Meridian and Acupoints, College of Korean Medicine, Kyung Hee University)
  • 문희영 (경희대학교 한의과대학 경혈학교실) ;
  • 윤다은 (경희대학교 한의과대학 경혈학교실) ;
  • 류연희 (한국한의학연구원 한의과학부) ;
  • 이인선 (경희대학교 한의과대학 경혈학교실) ;
  • 도디창 (다오 콜렉티브) ;
  • 포니치앙 (요크대학교 신체역학과 보건과학부 보건과학교실) ;
  • 채윤병 (경희대학교 한의과대학 경혈학교실)
  • Received : 2023.08.04
  • Accepted : 2023.09.04
  • Published : 2023.09.27

Abstract

Objectives : There are many variations in the ST36 acupoint location. The purpose of this article is to suggest a method of locating the ST36 acupoint. Methods : Based on the available research and the neuroanatomical characteristics of the underlying acupoint, we summarized the proper procedure for finding the ST36 acupoint. Results : ST36 is 3 B-cun inferior to ST35 and is vertically situated on the line that connects ST35 and ST41. The ST36 acupoint corresponds to the deep peroneal nerve, which is situated in the tibialis anterior muscle's back. The neurovascular bundles that are located on the interosseous membrane between the interosseous crests of the tibia and fibula include the deep peroneal nerve, anterior tibial artery, and anterior tibial vein. According to both classical and modern literature, this acupoint can be found horizontally between the two muscles, tibialis anterior and extensor digitorum longus. Conclusions : Based on a review of the literature and neuroanatomical features, we suggest that ST36 can be positioned horizontally between tibialis anterior and extensor digitorum longus. Additional imaging studies and clinical proof are required to determine ST36 acupoint.

Keywords

Acknowledgement

This research was supported by Korea Institute of Oriental Medicine (KSN1812181), Bio&Medical Technology Development Program of the National Research Foundation (NRF) funded by the Korean government (MSIT) (No. RS-2023-00262398), and Institute of Information and Communications Technology Planning and Evaluation (IITP) grant funded by the Korea government (MSIT) [No. RS-2022-00155911, Artificial Intelligence Convergence Innovation Human Resources Development (Kyung Hee University)].

References

  1. Bak S, Song Y, Lee S, Yoon DH, Kim S. Publication trends in ST36 electroacupucnture researches in Korean journals. Korean J Acupunct. 2022 ; 39(4) : 126-31. https://doi.org/10.14406/acu.2022.021
  2. Koo ST, Kim YS, Kang SK, Sohn IC, Hwang HS, Choi SM. Report on the 5th WHO informal consultation on development of international standard acupuncture points locations. Korean J Acupunct. 2007 ; 24(2) : 113-27.
  3. Molsberger AF, Manickavasagan J, Abholz HH, Maixner WB, Endres HG. Acupuncture points are large fields: the fuzziness of acupuncture point localization by doctors in practice. Eur J Pain. 2012 ; 16(9) : 1264-70. https://doi.org/10.1002/j.1532-2149.2012.00145.x
  4. Lee Y, Cha WS, Kim NI, Park HJ, Ahn SW. An analytic study of acupoint locations described in 「WaHyul」 of 「ChimGuKyungHumBang」 and their modern application. Korean J Acupunct. 2008 ; 25(4) : 31-47.
  5. Baumler PI, Simang M, Kramer S, Irnich D. Acupuncture point localization varies among acupuncturists. Forsch Komplementmed. 2012 ; 19(1) : 31-7. https://doi.org/10.1159/000335825
  6. Kong J, Fufa DT, Gerber AJ, Rosman IS, Vangel MG, Gracely RH, et al. Psychophysical outcomes from a randomized pilot study of manual, electro, and sham acupuncture treatment on experimentally induced thermal pain. J Pain. 2005 ; 6(1) : 55-64. https://doi.org/10.1016/j.jpain.2004.10.005
  7. Lee S, Lee IS, Chae Y. Similarities between Ashi acupoints and myofascial trigger points: exploring the relationship between body surface treatment points. Front Neurosci. 2022 ; 16 : 947884. https://doi.org/10.3389/fnins.2022.947884
  8. Li AH, Zhang JM, Xie YK. Human acupuncture points mapped in rats are associated with excitable muscle/skin-nerve complexes with enriched nerve endings. Brain Res. 2004 ; 1012(1-2) : 154-9. https://doi.org/10.1016/j.brainres.2004.04.009
  9. Lee S, Ryu Y, Park HJ, Lee IS, Chae Y. Characteristics of five-phase acupoints from data mining of randomized controlled clinical trials followed by multidimensional scaling. Integr Med Res. 2022 ; 11(2) : 100829. https://doi.org/10.1016/j.imr.2021.100829
  10. Lee M, Longenecker R, Lo S, Chiang P. Distinct neuroanatomical structures of acupoints kidney 1 to kidney 8: a cadaveric study. Med Acupunct. 2019 ; 31(1) : 19-28. https://doi.org/10.1089/acu.2018.1325
  11. Meltz L, Ortiz D, Chiang P. The anatomical relationship between acupoints of the face and the trigeminal nerve. Med Acupunct. 2020 ; 32(4) : 181-93. https://doi.org/10.1089/acu.2020.1413
  12. Jung WM, Shim W, Lee T, Park HJ, Ryu Y, Beissner F, et al. More than DeQi: spatial patterns of acupuncture-induced bodily sensations. Front Neurosci. 2016 ; 10 : 462. https://doi.org/10.3389/fnins.2016.00462
  13. Takano T, Chen X, Luo F, Fujita T, Ren Z, Goldman N, et al. Traditional acupuncture triggers a local increase in adenosine in human subjects. J Pain. 2012 ; 13(12) : 1215-23. https://doi.org/10.1016/j.jpain.2012.09.012
  14. Liu S, Wang Z, Su Y, Qi L, Yang W, Fu M, et al. A neuroanatomical basis for electroacupuncture to drive the vagal-adrenal axis. Nature. 2021 ; 598(7882) : 641-5. https://doi.org/10.1038/s41586-021-04001-4
  15. Kim R, Kim H, Lee Y, Choi H, Park G, Kim H, et al. Anatomical structure and needling methods of acupoint ST36. J Acupotomy. 2021 ; 5(1) : 80-7. https://doi.org/10.54461/JKMST.2021.5.1.80
  16. Lee S, Lee IS, Chae Y. Needling depth of five-phase acupoints and depth of meridian qi. Korean J Acupunct. 2022 ; 39(2) : 63-7. https://doi.org/10.14406/acu.2022.009
  17. Oh J, Kim A, Lee J, Oh Y. Review on needling depth of five-phase acupoints by 7 volumes of literatures. Korean J Acupunct. 2022 ; 39(4) : 117-25. https://doi.org/10.14406/acu.2022.018
  18. Won SJ, Yoon JS. Approach for needle insertion into the tibialis posterior: an ultrasonography study. Muscle Nerve. 2016 ; 53(4) : 528-31. https://doi.org/10.1002/mus.24794
  19. Park M, Kim S. A validation study on the insertion depth ranges of the five phase points by using musculoskeletal ultrasound: a pilot study. Complement Ther Med. 2013 ; 21(6) : 641-8. https://doi.org/10.1016/j.ctim.2013.08.003
  20. Chu H, Kim J, Park S, Kim J, Lee JH, Ha WB et al. An observational study using ultrasound to assess allowable needle insertion range of acupoint CV12. Healthcare (Basel). 2022 ; 10(9) : 1707. https://doi.org/10.3390/healthcare10091707
  21. Ma YC, Peng CT, Huang YC, Lin HY, Lin JG. Safe needling depths of upper back acupoints in children: a retrospective study. BMC Complement Altern Med. 2016 ; 16 : 85. https://doi.org/10.1186/s12906-016-1060-x