• Title/Summary/Keyword: acupuncture point location

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The Trend Review of Acupoints for Lumbar HIVD Treatment and the Literature Review of Anatomical Location of Hwatahyeopcheock (요각통 및 요추간판탈출증 침 치료에 다용되는 혈위 조사 및 협척혈의 해부학적 위치에 대한 문헌적 고찰)

  • Lee, Min-Su;Kang, Kyung-Rae;Woo, Ki-Won;Baek, Sang-Hyun;Ha, In-Hyuk;Shin, Min-Sik;Lee, Jin-Ho
    • Korean Journal of Acupuncture
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    • v.32 no.3
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    • pp.81-89
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    • 2015
  • Objectives : The purpose of this study is to explore the trends of acupoints used for lumbar HIVD(Herniated Intervertebral Disc) and treatment and anatomical location of Hwatahyeopcheock. Methods : We searched the latest clinical studies on acupuncture treatment for lumbar HIVD(Herniated Intervertebral Disc) through domestic studies search. To analyze the data, we categorized them by year and article types of literatures and investigated often-used acupoints and acupuncture types for treatment by reading treatment part of every paper searched. Domestic and Chinese literatures related to Hwatahyeopcheock were also studied for its anatomical location. Results : Total 50 articles are searched and local points are more used than distant points for lumbar HIVD(Herniated Intervertebral Disc) and most of them showed curative effects. Back-su points were used the most and Hwatahyeopcheock use accounted for one-third of the articles. In the articles of Hwatahyeopcheock use, except for one, patients complained of both low back pain and radiating pain, and all of them showed positive results after treatment. Conclusions : Back su point is considered to have its meaning as physical region where patients feel pain including herniated disc level rather than the effect meridian system makes. Through document research and meridian muscle theory, we found that Hwatahyeopcheock means vertebral facet joint, intervertebral foramen and surrounding muscle, nerve, blood vessel and related spinal nerves.

An analytic study of acupoint locations described in "WaHyul" of "ChimGuKyungHumBang" and their modern application ("침구경험방(鍼灸經驗方)" "와혈(訛穴)"의 취혈법(取穴法) 분석에 따른 현대적 적용 연구)

  • Lee, Yun-Hee;Cha, Wung-Seok;Kim, Nam-Il;Park, Hi-Joon;Ahn, Sang-Woo
    • Korean Journal of Acupuncture
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    • v.25 no.4
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    • pp.31-47
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    • 2008
  • Objectives : The objective of this study is to apply the contents of "WaHyul(訛穴 : The errors of acupoint locations"of "ChimGuKyungHumBang" to modern acupoint locations. Methods : The text of "WaHyul" was closely examined and analyzed. "WHO standard acupuncture point locations in the western pacific region" was reviewed based on its contents. Results : According to the analysis, the correct 少商(LU11) was mentioned as a spot appropriately distanced from the corner of the nail root under the skin. This is the most accurate and reasonable synthesis of other related texts. Furthermore, the necessity of defining the locations of all the well points was also emphasized and their locations were mentioned that could be located by the same method. There is no further discussion of other acupoints apart from descriptions of their locations from other texts. Some parts that were pointed out as common errors included not only commonly made mistakes, but errors made in acupuncture texts as were true for 神門(HT7) and 肩井(GB21). The standards of 少商(LU11), 合谷(LI4) and 足三里(ST36) presented in the WHO Standardization are not only similar to what 「WaHyul」 indicated as errors in acupoint locations, but also deviate other acupuncture texts; appropriate corrections must be made. The standard of 肩井(GB21) presents a new acupoint locating method never mentioned before in received classic acupuncture texts and so a rediscussion is in need. Other standards, such as the 絶骨(GB39), had some points of controversy, yet somewhat incomplete while HT7 did not go beyond the bounds of "WaHyul". Conclusions : "WaHyul" can be used to revise WHO standards, and has practical value in modern acupoint locating.

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Development Plan of a Human Model System for Educating Acupoint Location and Its Implementation (경혈 위치교육 평가지원시스템의 개발계획 수립과 제작)

  • Yeo, Sujung;Nam, Donghyun
    • Korean Journal of Acupuncture
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    • v.36 no.1
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    • pp.44-51
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    • 2019
  • Objectives : Teaching the standardized acupuncture point locations and improving the accuracy of acupoint locations through objective evaluation is a very important part of Korean medicine education. The aim of this study is to develop a dummy system for evaluation and support of teaching acupoint location in meridian and acupoints classes and to introduce the developed system. Methods : We established a protocol for the development of the system. The protocol included definition of usage purpose, definition of its essential performance, and set of scope. The system compares the amount of light at the target acupoint with the amount of light at the other sites to determine whether the target acupoint is properly specificated. Results : A prototype of the system was built according to the protocol and consists of light emitter, dummy, control/operation, input part and output part. The light emitter projects laser beam passing through the skin of the dummy. Light sensors were attached inside the acupoints of the dummy. Three types of light sensors were selected depending on the location of the acupoints. The arithmetic, input, and output parts were constructed using Arduino and Raspberry pi boards. The developed system was applied in class. Conclusions : It is thought that the dummy system for evaluation and support of teaching acupoint location can be used as a training model in order to help teach standardized acupoint locations and objective evaluation.

A study on point-location by finger-sensation -within the context of ${\ulcorner}Zhenjiudacheng{\lrcorner}$- (절순문안과 취혈의 관계에 대한 고찰 -"침구대성"을 중심으로-)

  • Lee, Joon-Moo;Kim, Taek-Ryul
    • Korean Journal of Acupuncture
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    • v.22 no.4
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    • pp.175-185
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    • 2005
  • Objective : The skill of locating acupoints accurately is an essential part of acupuncture treatment. Bone-scale has been used as a basic coordinates to locate acupoints and has been considered as an important factor of locating acupoints. This study was designed to stress the impotance of QieXunMenAn, which means pressing and rubbing softly the surface around the part pointed with proportional method, in locating acupoints. Methods and results : All expressions related with QieXunMenAn, among the descriptions of acupoint locations in ${\ulcorner}Zhenjiudacheng{\lrcorner}$, were investigated. The activity of QieXunMenAn has been regarded as an important method of locating acupoints since Neijing. QieXunMenAn means pressing and rubbing softly the surface around the part pointed with proportional method. It is a process of locating acupoint in detail by finger-sensation after locating the point with proportional method. Xianzhang, Dongmaiyingshou, and Wanwanzhong have been used to describe how to locate acupuncture-point through QieXunMenAn procedure. Xianzhong means a small depression or a pit on the surface of the body. Wanwanzhong describes that it feels very soft and tender. Descriptions related with QieXunMenAn procedures were found in around 87% of acupoint locations, thus stressing out its procedure. Conclusions : Bone-scale and QieXunMenAn do not mean different methods but the procedures that should be both performed every time when we locate most of the acupoints. Until recently, QieXunMenAn has been paid less attention that it should be. OieXunMenAn as well as bone-scale may be necessary to help locate acupoints accurately.

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Study on the Bunchon-ga(分寸歌) in Kyeonghyeolgabu(經穴歌賦) (경혈가부(經穴歌賦) 중 분촌가(分寸歌)에 대한 연구)

  • Kang, Dong-Yoon;Jo, Hak-Jun
    • Journal of Korean Medical classics
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    • v.22 no.3
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    • pp.107-131
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    • 2009
  • After having comparison, the Bunchon-ga in nine books -"Chimguchwiyeong(鍼灸聚英)", "Nengmunjeonsudong-injihyeol(凌門傳授銅人指穴)", "Chimgumundae(針灸問對)", "Gyeongrakgo(經絡考)", "Gyeongrakhoepyeon(經絡匯編)", "Geumchimbijeon(金針秘傳)", "Jagusimbeop-yogyeol(刺灸心法要訣)", "Chimgubongwon(鍼灸逢源)" "Chimgusinseo(鍼灸神書)", and invested the difference based on "Chimguhak(鍼灸學)", "WHO standard acupuncture point location" I got some conclusion like below. Two kinds of Bunchon-ga are similar in "Chimguchwiyeong", "Nengmunjeonsudong-injihyeol", and also in "Gyeongrakgo(經絡考)", "Gyeongrakhoepyeon(經絡匯編)", and "Geumchimbijeon(金針秘傳)" Bunchon-ga of twelve meridian is different from their order - Stomach meridian(胃經), Bladder meridian(膀胱經), Kidney meridian(腎經), Triple Energizer meridian(三焦經), and Gallbladder meridian(膽經). In nine kinds of Bunchon-ga, missing acupuncture points(漏落穴) are generally located on the first line of Bladder meridian(膀胱經) - from Daejeo(大杼) to Baekhwansu(白環兪), and Pungsi(風市), Haegye(解谿), Yangsi(羊矢), Geummaek(急脈) are not appeared in them, Hyeopdang(脇堂), Michung(眉衝), Yanghyeol(陽穴) are recorded. There are some parts adapted different way of proportional bone chon - from Yanggok(陽谿) to Gokji(曲池) in Large Intestine meridian[大腸經], from Sanggu(商丘) to Umreungcheon(陰陵泉) in Spleen meridian[脾經], and from Oegwan(外關) to Sadok(四瀆) in Triple Energizer meridian[三焦經]. The acupuncture points explained by structure, there are many different finger chons between some books. Bunchon on breast and abdomen, is generally explained by vertical, horizontal finger chon based on Governor vessel[任脈], vertical explanations of each book have little difference opinions, but horizontal have many. Especially, the locations of Eunmum(殷門), Bukeuk(浮郄) and Wiyang(委陽) are extremely different from "Chimguhak(鍼灸學)", and "WHO standard acupuncture point locations".

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Discussion on the Relationship between Well Points in the Fingers and EX-UE11 Points (수지부 정혈과 십선혈의 관계에 대한 고찰)

  • Da-Eun Yoon;Yeonhee Ryu;In-Seon Lee;Younbyoung Chae
    • Korean Journal of Acupuncture
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    • v.40 no.1
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    • pp.13-17
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    • 2023
  • Objectives : Our goals were to examine how the well points in the fingers came to be and how their placements have changed, as well as to determine how they relate to the EX-UE11 points. Methods : We reviewed the classic textbooks to understand the origin and the changes of locations of the well points in the fingers. We also compared the location and indications between well points in the fingers and EX-UE11 points. Results : At first, the tips of the fingers, which are now thought to be the locations of EX-UE11 points, were once described as containing well points. Currently, well points are positioned 0.1 F cun distal-medial (or lateral) to the medial (or lateral) corner of the nail. In addition to the locational commonality, we found similarities between the well points in the fingers and the EX-UE11 points in terms of their indications; for example, bloodletting at these places is frequently utilized to treat emergencies, including acute stroke and fever. Conclusions : We suggest that it is highly likely that well points in the fingers and EX-UE11 points were initially the same acupuncture point and later classified into two different acupuncture points, given their identical locations and indications. If the clinical relevance between the change process of the well points' locations in the fingers and the EX-UE11 is studied in the historical literature, it is anticipated that the significance and clinical application of well points can be expanded.

Relationship of Front Points' Location and Function to Response Zone (모혈(募穴)의 위치(位置) 및 작용(作用)과 반응대(反應帶)의 상관성(相關性) 고찰(考察))

  • Lee Dong-Kyu;Na Chang-Su
    • Korean Journal of Acupuncture
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    • v.17 no.1
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    • pp.157-171
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    • 2000
  • Front Points are told to be deeply related with viscera and bowels in oriental medicine. Since the Front Points are treated as response zone, it can be used for the diagnosis and treatment of disease in viscera and bowels. The location of Front Points are very similar to the several response zones in western medicine. Diagnostic aspect of Front Points to several response zones were discussed in here based on many thesis and reported laboratorial experiments. Front Points are located in the same latitude of viscera and bowels. So, diagnosis result in Front Points represent condition of each organs. Palpitation of the Front Points can make diagnosis of body surface and the organ beneath the body surface. Such use of Front Points for diagnosis can used as the treatment points also. Only three Front Points (LU-1, LI-14, GB-24) in lung, liver and gall bladder meridian are located on its meridian. The Front Points of Stomach (CV-12) cross its meridian or closely located to it. Unlike to those four Front Points that are matched to its meridian, other eight Front Points do not located or cross its meridian at all. It seems that the location of Front Points are decided by the location of organs and the conditions at a certain organ do not delivered by the meridians but delivered by main collaterals, tertiary collaterals and superficial collaterals instead. Among visceral response zones, Five Front Points (CV-3, CV-4, CV-12, LI-14, GB-25) are exactly matched to Head's response zone and other Front Points are closely matched to the Head's response zone. There are five Front Points (CV-12, CV-14, CV-17, LI-14, GB-24) that are matched with the location of pressing palpitation point and other Front Points are closely located to the pressing palpitation point. So far, it was clear that the Front Points do have important role as response points. Symptoms expressed to the Front Points were delivered conditions or symptoms occur in corresponding organ and the anatomical location of Front Points were also found near the corresponding organ. Diagnostic and therapeutic application of Front Points for Organ theory and in the Interpromotion-restraint of the five elements in oriental medicine can be made in future to increase its potential.

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Study on Dai Meridian(帶脈) and Meridian Points(經穴) of Joining with Circulation of Dai Meridian through Literatures of Every Generation (대맥(帶脈) 및 그 유주상(流注上) 회합(會合)하는 경혈(經穴)에 대한 문헌적(文獻的) 고찰(考察))

  • Yang Seung-Joung;Jin Cheon-Sik;Cho Myung-Rae
    • Korean Journal of Acupuncture
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    • v.18 no.1
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    • pp.105-116
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    • 2001
  • We examined and referred to some literatures on the meaning, Dai meridian and Meridian points of joining with circulation of Dai meridian through literatures of every generation. And then we came to get a few conclusions as follows. 1. Dai meridian starts below the hypochondriac region. Running obliquely downward, it runs transversely around the waist like a belt. Its function is to bind up all the meridians to circulate in a proper way. 2. The coalescent points of dai meridian are $D\grave{a}im\grave{a}i$(帶脈), $W\check{u}sh\bar{u}$(五樞) and $W\acute{e}id\grave{a}o$(維道). 3. Location of $D\grave{a}im\grave{a}i$(帶脈) is on the lateral side of the abdomen, 1.8 cun below $Zh\bar{a}ngm\grave{e}n$(章門), at the crossing point of vertical line through the free end of the 11th rib and a horizontal line through the umbilicus. Location of $W\check{u}sh\bar{u}$(五樞) is on the lateral side of the abdomen, anterior to the anterosuperior iliac spine, 3 cun below the level of the umbilicus. Location of $W\acute{e}id\grave{a}o$(維道) is on the lateral side of the abdomen, anterior and inferior to the anterosuperior iliac spine, 0.5 cun anterior and inferior to $W\check{u}sh\bar{u}$(五樞). 4. Indication of $D\grave{a}im\grave{a}i$(帶脈) is irregular menstruation, leukorrhea with reddish discharge, hernia, pain in the lumbar and hypochondriac region. Indication of $W\check{u}sh\bar{u}$(五樞) is prolapse of the uterus, leukorrhea with reddish discharge, irregular menstruation, hernia, pain in the lower abdomen, constipation and lumbosacral pain. Indication of $W\acute{e}id\grave{a}o$(維道) is edema, pain in the side of the lower abdomen, prolapse of the uterus, hernia and morbid leukorrhea. 5. The Dai meridian binds all meridians, produces pregnancy, grasps lumbar and abdomen region and controls leukorrhea. 6. Diseases of the Dai meridian manifested as distention and fullness in the lumbar region and abdomen, leukorrhea with reddish discharge, pain the navel, lumbar and spinal regions, flaccidity and hypoactivity of the lower limbs, etc.

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A Clinical Study on the cases of The Pain Shock Patients after Korean Bee-Venom Therapy (봉약침 시술 후에 발생한 Pain Shock 환자에 대한 임상보고)

  • An, Chang-Suk;Kwon, Gi-Rok;Lee, Jin-Seon
    • Journal of Pharmacopuncture
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    • v.4 no.3
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    • pp.109-117
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    • 2001
  • Objective : There has been no known report on the pain shock after administering Korean bee-venom therapy. Three accounts of pain shock were observed at the Sangji university affiliated Oriental medicine clinic from July 2001 through September 2001. This thesis will inform clinical progression and cautions on administering Korean bee-venom therapy. Methods: We were able to witness different patterns of pain shock during the treatment of degenerative knee joint, progressive oral paralysis, and A.L.S. In order to reduce heat toxicity of the bee venom, needling points were first massaged with the ice for 10 minutes before injecting $0.1{\sim}0.2cc$ of the bee venom. Points of injection were ST36, LI11, LI4 and others. Pain shock occurred after injecting on inner xi-an, outer xi-an and LI4. The phenomena associated with pain shock was recorded in chronological order and local changes were examined. Results: Through examining 3 patients with the pain shock, we managed to observe clinical progression, duration, and time linked changes on specific regions. We also managed to determine sensitive needling points for the pain shock. Conclution: Following results were obtained from 3 patients with the pain shock caused by Korean bee-venom therapy from July 2001 to September 2001. 1. Either positive or negative responses were shown after the pain shock. For case 1, extreme pain was accompanied with muscular convulsion and tremble, ocular hyperemia, delirium, stiffening of extremities, and hyper ventilation which all suggest positive responses. For case 2 and 3, extreme pain was accompanied with facial sweating, asthenia of extremities, pallor face, dizziness, weak voice, and sleepiness which are the signs of negative responses. 2. The time required to recover to stable state took nearly an hour (including sleeping time) and there was no side effect. 3. Precautions required to prevent the pain shock includes full concentration from the practitioner, accurate point location, precise amount of injection, physiological condition and psychological stability of the patient 4. Coping with the pain shock should be similar with a needle shock, and since extreme pain is accompanied, sufficient psychological rest must be provided. 5. Pain shock occurs because the patient cannot tolerate stimulation on the needling point. Thus, symptoms were similar to the needle shock in addition to excruciating pain. Further investigation and research must be done to have better understanding of an immune response and the pain shock associated with Korean bee-venom therapy.

A Study on the Correlation between Thoracolumbar Junction and Back-su points(背兪穴), Hwatahyeopcheok points(華他夾脊穴) for Treatment of Low Back Pain (요통 치료를 위한 흉요추 이행부 (Thoracolumbar Junction) 와 배유혈(背兪穴), 화타협척혈(華他夾脊穴)의 상관성 에 관한 연구)

  • Park, Young-Hoi;Keum, Dong-Ho;Kim, Dae-Feel
    • The Journal of Korea CHUNA Manual Medicine
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    • v.5 no.1
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    • pp.77-84
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    • 2004
  • Objectives : This study was designed to investigate the correlation between thoracolumbar junction and back-su points, Hwatahyeopcheok points for treatment of low back pain in the thoracolumbar junction syndrome that was suggested by Maigne R. Method : We Investigate the acupuncture points that was correlated with the location of thoracolumbar junction area. And We tried to find out a common point between thoracolumbar junction and back-su points, Hwatahyeopcheok points for treatment of low back pain. Results and Conclusion : 1. It is considered that these points such as $BL_{20}$, $BL_{21}$, $BL_{22}$, and Hwatahyeopcheok points that are located from 11th thoraic spinous process to 2nd lumbar spinous process are correspond to the thoracolumbar junction area. 2. It is suggested that acupuncture treatment on $BL_{20}$, $BL_{21}$, $BL_{22}$, and Hwatahyeopcheok points can release the tenderness of the muscles, recover autonomic nervous function and release smooth muscles and vascular contraction, so it can treat low back pain caused by thoracolumbar junction.

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