2 English reference Quēpén ST 12 [China Acupuncture Dictionary]
3 The alias of the meridian point lacking basin Tiangai Tiangai is the alias of the meridian point, namely the meridian point lacking basin [1][2]. Acupuncture classics.
Quepen Chinese Pinyin Quepen Roman Pinyin Chuehpen American English translation of broken pots each.
country
generation
No. China ST 12 Japanese Law 12
Morant E 12 Ye Fu E 12 Germany M 12 Britain S 12 USA St 12.
The name of the missing basin is the meridian point (Quēpén ST 12)[3]. Huang Di Nei Jing Su Jing Wen Qi Fu Lun was published. Alias cover, ruler cover It belongs to the stomach meridian of Foot Yangming [3]. Deficiency means deficiency, and the basin is the name of the device. This acupoint is located in the supraclavicular fossa and looks like a broken basin, hence the name "lack of basin" [3]. Indications are cough and asthma, wheezing, tonsillitis, tracheitis, bronchial asthma, sore throat, pelvic pain, lymph node tuberculosis, cough, vomiting blood, chest tightness, chest tightness, belching, shoulder and arm pain, upper limb paralysis, laryngitis, swelling and pain, upper limb paralysis or spasm, and neck swelling.
3. 1 Tian Gai alias Tian Gai (acupuncture classic), ruler Gai [4].
3.2 Source "Huangdi Neijing Su Jingwen Qi Fu Lun": Each basin is short.
3.3 Leak hole name, basin is the name of vessel. This acupoint is located in the supraclavicular fossa, which looks like a broken basin, hence its name [3].
The meaning of deficiency, deficit and defect. Shuowen: "Basin, Angye." "Urgent Articles" "Ang, big belly closing: basin, closing bottom, width." Absence of basin refers to the depression on the giant bone under the neck (also known as "upper transverse bone" and now called "clavicle"). Because of its basin-like morphological defects, it is called lack of basin (now called "supraclavicular fossa"). Jin Ping Mei Shi Hua lacks a basin: "There is a nest under the shoulder, such as a basin, and there is a basin hole in the center of the transverse bone." The focus is on the supraclavicular fossa, which looks like a broken basin. "New Zhengkao" has: "The lack of a basin is like the meat between its bones, and it is as concave as a basin." The focus is on it, because there is a lack of pots. [4]
3.4 Chest [5]
3.5 Standard positioning of the point lacking basin: the point lacking basin is located in the center of the supraclavicular fossa, 4 inches away from the anterior midline [6][7].
The absence of pelvis is located in the center of the supraclavicular fossa, 4 inches from the midline of the chest [8].
The absence of pelvis is located in the lateral area of the neck, with a large fossa on the clavicle, a concave upper edge of the clavicle and a 4-inch opening beside the anterior midline. Acupoint selection in sitting or supine position [3].
Position of Quepen Point in Stomach Meridian of Foot Yangming
Location of the lost basin point
Absence of Pelvic Points (Stomach Meridian of Foot Yangming)
Missing the position of pelvic point (muscle)
The location of the missing basin point (bone)
3.6 Take the method of sitting and leaning back, and select points at the midpoint of breast midline and supraclavicular fossa.
The absence of pelvis is located in the lateral area of the neck, with a large fossa on the clavicle, a concave upper edge of the clavicle and a 4-inch opening beside the anterior midline. Acupoint selection in sitting or supine position [3].
When sitting in supine position and at the midpoint of supraclavicular fossa, sternocleidomastoid muscle is selected from the lateral depression of clavicle [9].
3.7 Under the pelvic point, there are skin, subcutaneous tissue, platysma, anterior tracheal fascia and brachial plexus. It has a transverse carotid artery. The middle branch of the supraclavicular nerve is distributed, and the deep layer is directly above the clavicle of the brachial plexus. The skin is distributed by the supraclavicular median nerve of the cervical plexus. The subcutaneous tissue has platysma muscle dominated by external jugular vein and cervical branch of facial nerve. The supraclavicular fossa is formed by sternocleidomastoid muscle, scapulohyoid muscle and clavicle at the posterior edge of clavicle. In the superficial fossa, the superficial external jugular vein is injected into subclavian vein or vein angle through the deep cervical fascia; There are brachial plexus, subclavian artery and vein, pleural apex and pulmonary apex in the deep layer.
3.7. 1 level skin anatomy → subcutaneous tissue and platysma muscle → between clavicle and trapezius muscle → between scapulohyoid muscle (lower abdomen) and subclavian muscle → brachial plexus [3].
Skin → subcutaneous tissue → platysma [7].
3.7.2 There are medial branches of supraclavicular nerve and external jugular vein in the superficial layer of neurovascular in acupoint area; There are brachial plexus and subclavian artery in the deep layer, and there are cervical branches of facial nerve; There are pleura apex or subclavian veins in the deep layer [7].
The middle branch of supraclavicular nerve is distributed, and the deep layer is directly above the clavicle of brachial plexus; There is a transverse carotid artery passing through it [8].
3.8 Lack of efficacy and function of basin; Lack of basin has the functions of expanding chest, benefiting diaphragm, relieving cough and asthma.
Lack of basin has the functions of clearing throat, benefiting diaphragm, dispersing stagnation and relieving pain [3].
The basin has nothing to hide, and fire, water and dampness are indispensable, such as the internal and external circulation of the stomach, triple energizer, large intestine and gallbladder, and many of them go in and out, that is, there is nothing to hide. However, acupuncture is three points, and moxibustion is the top three. Because it is close to the lungs, it should not be too much, not as deep as the deep springs in the valley. Because the application of this point should be shallow, so that the performer has the idea of pots and bowls, he should be cautious first. It can cure dyspnea and chest fever, but future generations should observe the precept that acupuncture should not be too deep and should not take it. [4]
3.9 Indications: No basin point can be used to treat cough and asthma, wheezing, tonsillitis, tracheitis, bronchial asthma, sore throat, no basin pain, scrofula, cough, vomiting blood, fever in the chest, chest tightness, belching, shoulder and arm pain, upper limb paralysis, laryngitis, swelling and pain, upper limb paralysis or contracture.
No basin point is mainly used for cough and asthma, sore throat, no basin pain and lymph node tuberculosis [7].
No basin is mainly used to treat chest, lung and upper limb diseases, such as cough, vomiting blood, wheezing, no basin pain, chest tightness, lymph node tuberculosis, carbuncle swelling, sore throat, shoulder and arm pain, upper limb paralysis and so on [3].
Absence of basin is mainly used to treat cough, asthma, pain due to absence of basin, chest tightness, laryngitis, scrofula, scrofula and so on [8].
Lack of basin points is mainly used for cough, asthma, fever in the chest and fullness in the chest; Paralysis or contracture of upper limbs; No pelvic pain, lymph node tuberculosis, neck swelling and sore throat [9].
Respiratory diseases: tonsillitis, tracheitis, bronchial asthma and pleurisy;
Others: Diaphragmatic spasm, cervical lymph node tuberculosis, goiter, shoulder soft tissue lesions.
3. 10 acupuncture method 3. 10. 1 acupuncture method generally pricks 0.3 ~ 0.5 inch [3][7].
Straight needle or oblique needle is 0.3 ~ 0.5 inch [8][9], and local swelling and pain [9] can dissipate to the upper arm [9].
Straight stab 0.3 ~ 0.5 inches, local acid swelling, can be released to the upper arm.
Attention: Don't stab too deep [8] to avoid pneumothorax. Analogy meridian wing: "Pregnant women don't have injections"? .
3. 10.2 Moxibustion can be moxibustion [3].
Moxibustion with moxa sticks lasts for 5 ~ 10 minutes [8].
Moxibustion with moxa sticks is 3 ~ 5 strong, and moxibustion with moxa sticks lasts for 5 ~ 10 minutes.
3. 1 1, combined with Quepen, Zhongshan and Juque, has the functions of dispersing lung qi and relieving cough [9].
Sudden onset of pelvic loss and moderate recovery can cure the pain of pelvic loss [9].
Lack of basin with water outburst and air shed can cure pharyngeal swelling [9].
3. 12 literature review "Huangdi Neijing Su Jingwen": purging heat in the chest.
"The Yellow Emperor's Internal Classic of Su Wen": Puncture into the basin, gas venting, makes people cough.
On Su Wenshui Hot Points in Huangdi Neijing: Dayi, Yingshu, Quepen, and Beishu, these eight points, in order to purge the heat in the chest.
Five evils in Huangdi Neijing: when the evil is in the lung, it will cause skin pain, cold and heat, upper body asthma, sweating and shoulder shaking. Take it as a fake Chinese and foreign scorpion, put it on your back next to three or five internal organs, and press it with your hand, which is a thorn. Take what is missing from the basin.
Acupuncture classics A and B: Shoulder pain leads to cold and fever, and lack of basin is the main cause. Cold and heat are leaking, chest is full, and there is atmosphere. People who are full of pain due to lack of basin will die, but they will not die from external collapse, not lifting their shoulders, suffering from pain due to lack of basin, sweating, laryngitis, cough and blood. Lumbago can't pitch. First take the missing basin, then take the sacrococcygeal part, stab three points, leave seven breaths, and moxibustion is the top three, which makes people feel uncomfortable.
Acupuncture has been a great success: the main symptoms are shortness of rest, chest tightness, dyspnea, edema, scrofula, laryngitis, hyperhidrosis, cold and heat, lack of basin swelling and extroversion. The chest is full of heat, and the typhoid chest is hot.
Analogy meridian wing: pregnant women are forbidden to stick needles.
4 Alias of Meridian Acupoints The zenith canopy is the alias of Meridian Acupoints. That is, Tianding [4].
Acupoint Tianding Chinese Pinyin Tianding Roman Pinyin Tianding American Translation Name Tiandingge
country
generation
No. China LI 17 Japanese law 17
GI 17 in Morant, DI 17 in German in Ye Fu, Li 17 in Britain and LI 17 in America are named meridian points (Tiā nd ǐ ng Li17) [10]. Acupuncture classics. Alias zenith, canopy and celestial body. It belongs to the large intestine meridian of hand Yangming [10]. The sky is the sky. Technically, the tripod is an ancient cooker, which looks like a tripod above the neck. The hole is at the neck, which is equivalent to a tripod, so it is named Tianding [10]. Indications: sore throat, laryngitis, dysphagia, tonsillitis, laryngitis, hyoid muscle paralysis, vocal cord disease, rage, gas obstruction, phlegm in throat, plum pit gas, scrofula, goiter, cervical lymph node tuberculosis, etc.
4. 1 tiangai alias zenith (acupuncture classic), tiangai [4], tianxiang [4].
4.2 Source of Acupuncture A&B Classic: zenith, on the neck-lacking basin, straight to help the process, one inch and five points behind the air shed.
4.3 The hole is named Tian. In a sense, the tripod is an ancient cooker, which is shaped like a tripod above the neck and is equivalent to a tripod at the neck, hence the name Tianding [10].
God is supreme and supreme. Ding, with three feet and two ears, is an ancient treasure and cooker. Its shape has two ears and three feet below. There is a protrusion in the middle of the spine behind the neck, which looks like a foot. The sky is above the waist, and the head and neck are high. Every point on the neck is named after the sky. The neck muscles protrude on both sides at this point, forming a tripartite confrontation. The head is as round as the sky on earth, hence the name, and it is called a valuable portal for inhaling the weather. Ding is a heavy weapon in the ancestral hall. Although it is in a prominent position, it has no outstanding achievements and is often closed, so this point is also called "Tiangai". [4]
4.4 Neck [4]
4.5 Positioning standard of zenith point: zenith point is located at the lateral side of the neck, the posterior edge of sternocleidomastoid muscle, beside the larynx, and the midpoint of the connecting line between Futu point and Absence basin [6][ 1 1].
The zenith is located at the lateral side of the neck, below the point of the Futu 1 inch, and at the posterior edge of the sternocleidomastoid muscle; Or take the point at the midpoint of the connecting line between Futu point and Quepen point (Medical Zong Jin Jian) [2]. In addition, he said, "If there is no basin, hold it straight, one inch and a half behind the air shed." (acupuncture classics); "Those who lack a basin and stand upright are trapped an inch behind the gas shed." (Taiping Sheng Huifang); "Put (straight) in the neck-lacking basin and protrude one inch behind" (Tongren acupoint acupuncture diagram); "One and a half inches after the lift, three inches after meeting the people; One method is to take four-inch and five-point points beside the throat "("Meridian ") [2].
The zenith is located in the neck, horizontally flat cricoid cartilage, and the posterior edge of sternocleidomastoid muscle. Sit up, slightly raise your head and pick points [10].
The position of zenith in the large intestine meridian of hand Yangming
The location of zenith point
Location of Tianding Point (Hand Yangming Large Intestine Meridian)
Location of zenith point (muscle)
Location of zenith point (bone)
4.6 The zenith is located in the neck, the cricoid cartilage is horizontal and flat, and the posterior edge of sternocleidomastoid muscle. Sit up, slightly raise your head and pick points [10].
Sitting position, the head is slightly inclined, 3 inches beside the Adam's apple, the protrusion between the sternum head and clavicle of sternocleidomastoid muscle is about 1 inch, and the water process is horizontal. When selecting the posterior edge of sternocleidomastoid muscle [12].
4.7 Acupoint anatomy The skin, subcutaneous tissue, platysma, posterior margin of sternocleidomastoid muscle and brachial plexus are located under the zenith point. The skin is distributed by the supraclavicular nerve of the cervical plexus. There are platysma and superficial anterior cervical vein in subcutaneous fascia, platysma is dominated by the cervical branch of facial nerve, and superficial anterior cervical vein is a branch of subclavian vein. Acupuncture penetrates the superficial and subcutaneous tissues of the skin, from the posterior edge of sternocleidomastoid muscle to the nerve root fusion and the deep branch of brachial plexus. The sternocleidomastoid muscle is innervated by the accessory nerve of the cranial nerve.
4.7. 1 level anatomical skin → subcutaneous tissue → posterior margin of sternocleidomastoid muscle → scalene muscle space [10].
Skin → subcutaneous tissue → platysma → anterior vertebral fascia [1 1].
4.7.2 There are transverse cervical nerves in the superficial layer of nerve vessels in acupoint area; There is brachial plexus in the deep layer, with its branches, cervical branches of facial nerve and ascending cervical artery [1 1].
There are supraclavicular nerves, just like the cervical cutaneous nerve passing through the source at the posterior edge of sternocleidomastoid muscle, the phrenic nerve in the deep layer and the superficial external jugular vein passing through [2].
4.8 Efficacy and Function of Tianding Acupoint; Tianding Acupoint has the functions of clearing throat, regulating qi and dispersing stagnation.
Tianding relieves sore throat and regulates qi [10].
According to the meaning of the word "D", I work in from the mire. Health home to reconcile fire and water. The function of this point is reconciliation, not conquest. It is called reconciliation to eliminate great disasters from the invisible and benefit the country. This point is mainly used to treat acute anger, qi stagnation, pharyngeal fullness, laryngitis, dysphoria, dyspepsia, croak in the throat and other fire syndromes that hinder the larynx and pharynx. Take this point to unseal. [4]
4.9 Indications Tianding point is mainly used for sore throat, laryngitis, dysphagia, tonsillitis, laryngitis, hyoid muscle paralysis, vocal cord disease, sudden attack, gas obstruction, laryngitis, plum pit gas, scrofula, goiter, cervical lymph node tuberculosis, etc.
Tianding point is mainly used for sore throat, rage, qi stagnation, plum blossom and scrofula [1 1].
Tianding is mainly used for oropharyngeal diseases, such as sudden carbuncle swelling, gas obstruction, laryngitis, pharyngeal swelling, dysphagia, tonsillitis, laryngitis, hyoid muscle paralysis, vocal cord diseases and scrofula [10].
Tianding is mainly used to treat sudden choking cough, sore throat, carbuncle and scrofula [2].
Tianding is mainly used to treat sore throat, sudden cough, phlegm in throat and carbuncle [12].
Acupuncture and moxibustion do not commonly use zenith point [4].
Otolaryngology diseases: goiter, laryngitis, hyoid muscle paralysis;
Others: cervical lymph node tuberculosis, tonsillitis.
4. 10 needling method 4. 10. 1 needling method generally directly pricks 0.3 ~ 0.5 inch [10][ 1 1], which causes local pain and the needle sensation spreads to the throat.
Straight stab 0.5 ~ 1 inch. [2]
Straight stab 0.5 ~ 0.8 inches, local acid swelling, scattered to the throat [12].
4. 10.2 Moxibustion can be used [10] [11] [12].
Moxibustion with moxa stick 1 ~ 3; Or moxa stick moxibustion for 3 ~ 5 minutes. [2]
Moxibustion with moxa sticks is 3 ~ 5 strong, and moxibustion with moxa sticks lasts for 5 ~ 10 minutes.
4. 1 1 cooperate with Tianding and emissary, which has the effect of calming the heart and enlightening. Treat aphonia [10].
Tianding combined with Zhao Hai in treating chronic pharyngitis [10].
Vocal cord paralysis in the early stage of cooperation between Tianding and Gu, Chenggong and Taixi [10].
Tianding combined with Quchi and Shu Ge to treat laryngeal obstruction [12].
Tianding is combined with Gu, Lian Quan, Tai and Tian Tu to treat sore throat [12].
Tianding cooperated with five grains, bearing pulp and natural ability to cure silence [12].
Tianding, used together with Qi Shehe and Shu Ge, has the functions of clearing away heat, relieving sore throat, reducing swelling and relieving pain, and is mainly used to treat throat obstruction, choking, swelling and dyspepsia.
4. 12 Literature Review "Acupuncture Classics A and B": Sudden anger and choking, throat obstruction and sore throat can not stop, diet can not stop.
Acupuncture Dacheng: The main symptoms are sudden qi stagnation, sore throat, no rest, inability to eat, and ringing in the throat.
"Get ready for 1000 yuan": Tianding, Qishe and Shu Ge, the main throat is blocked and swollen, and the diet can't be swallowed.