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Directory 1 Pinyin 2 English Reference 3 Overview of 4 Tiantu Points' Alias 5 Source 6 Point Naming Method 7 Location of Specific 8 9 Tiantu Points 10 Method of Selecting Tiantu Points 1 1 Anatomy of Tiantu Points. 1 1. 1 level anatomy 1 1.2 efficacy and function of nerves and blood vessels in point area 12 tiantu point 13 tiantu point indications 14 needling method/

2 English reference Tiāntū CV22 【 China Acupuncture Dictionary 】

Chinese medicine terminology committee. Terminology of Traditional Chinese Medicine (2004)]

Chinese medicine terminology committee. Terminology of Traditional Chinese Medicine (2004)]

Chinese medicine terminology committee. Terminology of Traditional Chinese Medicine (2004)]

3 Overview of Acupoint Sudden Chinese Pinyin Tiantu Roman Pinyin Tiantu American Translation SkyPromotion

country

generation

No. China CV22 Japanese 22 Law

Morant's VC22, Ye Fu's VC22, Germany's KG22, Britain's Cv22, and the United States' Co22 sky maps are named as meridian points (Tiāntū CV22, RN22)[ 1][2]. Out of the Huangdi Neijing Lingshu Benbo. Alias jade pot (acupuncture A and B classics), Tianqu (a prescription for preparing thousands of gold for emergency, acupuncture gathering English) and Wujiu (illustration of acupuncture at Tongren points). Belongs to kernel wheat [1]. The sky map is the intersection of Yin Wei pulse and Ren pulse [1][3]. The sky is the sky, and suddenly it is the focal process. This point is equivalent to the upper end of the trachea, and it is quite similar to the process of lung qi reaching the sky, so it is named [1]. Tiantu point is mainly used for chest, lung and neck diseases, such as cough, asthma, chest obstruction, lung abscess, hemoptysis and pus, laryngitis, dry throat, aphonia, sudden onset, vomiting, hiccup, laryngitis, plum blossom, swelling and pain, asthma, chest pain, sore throat, sudden onset, etc.

Another name of Tiantu point is Yuhu.

Tianqu (prepare a thousand dollars for emergency, gather English needles)

Five Households (Illustration of Acupuncture at Tongren Point)

5 source "Huangdi Neijing Lingshu Benbo": In the absence of a basin, Renmai is also called a celestial map.

6 The hole is named Tian, and the process is Jiaotu. This point is equivalent to the upper end of the trachea, which is quite similar to the process of lung qi reaching the sky, so it is named Tiantu [1].

The sky means the weather and the upper body of a person. Sudden, refers to the focus process. A stove, that is, a chimney, means to penetrate. Natural qi passes through the lungs, and acupoints are like the focus of lung qi. This acupoint is located in the uppermost larynx of the chest, so it is named because it is both the entrance of clearing qi and the exit of turbid qi. [4]

7 The specific sky map is the intersection of Yin Wei pulse and Ren pulse [1][3].

8. Parts of the neck [5]

9-day process point positioning standard: the day process point is located at the neck, the current median line and the center of the suprasternal fossa [6].

The tiantu point is located in the neck, on the current median line and in the center of the suprasternal fossa. When taking the point, sit with your head up [1].

The tiantu point is located in the middle of the suprasternal fossa, which is a 0.5-inch depression on the upper edge of the sternal notch (Bing Wang notes "The Theory of Su Wen Qi Fu Organs in Huangdi Neijing") [3].

What about "two inches below the neck and throat" (acupuncture classic), five inches (prescription for emergency use), three inches (Taiping Shenghui prescription), 1 inch (acupuncture classic for colleagues)? .

The position of tiantu point in ren meridian

The position of Tiantu point in the neck

The position of Tiantu point in the neck

The position of Tiantu point in the neck (muscle)

The position of Tiantu point in the neck (bone)

10 tiantu point is 1 inch on Xuan Ji point. In the middle of the suprasternal fossa, you sit and raise your head to take the point.

The tiantu point is located in the neck, on the current median line and in the center of the suprasternal fossa. Sit straight and take points [1].

Take the oblique position, above Xuan Ji 1 inch, and take the point in the middle of the suprasternal fossa [7].

Quick acupoint selection: supine, a concave point can be touched from the Adam's apple, and the center is Tiantu point [8].

1 1 tiantu points are located under the skin, subcutaneous tissue, between the left and right sternocleidomastoid tendons (two sternal heads), above the jugular notch of the sternal stalk, the left and right sternal thyroid and pretracheal space. There are supraclavicular medial nerves in the superficial layer, platysma and jugular vein arch under the skin. In the deep layer, there are important structures such as brachiocephalic trunk, left common carotid artery, aortic arch and brachiocephalic vein.

1 1. 1 horizontal anatomical skin → subcutaneous tissue → between the left and right sternocleidomastoid tendons (two sternal heads) → above the jugular notch of the sternum stalk → beside the left and right sternum → pretracheal space. [ 1]

Skin → subcutaneous tissue → between left and right sternohyoid muscle → between left and right sternum and thyroid → upper mediastinal cellulite → pretracheal space [9].

1 1.2 There are branches of transverse cervical nerve and jugular arch in the superficial layer of nerve and blood vessel; There are hypoglossal nerve and descending branches of inferior thyroid artery in the deep layer; The deeper layer can reach the trachea [9]. Downward puncture can enter the back of sternal stalk, and there are structures such as thymus, left innominate vein and aortic arch [9].

There are anterior branches of supraclavicular nerve, subcutaneous jugular arch, branches of thyroid artery, deep branches of trachea, innominate vein and aortic arch behind the sternal stalk [3].

12 efficacy and function of Tiantu point has the efficacy of dispersing lung qi, resolving phlegm and relieving cough.

Tiantu point has the functions of regulating qi, resolving phlegm, clearing throat and opening sound [1].

Tiantu acupoint is located at the upper mouth of the chest, and the deep part is the lung system, which has the functions of dispersing lung qi, relieving cough and asthma, resolving phlegm and relieving sore throat, and can be used to treat chest, lung and throat diseases [10].

Uprush of stomach qi can choke the diaphragm, and regulating the decline of qi at Tiantu point can be treated [10].

Mania is the local therapeutic effect of Tiantu point [10].

Tiantu point has the function of eliminating phlegm and inducing resuscitation, and it is the main point for treating phlegm syndrome, and has good curative effect on phlegm syncope, stroke, dizziness, cough, plum blossom, etc. [10].

The Classic of Acupuncture says, "Two inches below the neck and throat." Indications of throat diseases. "Prepare a thousand dollars for emergencies" records: "insufficient blood gas has a cold cough and his voice is broken." A man's chest is like heaven, and his abdominal cavity is like earth. This acupoint is located at the top of the chest, and its function is to dredge and acupuncture the patient's chest and neck. The surgeon probed downward along the inner edge of the sternum to guide the qi stagnation to flow upward, so that those with phlegm and blood stasis in the chest could flow out smoothly, and the operation was a bit sudden. 1948 Gao-style Chinese medicine diagnosed a woman fainted because of anger. I'm going to stab Yang with nine stitches. I just stabbed Dumen. An old man came in suddenly, shouting to take out the needle and start the injection urgently. He asked a strong woman to hold the patient. Another woman detected her sudden outburst with her middle finger, and she ordered her to exert herself again. Suddenly, the patient burst into tears. Later, this method was imitated to eliminate phlegm and guide qi, and the effect was faster. I hope my colleagues can know. [4]

13 Tiantu point is mainly used for chest, lung and neck diseases, such as cough, asthma, chest obstruction, lung carbuncle, purulent cough, laryngitis, dry throat, aphonia, sudden lump, vomiting, hiccup, laryngitis, mei qi, gall, asthma, chest pain, etc.

Tiantu point is mainly used for chest, lung and neck diseases, such as cough, asthma, chest obstruction, lung abscess, hemoptysis and pus, laryngitis, dry throat, aphonia, sudden lump, vomiting, hiccup, laryngitis, plum blossom, gallbladder, diaphragm spasm, nervous vomiting, etc. [ 1

Tiantu point is mainly used for cough, asthma, chest pain, sore throat, rage, carbuncle swelling, diaphragmatic choking and so on [9].

Attending tiantu point? Cough, asthma, chest pain, expectoration, purulent blood, lung abscess; Sore throat, dry throat, sudden anger, plum blossom, phlegm in the throat; Vomiting and diaphragmatic asphyxia; Heartache, sublingual urgency, nosebleed and asphyxia [7].

Tiantu point is mainly used for cough, asthma, hemoptysis, laryngitis, aphonia, vomiting, hiccup, choking diaphragm, gall tumor and so on [3].

14 acupuncture method 14. 1 acupuncture method [1]

Puncture 0.2 ~ 0.3 inch first, then pierce 0.5 ~ 0.8 inch along the posterior sternal wall with the needle tip down [3].

Puncture 0.2 inch first, and then directly pierce the back of the sternum with the needle tip downward 1 ~ 1.5 inch [9].

At first, the stab was 0.2 ~ 0.3 inches. When the needle tip exceeds the inner edge of the sternum stem, it will slowly penetrate down 0.5 ~ 1 inch along the rear edge of the sternum stem and the front edge of the trachea, causing local sore throat and tightness, and disappear after pulling out the needle, leaving no needle [7][ 1].

Note: it is not advisable to keep needles and use strong * * manipulation when operating Tiantu point, so as not to damage organs; Patients with emphysema should be especially cautious [7].

14.2 Moxibustion can be used [1][9][7].

The moxa stick moxibustion is 3 ~ 5 strong; Or moxa stick moxibustion for 5 ~ 10 minutes [3].

15 compatibility of Tiantu point Tiantu point combined with Dingchuan point, Zhongshan point and Fenglong point to treat bronchial asthma [1].

Tiantu point with skylight, Hegu, and human vocal cord inflammation [1].

Tiantu point combined with Neiguan, Tang Yin and Zusanli to treat nervous vomiting [1].

The combination of Tiantu and Zhongshan has the function of lowering qi and relieving asthma, and is mainly used for asthma syndrome and chest obstruction.

The sudden change of weather combined with Xuan Ji, Fengfu and Zhao Hai has the effects of promoting qi circulation, relieving exterior syndrome, nourishing yin and clearing heat, and is mainly used to treat sore throat.

The sudden movement of spiritual channel, yin valley, recurrent, prosperous and natural valley has the functions of nourishing kidney, reducing fire and relieving sore throat, and is mainly used to treat persistent sore throat, hoarse voice, dry mouth during sleep and so on.

Sudden asthma, moderate focus and lung fullness can cure asthma [7].

Sudden cooperation with Neiguan and Zhongwan can cure hiccup [7].

Tiantu is used together with Shiguan, Zusanli, Shu Wei, Zhongyu, Shu Ge, Shuiqi, Qihai and Cang Wei to treat diaphragmatic stagnation [7].

Sudden onset of facial and laryngeal diarrhea can cure abdominal distension, dyspnea and dyspnea [7].

Sudden onset with tendon contraction can cure laryngeal atresia in children [7].

16 special effect * * * Press Tiantu 1 ~ 2 minutes slowly with the middle finger abdomen, especially gently when * * *, which can cure hoarseness caused by respiratory diseases such as cough and pharyngitis [8].

17 literature review of Huangdi Neijing: vest to control pain, sudden outburst, ten vertebrae and upper pole treatment.

Acupuncture classics A and B: Yin Wei meets Ren Mai.

Acupuncture classics A and B: cough with upper breath, wheezing, sudden dysphoria, blue veins standing out under the tongue, stiff neck, laryngitis, dry throat, impatience, purring in the throat, swollen neck, shoulder pain, chest tightness, abdominal fever, epistaxis, angina pectoris and addiction.

Tongren Acupoint Acupuncture Classic: Treating cough with upper qi, chest tightness, watery crow in throat, lung abscess, coughing up purulent blood, dry throat, acute sublingual pain, sore throat, inedible.

Jade Dragon Song: Asthma syndrome is the most difficult to prove. Don't sleep at night, find a wonderful spot in the sky and be healthy with Ai.

"All diseases are falling": Cough is repeated, and Feishu needs to be connected to Tiantu point.

"Puji Fang": acupuncture at five points, three rest, internal heat and diarrhea, moxibustion. That is, the needle should be inserted directly, and the hand cannot be put down, which will damage the qi of the five internal organs and hurt people's lives.

Analogy Sutra: Moxibustion is the best way to cure all patients with initial swelling and pain.

18 Research Progress of Tiantu Point 18. 1 Influence on Thyroid Function Acupuncture Tiantu has a good therapeutic effect on hyperthyroidism patients, which can shrink the thyroid gland, eliminate symptoms and obviously reduce basal metabolism. For the treatment of endemic goiter, the effective rate can reach 86.9%, the urinary iodine excretion is obviously reduced, and the thyroid gland's ability to absorb and utilize iodine is improved. In the experiment, normal people took 13 13 12μ bq, and after 20 minutes, they stabbed Shuanghe Valley, Futu and Tiantu with heavy hands. After acupuncture for three times, it was found that the thyroid uptake of 13 1I mostly increased, while acupuncture. [7]

Acupuncture at Tiantu point in hyperthyroidism patients can reduce basal metabolism, but acupuncture can increase basal metabolism in patients with endemic goiter [1].

18.2 Clinical observation on the treatment of peripheral respiratory failure shows that electroacupuncture at Tiantu point has a certain effect on respiratory failure, especially peripheral respiratory failure [4].

18.3 can regulate bronchial smooth muscle and treat bronchial asthma [7].

18.4 reduce airway resistance, acupuncture tiantu, Shu Fei, etc. The airway resistance in the inspiratory and expiratory phases decreased significantly from the increasing state, especially in the expiratory phase [4].

The effect of 18.5 on esophageal peristalsis was observed under X-ray. Acupuncture at tiantu and popliteal middle can increase the esophageal peristalsis and widen the inner diameter of healthy people, and also make the upper and lower esophageal peristalsis of esophageal tumors show the same changes. [7]

Acupuncture at Tiantu point in patients with esophageal cancer can enhance peristalsis and widen the inner diameter [1].

18.6 can regulate immune function. Acupuncture at "Tiantu" and "Neiguan" in rabbits can obviously improve the lymphocyte transformation rate, but for some acupuncture anesthesia patients, the lymphocyte transformation rate is higher before acupuncture and will decrease after acupuncture. Acupuncture tiantu can also increase eosinophils in the blood. [7]

Electroacupuncture at the "tiantu" and "Neiguan" parts of experimental tuberculous rabbits found that the total number of white blood cells, neutrophil count and lymphocyte transformation rate increased significantly after acupuncture [1].