现代中医临床2024，Vol.31Issue(1)：22-27,6.DOI:10.3969/j.issn.2095-6606.2024.01.003
鱼际穴实体解剖结构
Anatomical structure of the Yuji acupoint(LU 10)
康姊玉 1亓恒涛 2李斌 2王尊奇 2张效霞 1王强 2王增涛 3薛琨 4蔡斌 5孙晓霞 2曲奎安 4篮和 4王秀萍4
作者信息
- 1. 山东中医药大学中医文献与文化研究院 济南 250355
- 2. 山东第一医科大学附属省立医院
- 3. 山东第一医科大学附属省立医院||山东大学齐鲁医学院
- 4. 山东中医药大学附属医院
- 5. 纽约中医学院
- 折叠
摘要
Abstract
Objective To explore the anatomical structure of the Yuji acupoint(LU 10).Methods ① Referencing ancient texts regarding the positioning and evolution of the Yuji acupoint.②Employing partition pressure on the thenar area of 25 volunteers to determine the position eliciting an"acupoint sensation",marking these locations accordingly.③ Conducting filiform needle acupuncture on the marked areas to observe acupoint sensations.Preliminary three-dimensional positioning of the acupoint body was determined by referencing cross-sectional anatomical atlases based on the needle's location and depth during sensation.④ Performing microscopic dissection on fresh upper limb specimens from ten individuals to explore the anatomical structure at the acupoint positions identified through surface pressure and acupuncture.⑤ Using ultrasonography to confirm the needle tip position during strong acupoint sensations at the Yuji point during acupuncture sessions.⑥ Identifying the location of Yuji in the hands of ten volunteers using an ultrasound imaging instrument.Acupuncture under ultrasonographic guidance verified the differentiation between acupoint locations and surrounding tissues.Results ①Ancient texts described the Yuji acupoint's location gradually narrowing from scattered vessels on the thenar to a depression beyond the"scaphoid-trapezium groove".②Consistently,partition pressure consistently induced sensations in the distal"scaphoid-trapezium groove".③The most intense acupoint sensations occurred upon needling the distal end of the"scaphoid-trapezium groove".④Microscopic dissection revealed that the muscular branches of the pollicoparpal muscle and their accompanying vessels enter the muscle at the Yuji point.⑤ Strong acupoint sensations correlated with the needle tip positioned at the muscle hilum of the opponens pollicis.⑥Ultrasound imaging confirmed that the muscle hilum of the opponens pollicisasthe solid anatomical structure of the Yujiacupoint.Conclusion The primary acupoint of Yuji is located at the distal end of the"scaphoid-trapezium groove",which is at the hilum of the opponens pollicis.Additionally,multiple other acupoints are dispersed throughout the thenar area,with relatively dense distribution of acupoint bodies in regions rich in superficial skin veins in the middle and proximal thenar area.关键词
鱼际穴/五输穴/实体结构/穴位解剖/肌门Key words
Yuji(LU 10)/five transport points/physical structure/acupoint anatomy/hilum of muscle分类
医药卫生引用本文复制引用
康姊玉,亓恒涛,李斌,王尊奇,张效霞,王强,王增涛,薛琨,蔡斌,孙晓霞,曲奎安,篮和,王秀萍..鱼际穴实体解剖结构[J].现代中医临床,2024,31(1):22-27,6.
