2 English reference fü tü li18 [China Acupuncture Dictionary]
Chinese medicine terminology committee. Terminology of Traditional Chinese Medicine (2004)]
LI 18 [Terminology Committee of Traditional Chinese Medicine]. Terminology of Traditional Chinese Medicine (2004)]
3 Overview
Acupoint symbol diagram Chinese phonetic symbol diagram Roman phonetic symbol diagram American English translation name support promotion every
country
produce
No China LI 18 Japanese law 18
GI 18 in Morant, DI 18 in German in Ye Fu, Li 18 in Britain and LI 18 in the United States are the names of meridian points (fü t ū li 18) [1]. Out of the Huangdi Neijing Lingshu Benbo. Alias water cave and water spring. It belongs to the large intestine meridian of hand Yangming [1]. Next to the finger, the protrusion is the protrusion, which refers to the Adam's apple. This point is right next to the Adam's apple, so it is named Futu [1].
4 The floating picture is also called Shuixue (the secret of outer platform), Shuiquan [2] and Shuitu (the convergence of meridians and acupoints).
5 source "Huangdi Neijing Lingshu Benbo": secondary pulse, hand Yangming also, name symbol map.
The 6 o'clock name is next to the finger, and the protrusion is a protrusion, which refers to the Adam's apple. This point is next to the Adam's apple, hence the name [1].
Tu, spring name, jump, rush, tu, tu. In ancient times, there was a saying of "spreading four fingers". The four horizontal fingers of the hand were equal to the same body 3 inches, and the point was opened next to the Adam's apple process, hence the name. He also said that this point assault should be answered by hand, which has the shape of a spring, hence the name "assisting strike". [2]
7 the part of the neck [3]
8 Positioning standard positioning of Futu point: Futu is located on the lateral side of the neck, beside the larynx and between the anterior and posterior edges of sternocleidomastoid muscle [4][5].
The supporting muscle is located on the lateral side of the neck, 3 inches next to the Adam's apple, and the posterior edge of sternocleidomastoid muscle; Or choose the point 65438 0.5 inches behind Renying point (acupuncture A&B classic) [6].
In addition, it is said that Fu Tu is "an inch and a half behind the gas shed" ("Prepare for a thousand dollars"); "In the neck, when the cheek is the same as the next inch, people meet the back" (Bing Wang notes "On Su Wenqi's Fu in Huangdi Neijing") [6].
The protuberance is located in the sternocleidomastoid muscle area, horizontally flattening the Adam's apple and between the anterior and posterior edges of the sternocleidomastoid muscle. Sit up, slightly raise your head and take acupuncture points [1].
The position of fu-fu process in the large intestine meridian of hand Yangming
The location of the pagoda cave
Location of Futu Point (Hand Yangming Large Intestine Meridian)
Location of Fautu point (muscle)
The position of the pagoda point (bone)
9. Take the method to help the process point in the sternocleidomastoid muscle area, horizontally flatten the Adam's apple and between the front and rear edges of the sternocleidomastoid muscle. Sit up, slightly raise your head and take acupuncture points [1].
Sitting upright, with the head slightly tilted, first take the fist between the thyroid cartilage and hyoid bone, and then 3 inches outward from the fist as the point between the sternum head of sternocleidomastoid muscle and clavicle [7].
Quick acupoint selection: the thumb is bent, the other four fingers are close together, the palm is inward, the little finger is placed next to the Adam's apple, and the index finger is located in [8].
10 Acupoint Anatomy There are skin, subcutaneous tissue, platysma, posterior border of sternocleidomastoid muscle and carotid sheath under the Futu point. There are ascending cervical arteries and veins in the deep layer. There are greater auricular nerve, cervical cutaneous nerve, lesser occipital nerve and accessory nerve. The skin is distributed by the transverse (cutaneous) nerve of the cervical plexus. Besides cutaneous nerve, there are platysma and external (superficial) jugular vein in subcutaneous fascia. The former extends from the posterior part of cervical mastoid muscle of facial nerve to the posterior wall of carotid sheath. The sternocleidomastoid muscle is innervated by accessory nerve; Carotid sheath includes common carotid artery, internal jugular vein and its posterior vagus nerve, and the artery is located in the vein. The arterial projection is from the midpoint of the connecting line between mandibular angle and mastoid to the right sternoclavicular joint; The lower end of the left connecting line is slightly outward. This line is the body surface projection of the common carotid artery below the upper edge of thyroid cartilage, which supplies the main blood of the head and neck and should be avoided when acupuncture.
10. 1 dissect the skin horizontally → subcutaneous tissue → between the sternal head of sternocleidomastoid muscle and clavicle → the posterior edge of the cervical vascular sheath [1].
Skin → subcutaneous tissue → platysma → sternocleidomastoid muscle [5].
There is transverse cervical nerve in the superficial layer of nerve blood vessel at 10.2 point; There are greater auricular nerve and lesser occipital nerve in the deep layer, transverse cervical nerve and supraclavicular nerve penetrate deep fascia, and there are branches of cervical branch of facial nerve, accessory nerve and external carotid artery. There is a cervical vascular sheath in the deep layer [5].
There are greater auricular nerve, cervical cutaneous nerve, lesser occipital nerve and accessory nerve; There are ascending cervical arteries and veins in the deep layer [6].
1 1 efficacy and function of futu point; Futu point has the functions of clearing throat, reducing swelling, regulating qi and lowering adverse flow.
Futu point has the function of regulating qi, relieving depression and clearing throat [1].
The tripod is like a stove, and the bracket is like a chimney. Its function is smooth, it can clear depressed fire, treat dysentery, qi stagnation, wheezing and other symptoms, which is the same as sudden onset of ren pulse [2].
There are three protrusions at the acupuncture point of the neck. Sudden weather and sudden water are beneficial to valley qi, while floating pictures are helpful to sudden weather and sudden water to promote qi circulation, regulate qi and eliminate phlegm, and clear pharynx diaphragm [2].
12 Indications Futu point is mainly used for cough, asthma, cough against qi, cough salivation, phlegm in pharynx, sore throat, sudden, scrofula, carbuncle, dysphagia, diaphragm spasm, goiter, hyperthyroidism, pharyngolaryngitis, acute hyoid muscle paralysis, hypotension, etc.
Futu point is mainly used to treat cough, asthma, sore throat, sudden onset and scrofula [5].
Futu point is mainly used for chest, lung, neck and other diseases, such as cough, wheezing, excessive expectoration, sore throat, sudden carbuncle, carbuncle swelling, dysphagia, etc. [1].
Futu points are commonly used in modern times to treat diaphragm spasm, goiter, pharyngolaryngitis, acute hyoid paralysis and hypotension. [ 1].
Futu point is mainly used for cough and asthma, sore throat, dysphagia, protrusion, carbuncle and scrofula [6].
Futu point is mainly used to treat sore throat, suffocation, sudden anger, bleeding at the base of tongue and scrofula; Cough, asthma, and phlegm in the throat [7].
Diseases of ENT system: goiter, hyperthyroidism, acute hyoid muscle paralysis, hoarseness and pharyngitis;
Obstetrics and gynecology system diseases; Diaphragm spasm, abnormal saliva secretion;
Others: wheezing, hypotension and other symptoms;
Support process is one of the commonly used anesthesia points in thyroid surgery.
13 acupuncture method 13. 1 acupuncture method generally pricks 0.5 ~ 0.8 inch [1][5][7], which has a feeling of acid swelling locally and can be released to the throat [7], resulting in a feeling of tight swelling [7].
Straight stab 0.3 ~ 0.5 inch [6].
Straight stab 0.5 ~ 0.8 inch, local acid swelling, can be released to the throat, there is a feeling of tightness and swelling.
Note: Acupuncture should not be too deep, so as not to cause vagus nerve reaction [7]. Anyone who jumps under the acupoints should be deeply pinched with nails, and then the needle should be inserted to prevent injury to the artery [2].
13.2 Moxibustion is available [1][5].
Moxibustion with moxa stick 1 ~ 3; Or moxa stick moxibustion for 3 ~ 5 minutes [6].
Moxibustion with moxa sticks is 3 ~ 5 strong and mild for 5 ~ 10 minutes.
14 is combined with pagoda, tiantu, shuitu and Hegu to treat acute qi deficiency [1].
Treatment of larynx and larynx with Tessie and Tentu support plexus [1].
Supporting the journey, cooperating with the valley, cheek cart and external customs, can cure mumps [7] and sudden asphyxia.
Cluster with sudden outburst of heaven and joy of heaven has the function of promoting qi circulation and relieving sore throat, and treats throat diseases [7].
Cough and asthma can be treated by supporting the process with sudden closing of the valley [7].
Fu Tu, combined with Dazhui and Hegu, has the function of clearing heat and relieving sore throat, and is mainly used to treat acute anger and sore throat.
15 special effect * * * Put the index finger and middle finger together, and press Futu point with the pulp of your finger for 3 minutes each time to stop coughing and relieve asthma [8].
16 Literature summary of Cold and Heat Syndrome in Huangdi Neijing: Sudden asphyxia, nose lifting and tongue bleeding.
Acupuncture classics A and B: cough against qi, snoring in the throat, wheezing, supporting the Lord.
Acupuncture and moxibustion success: the main cough causes excessive salivation, and the upper gas causes wheezing, and the throat is like a cock crow and full of gas.
The Secret of Foreign Taiwan Province: Cough against the breath, guttural voice, drinking and breathing, sudden embarrassment and suffocation.
"A thousand gold prescriptions for emergency": the stroke, the big clock, the yin and the main tongue bleed.
17 research progress of acupuncture anesthesia;
Acupuncture at Futu point can enhance the pain threshold of head, neck and chest skin, and is often used for acupuncture anesthesia in these parts [1].
Acupuncture at Fututoufeng point is used for acupuncture anesthesia in brain surgery, which has a good analgesic effect, with a success rate of over 90% and an excellent and good rate of 80%. Used in anterior cranial fossa, temporal parietal occipital region, posterior cranial fossa, etc. The analgesic effect of different parts of the operation is excellent.
Acupuncture at this point combined with Zusanli and Taichong points or wrist acupuncture has a good analgesic effect on thyroid adenoma, thyroid cystadenoma and subtotal or total thyroidectomy, and the excellent and good rate of acupuncture anesthesia is over 90%.
Acupuncture support process has good acupuncture anesthesia effect on thyroid surgery, and it is quite stable. Acupuncture of Zhu Fu in thoracic surgery (lung, esophagus, mediastinum) can also achieve good acupuncture anesthesia effect, and has a certain effect on thoracic sympathetic nerve (possibly peripheral blocking effect), thus achieving good analgesia effect in thoracic segment, which shows that Zhu Fu's acupuncture anesthesia effect is specific [7].
Enhance the exciting process of cerebral cortex;
Acupuncture at Futu point can enhance the exciting process of cerebral cortex [1].
The hypothenar electromyography was induced by ulnar nerve electrode on the body surface, and the effect of acupuncture on EMG amplitude of patients with cerebral thrombosis in recovery period was observed. The results showed that acupuncture on floating diagram and Zhu Can increased the amplitude of EMG (P≤0.05), starting from 5 min after acupuncture and lasting for 45 min. Acupuncture on both sides of buttress can cause α wave inhibition and β wave enhancement in healthy human brain, indicating that the excitation process of cerebral cortex is enhanced. [7]
Effects on thyroid: