2 English reference Jiānzhēn SI9 [China Acupuncture Dictionary]
Chinese medicine terminology committee. Terminology of Traditional Chinese Medicine (2004)]
Chinese medicine terminology committee. Terminology of Traditional Chinese Medicine (2004)]
3 Overview
Acupoint scapulohumeral periarthritis Chinese Pinyin Jian Zhen Roman Pinyin Chienchen American English Translation Name Periarthritis Each
country
generation
No. China SI9 Japanese 9 Law
Morant's IG9 and Ye Fu's De D? 9 British Si9 American SI9 Shoulder is the name of meridian point (Jiānzhēn SI9)[ 1]. Huangdi Neijing, cavitation theory. It belongs to the small intestine meridian of hand sun [1]. Shoulders are shoulders, and chastity refers to the first point. This point is the first point where the meridian enters the shoulder, hence the name Shoulder-chastity [1]. Indications: scapular pain, numbness of arms, no lifting of both limbs, pelvic pain, typhoid fever, cold and heat, deafness, tinnitus, jaw swelling, lymph node tuberculosis, scapular pain, periarthritis of shoulder, axillary sweat, no lifting of arms, numbness of upper limbs, toothache, jaw swelling, headache, numbness of shoulder and arm pain and numbness of upper limbs.
4. The source of "Huangdi Neijing Suwen Cavitation Theory": 50 points in Zangshu ... 2 points for keeping chastity. Acupuncture classics A and B: shoulder joint, under scapula, between two bones, in the case of shoulder epiphysis decline.
5. This point is called Xieshou, which means Shoulder, and True Wisdom refers to the first point. This point is the first point where this meridian enters the shoulder, so it is named Shouzhen [1].
Shoulder, under the nape of the neck, the joint between the arm and the body is the shoulder. Zhen, person. The hole is in the seam of the clamping arm, and neither hand extends into it. Quiet and chaste, hence the name. Definition of name and word: "chastity, stability and precision are not mixed." Right is not right, and evil is also done; The uncertainty is determined, and the essence is restored. " The name Shouzhen has a double meaning. [2]
6 scapula [3]
7 Positioning standard of Shoulder True Point: Shoulder True Point is located at the lower back of shoulder joint. When the arm is adducted, it is 1 inch (finger inch) [4][5] on the armpit head.
The true point of the shoulder is located in the scapula area, behind and below the shoulder joint, and the head under the armpit is 1 inch straight. Arm hanging armpit selection point [1].
The true point of the shoulder is below the shoulder and back, and the head of the armpit is straight up to 1 inch; Cantilever underarm acupoint selection (classic of acupuncture A-B) [6].
Position of Jian Zhen Point in Small Intestinal Meridian of Hand Taiyang
The location of Cape Jian Zhen
Location of Jian Zhen Point (Hand Taiyang Small Intestine Meridian)
Location of Shoulder True Point (Muscle)
Location of Shoulder True Point (Bone)
8 method: sit in the shoulder position, below the shoulder joint. When the upper arm is adducted, take the point above the armpit 1 inch.
The true point of the shoulder is located in the scapula area, behind and below the shoulder joint, and the head under the armpit is 1 inch straight. Arm hanging armpit selection point [1].
Sit down, shoulders down, upper arms in. When the end of the posterior axillary fold is 65438 0 inches straight, take a point at the posterior edge of the deltoid muscle [7].
Quick acupoint selection: sit on the cantilever and measure from the back side of the armpit 1 as Shouzhen acupoint [8].
The acupoints under Shouzhen point are divided into skin, subcutaneous tissue, deltoid fascia, deltoid muscle, triceps brachii, teres major and latissimus dorsi. There are circumflex scapular arteries and veins. The axillary nerve has branches and the radial nerve is above the deep part. The skin is distributed by the lateral cutaneous nerve of the lower arm of axillary nerve. The subcutaneous tissue is dense and rich in fat. The needle goes from the skin and subcutaneous tissue to the back of deltoid muscle, passes through the deep fascia on the surface of this muscle and enters the muscle block. Later, the needle can enter the long head of triceps brachii, teres major and latissimus dorsi (tendon) which are innervated by radial nerve muscle branches, and reach the axillary cavity.
9. 1 Dissect the skin horizontally → subcutaneous tissue → posterior edge of deltoid muscle → long head of triceps brachii → teres major → latissimus dorsi tendon [1].
Skin → subcutaneous tissue → triceps brachii long head → teres major [5].
9.2 There is a lateral cutaneous branch of the second intercostal nerve in the superficial layer of neurovascular in acupoint area, that is, the intercostal brachial nerve is distributed; There are branches of axillary nerve, radial nerve and posterior humeral circumflex artery in the deep layer [5].
There are axillary nerve branches, and the radial nerve is above the deep part; There is a circumflex scapular artery and vein passing through [6].
10 the efficacy and function of Jian Zhen point has the functions of clearing the head and hearing, dredging collaterals and activating collaterals.
Jian Zhen point has the functions of dredging meridians, promoting blood circulation and resolving hard mass [1].
Jianzhen point has the function of relaxing tendons and activating collaterals, and can be used to treat cold-heat wind arthralgia, shoulder heat pain, numbness of hands and feet, tendon contracture, inability to lift shoulders and arms, typhoid fever and toxic swelling. If it is not good for the operator, take this acupoint to restore his ability to do things. There is a saying in Tongren Acupoint Acupuncture Classic: "To cure wind arthralgia, do not lift your arms, and heat will hurt your shoulders." Acupuncture can exorcise evil spirits, replenish qi, get rid of diseases and straighten shoulders. [2]
Shoulder acupoints are located behind and below the shoulder joint in the scapular area, so they are often used to treat shoulder diseases [7].
1 1 Indications Shouzhen point is used to treat scapular pain, arm numbness, two limbs not lifting, no pelvic pain, typhoid fever, cold and heat, deafness, tinnitus, jaw swelling, lymph node tuberculosis, scapular pain, scapulohumeral periarthritis, axillary sweat, arm not lifting, upper limb numbness, toothache, toothache and tinnitus.
Jian Zhen point is mainly used for scapular pain, arm numbness, no lifting of both limbs and no pelvic pain [5].
Jian Zhen acupoint is mainly used for exogenous fever, otopathy and endemic diseases, such as typhoid fever, cold and heat, deafness, tinnitus, jaw swelling, lymph node tuberculosis, shoulder pain, scapulohumeral periarthritis and axillary sweat [1].
Jian Zhen point is mainly used for scapular pain, arm weakness, numbness of upper limbs, tinnitus, toothache, scrofula, scapulohumeral periarthritis and so on [6].
Jian Zhen point is mainly used for tinnitus, deafness, toothache, swelling and pain, headache; Shoulder pain, pelvic pain, numbness of shoulders and arms, inability to lift, upper limb paralysis; Lapis lazuli [7]
Diseases of ENT system: tinnitus and deafness;
Others: scapulohumeral periarthritis, sequelae of cerebrovascular disease, tuberculosis of cervical lymph nodes, headache, etc.
12 acupuncture method 12. 1 acupuncture method is generally 0.5 ~ 1.0 inch [1][6].
Straight stab 1 ~ 1.5 inch [5].
Obliquely stab outward 1 ~ 1.5 inch, or pierce in the direction of anterior axillary seam [7]. Shoulders and shoulder blades have a feeling of soreness and swelling, and there may also be numbness and inductance conduction to shoulders and fingers [7].
Note: when acupuncture, it must not be biased to the inside, so as not to damage the chest side wall and cause pneumothorax [7].
12.2 moxibustion is available [1][5][7].
The moxa stick moxibustion is 3 ~ 7 strong; Or moxa stick moxibustion for 5 ~ 15 minutes [6].
Moxibustion with moxa stick or warm acupuncture is 5 ~ 7 strong, and moxibustion with moxa stick 10 ~ 20 minutes.
13 combined with Jian Zhen point and bone [1] to treat deafness and tinnitus.
Treatment of scapulohumeral periarthritis with Jian Zhen point plus shoulder epiphysis [1].
Jian Zhen point combined with Tianzong and Waishoushu to treat shoulder pain [1].
Shoulder coagulation was treated by combination of Shoulder Zhen and Shoulder Epiphysis, Shoulder Epiphysis, Tianzong and Giant Bone [7].
Shoulder-chastity combined with shoulder epiphysis has the function of relaxing muscles and tendons, activating collaterals and relieving pain, which is mainly used to treat shoulder-arm pain and upper limb paralysis.
Shoulder-Zhen-He patio has the function of dispersing stagnation and removing blood stasis, and is mainly used to treat lymphadenitis.
Shoulder virginity combined with bone has the function of hearing, which is mainly used for tinnitus.
Shoulder and joint combined with Quchi, Shousanli, Waiguan and Hegu can treat upper limb paralysis [7].
Special effects 14 * * * Pressing Shouzhen point with the middle finger pulp for 1 ~ 3 minutes each time can cure scapular pain, arm numbness and deafness [8].
15 Literature Summary "Acupuncture and Moxibustion Classic A and B": cold and heat, stranguria, deafness, pelvic and shoulder pain, paralysis, middle shoulder joint. Tinnitus is unhealthy, and it's over without hurting the bone on the shoulder.
Illustration of acupuncture and moxibustion at Tongren acupoint: treating wind arthralgia without raising arms.
Acupuncture Dacheng: Indications for typhoid fever, tinnitus and deafness, less fever and pain in the basin and shoulders, wind arthralgia, numbness of hands and feet.
Analogy classics and pictures: Indications are typhoid fever, cold and heat, swelling and pain, tinnitus and deafness, pelvic and shoulder pain with little fever, hand and foot wind arthralgia, etc.
16 Research Progress 16. 1 Treatment of Breast Carbuncle Take the first needle, Tianzong, and use a 2-2.5-inch long filiform needle for direct needling, and use the purging method for acupuncture. After the needle is inserted, when you feel acid, numbness and pain, keep the needle and moxibustion with moxa stick for 30-40 min, and insert it every 5 min.
16.2 treatment of scapulohumeral periarthritis