2. Summarize that Jiaji point of Huatuo is another name for odd points outside meridians, namely Jiaji point [1]. Look, acupuncture is in China.
Clip ridge (jiájǐ? EXB2) is the name of the strange point [2][3] outside the meridian. Also known as Huatuo point, Huatuo jiaji, Tuoji and adjacent ridge [4]. On the back and waist, when 1 thoracic vertebra reaches the lower side of the spinous process of the fifth lumbar vertebra, it is 0.5 inch beside the posterior midline, and one side of 17 point [2]. Jiaji points have a wide range of applications, among which the points on the upper chest treat diseases of the heart, lungs and limbs; Treating gastrointestinal diseases with lower chest acupoints; Lumbar acupoints treat diseases of waist, abdomen and lower limbs [5].
3 Pinyin jiájǐ
4 code name EXB2
5 Source "Su Wen Miao Lunz in Huangdi Neijing": Evil guests are in the net of the sun, which makes people feel anxious and painful. Puncture starts from the neck, counts the spine, clamps the spine, and presses the disease. You have to stab with your hand like pain, and you will stand up after three times.
6 Jiaji Point is also called Huatuo Jiaji Point ("China Acupuncture")
Huatuo point (acupuncture outline)
Tacitus (Introduction to Acupuncture Points and Their Therapy)
Paravertebral (Outline of Acupuncture and Moxibustion (2nd Edition))
7 Location of Jiaji Point Huatuo Jiaji Point is located on the back and waist. When 1 thoracic vertebra reaches the lower side of the spinous process of the fifth lumbar vertebra, the posterior midline is 0.5 inch, and the side of 17 point [2][5].
Jiaji point is located in the spinal region, from the first thoracic vertebra to the lower two sides of the spinous process of the fifth lumbar vertebra, 0.5 inch beside the posterior median, and on one side 17 point [3].
"Huangdi Neijing Su Jing Miao Wen Luntz": "It hurts to count the chivalrous bones in the spine. Next to the thorns, three squats stand. " Yang Shangshan's note: "The spine has 21 vertebrae. If you push it with both hands, the pain will be enough for the sun, and it will hurt three times if you lose on both sides. " Hua Tuochuan: "There are people who can't walk because their feet are sick ... and they are cured after moxibustion. Moxibustion is placed one inch up and down the spine, and the end is straight and evenly adjusted like a rope. " That is to say, 0.5 inch next to the spine is the acupoint [4]. Many modern books agree with this [4]. That is, from the first thoracic vertebra to the fifth lumbar vertebra, the inferior spinous process of each vertebra is 0.5 inch apart, and there are 34 points on the left and right [4]. There are also 48 acupoints (see Acupuncture of Shanghai College of Traditional Chinese Medicine) from the first cervical vertebra to 0.5 ~ 1 inch below the spinous process of the fifth lumbar vertebra [4].
The strange point outside the meridian-the position of the clamping ridge
Location of Jiaji point
8 Huatuo Jiaji point selection method The patient is prone or prone, and the point selection is 0.5 inches on both sides of the spinous process of the spine, next to the back center.
In prone position, take the corresponding acupoints from 1 thoracic vertebra to the underside of spinous process of the fifth lumbar vertebra, 0.5 inch away from the posterior midline [6].
8. 1 Anatomy of Jiaji Point There are skin, subcutaneous tissue, superficial muscle layer (trapezius muscle, latissimus dorsi muscle, rhomboid muscle, upper posterior serratus muscle and lower posterior serratus muscle) and deep muscle (erector spinae, transverse spinous muscle) under Jiaji Point. The first thoracic nerve to the fifth lumbar nerve has medial cutaneous branches and accompanying arteries and veins. In the deep layer, there are muscular branches from the first thoracic nerve to the posterior branch of the fifth lumbar nerve, and dorsal branches or branches of the posterior intercostal artery and vein.
8.2 Hierarchical anatomy of skin → subcutaneous tissue → superficial dorsal muscle (trapezius, rhomboid, thoracolumbar fascia, posterior serratus) → deep dorsal muscle (erector spinae) [5].
Nerve and blood vessels in acupoint area: there are cutaneous branches of posterior thoracic or lumbar nerve in superficial layer, branches of posterior thoracic or lumbar nerve, posterior intercostal artery and lumbar artery in deep layer [5].
9 the efficacy and function of Huatuo Jiaji point Jiaji point has the function of regulating the function of dirty abdomen.
Jiaji point is located beside the spine and can be used to treat systemic diseases, especially chiropractic therapy for children.
10 Huatuo Jiaji point has a wide range of indications, among which Shangxiong point is used to treat cardiopulmonary and limb diseases; Treating gastrointestinal diseases with lower chest acupoints; Lumbar acupoints treat diseases of waist, abdomen and lower limbs [5].
Jiaji point is mainly used for cough, wheezing, digestive system diseases, neurasthenia, psychosis, various chronic diseases, central rheumatoid arthritis and so on.
Indication table of Jiaji point (table in Chinese medicine dictionary)
Thoracic 1 ~ 4 spinal clamping: treatment of lung and upper limb diseases [6].
Thoracic 4 ~ 7 spinal clamping: treatment of heart disease [6].
Thoracic 7 ~ 10 spinal clamp: treatment of hepatobiliary diseases [6].
Chest 10 ~ 12 chiropractic: treating spleen and stomach diseases [6].
Lumbar spine 1 ~ 2 chiropractic: treating kidney diseases [6].
Lumbar vertebrae 3 ~ 5: Treating diseases of waist, sacrum, bladder, large intestine, uterus and lower limbs [6].
1 1 Compatibility of Huatuo Jiaji points The selection and matching of points can be based on the distribution of meridians, nerve roots and segments, tenderness of points and reaction points. , and choose 2-4 points at a time [6].
Chest 1 ~ 4 spine, Dazhui, Shu Fei and Tianzong are used to treat shoulder and back pain [6].
Chest 4 ~ 7 spine clamping combined with Xinshu and Neiguan to treat heartache and complete regression [6].
Chest 8 ~ waist 2 plus spine with Danshu, Shenshu, Sanyang Collateral and Yanglingquan can treat chest and hypochondriac pain [6].
Lumbar points 3 ~ 5 are combined with Guanyuan, Bladder Meridian, Huantiao and Zusanli to treat lower limb paralysis [6].
12 acupuncture method 12. 1 puncture 0.3 ~ 0.5 inch, or tap with plum blossom needle [5].
Generally, the oblique thorn is 0.5 ~ 1.0 inch [3].
Oblique needling inward for 0.5 ~ 1 inch, local acid swelling or scattered in the chest and abdomen [6].
Note: Because there are spinal cord and thoracic and abdominal organs in the deep part of this point, we should pay attention to the direction, angle and depth of acupuncture, and stop acupuncture immediately if there is numbness.
12.2 moxibustion can moxibustion [5][6].
13 literature review "The Book of the Later Han Dynasty": Hua Tuo said that some people can't walk because of foot diseases. When you feel the pulse, you will strip and point back to dozens of places, one inch or five inches apart, which is not evil. It is said that moxibustion is the top seven, and moxibustion is also conducive to healing. After moxibustion, the moxibustion place is clamped with a ridge one inch up and down, and the line end is straight and even as a guide rope.
Introduction of acupuncture points and their therapies: Indications are neurasthenia, tuberculosis, bronchitis, physical weakness and emaciation.
Strange Spectrum of Acupuncture: Indications for rheumatic spondylitis and lumbago.
14 Research progress of Huatuo Jiaji point 14. 1 Regulating autonomic nerve function and improving blood circulation It is reported that it has been confirmed from ancient literature that Jiaji point can treat corresponding visceral diseases. Modern research holds that Jiaji point has the function of regulating autonomic nerve function, so it is used to treat some diseases related to autonomic nerve function: ① to treat vascular headache; ② Abnormal sensation of extremities; ③ Dizziness, cold limbs, hemiplegia and hyperhidrosis caused by autonomic nervous dysfunction; ④ Stroke (midvein); ⑤ erythromelalgia; 6 high blood pressure, etc. Good results have been achieved. Its mechanism is to regulate vascular function and improve blood circulation by regulating autonomic nerve function.
Acupuncture and chiropractic can adjust IgA, IgG, C-reactive protein, microvascular morphology, blood flow pattern and total integral value of patients with ankylosing spondylitis, suggesting that this therapy has the functions of regulating immune function, improving microcirculation and relieving and eliminating inflammation.
14.2 The analgesic effect of electroacupuncture at Jiaji Point at Waist 3 ~ 5 Jiaji Point can increase the content of 5HT and 5- hydroxyindoleacetic acid in spinal cord and decrease the content of NA and DA in spinal cord, thus playing an analgesic role [6].
Clinical observation of 14.3 in the treatment of reflux gastritis