Dorsher Peter T, Chiang Poney
Physical Medicine & Rehabilitation, Mayo Clinic in Florida, Jacksonville, FL.
River Clinic Oriental Medicine and York University, Markham, Ontario, Canada.
Med Acupunct. 2018 Apr 1;30(2):80-88. doi: 10.1089/acu.2018.1271.
Accumulating evidence from anatomical, physiologic, and neuroimaging research shows that Classical acupuncture points stimulate nerve trunks or their branches in the head, trunk, and extremities. The first part of this series revealed that phenomenon in the extremities. Principal meridian distributions mirror those of major peripheral nerves there and Classical acupuncture points are proximate to peripheral nerves there. These relationships were shown to be consistent with the linear neuroembryologic development of the extremities. The second part of this series revealed that, in the trunk, a neuroanatomical basis for the Principal meridians exists consistent with lateral folding in early fetal neuroembryologic development. The aim of this Part is to provide anatomical data that corroborates a neuroanatomical basis for the Principal meridians in the head and neck, which is consistent with the longitudinal and lateral folding that occurs in early fetal neuroembryologic development. Adobe Photoshop software was used to apply Classical acupuncture points and Principal meridians as layers superimposed on neuroanatomic images of the head and neck, allowing demonstration of their anatomical relationships. The Principal meridian distributions in the head and region can be conceptualized as connecting branches of the cranial and/or cervical spinal nerves. Anatomical data support the conceptualization of acupuncture Principal meridians in the head and neck as connecting branches of the cranial and/or cervical spinal nerves and are consistent with neuroembryologic development. Overall, the acupuncture Principal meridians can be conceptualized to have a neuroanatomical substrate that is corroborated by developmental neuroembryology.
来自解剖学、生理学和神经影像学研究的越来越多的证据表明，经典穴位刺激头部、躯干和四肢的神经干或其分支。本系列的第一部分揭示了四肢的这种现象。主要经络分布与那里主要外周神经的分布相似，经典穴位靠近那里的外周神经。这些关系被证明与四肢的线性神经胚胎发育一致。本系列的第二部分揭示了，在躯干中，主要经络存在神经解剖学基础，这与胎儿早期神经胚胎发育中的侧向折叠一致。本部分的目的是提供解剖学数据，以证实头颈部主要经络的神经解剖学基础，这与胎儿早期神经胚胎发育中发生的纵向和侧向折叠一致。使用Adobe Photoshop软件将经典穴位和主要经络作为图层叠加在头颈部的神经解剖图像上，以展示它们的解剖关系。头颈部的主要经络分布可被概念化为连接颅神经和/或颈脊神经的分支。解剖学数据支持将头颈部的针灸主要经络概念化为颅神经和/或颈脊神经的连接分支，并且与神经胚胎发育一致。总体而言，针灸主要经络可以被概念化为具有由发育神经胚胎学证实的神经解剖学基础。
