Meltz Leah, Ortiz Daniel, Chiang Poney
River Clinic Integrative Medicine, Markham, Ontario, Canada.
Integrative Medicine-Acupuncture, Institute for Advanced Medicine, Mount Sinai St. Luke's and West Hospitals, New York, NY, USA.
Med Acupunct. 2020 Aug 1;32(4):181-193. doi: 10.1089/acu.2020.1413. Epub 2020 Aug 13.
Acupuncture continues to gain popularity as a first treatment option for a variety of conditions; however, an in-depth understanding of the relationships between the acupoints and the underlying anatomy of the human body is often unclear. This article updates the anatomical relationship between facial acupoints and the trigeminal nerve (CN V) and contrasts the results against the standard textbook . A literature review, cadaver dissection, and a neuroanatomical stimulation of the CN V was conducted, focusing on the anatomical locations of the acupoints along the CN V on the face and nerve block targets. The results were contrasted against the standard acupoint location and nerve targets described in . The present article classifies CN V acupuncture targets according to 4 different types: (1) trunk; (2) bifurcation; (3) branch; and (4) anastomoses. The results of this exploration highlight the specificity with which acupoints are located in relation to the CN V. Areas of high nerve density correspond to several acupoints. Consequently, acupoints overlay closely with CN V branches as they emerge and bifurcate on the face. There is a clear and neuroanatomically relevant relationship between facial acupoints and the CN V.
针灸作为多种病症的首选治疗方法,其受欢迎程度持续上升;然而,人们往往对穴位与人体基础解剖结构之间的关系缺乏深入了解。本文更新了面部穴位与三叉神经(CN V)之间的解剖关系,并将结果与标准教科书进行对比。进行了文献综述、尸体解剖以及对三叉神经的神经解剖刺激,重点关注沿面部三叉神经的穴位解剖位置和神经阻滞靶点。将结果与[相关文献]中描述的标准穴位位置和神经靶点进行对比。本文根据4种不同类型对三叉神经针灸靶点进行分类:(1)主干;(2)分支点;(3)分支;(4)吻合处。该探索结果突出了穴位相对于三叉神经定位的特异性。高神经密度区域对应多个穴位。因此,穴位在面部与三叉神经分支出现和分叉处紧密重叠。面部穴位与三叉神经之间存在明确且与神经解剖学相关的关系。