风市穴定位标准化探究
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摘要
目的:比较风市穴直立位人工测量与仰卧位人工测量定位的不同,以明确定位。方法:对197名志愿者进行风市穴直立位人工测量、并对其中92名志愿者进行仰卧位人工测量,比较两种测量方法间的不同。结果:直立位人工测量结果显示,股骨大转子至腘横纹距离为(39.27±3.83)cm[男性为(39.96±4.21)cm,女性为(38.82±3.49)cm,P<0.05];中指尖至腘横纹距离为(19.08±2.97)cm[男性为(18.96±3.50)cm,女性为(19.16±2.58)cm];折算后得出风市穴位于腘横纹上(9.28±1.44)寸[男性(9.07±1.64)寸,女性(9.42±1.29)寸]。仰卧位人工测量结果显示,股骨大转子至腘横纹距离为(41.89±3.88)cm[男性为(42.36±3.88)cm,女性为(41.67±3.89)cm],中指尖至腘横纹距离为(23.01±3.37)cm[男性为(22.50±3.73)cm,女性为(23.25±3.20)cm];折算后得出风市穴位于腘横纹上(10.51±1.69)寸[男性为(10.16±1.75)寸,女性为(10.67±1.63)寸]。结论:风市穴位于股部,腘横纹上9寸(髌底上7寸),髂胫束后缘。直立位简便取穴法:直立垂手,掌心贴于大腿时,中指尖所指凹陷中。仰卧位简便取穴法:仰卧平躺,掌心贴于大腿外侧中央,中指尖所指凹陷中约直下1寸处。女性风市穴定位略高于男性。
Objective To compare the difference in the manual measurement of Fengshi(GB 31) between the standing position and the supine position so as to determine the location. Methods A total of 197 volunteers were included in the manual measurement of Fengshi(GB 31) at the standing position and 92 volunteers at the supine position. The differences were compared between the two measurements. Results The results in the manual measurement at the standing position showed that the distance was(39.27±3.83) cm from the greater trochanter of femur to the popliteal transverse crease [(39.96±4.21) cm in males,(38.82±3.49) cm in females, P < 0.05]. The distance was(19.08±2.97) cm from the tip of the middle finger to the popliteal transverse crease [(18.96±3.50) cm in males,(19.16±2.58) cm in females]. After calculating according to the formula of proportional bone measurement, Fengshi(GB 31) was located(9.28±1.44) cun above the popliteal transverse crease [(9.07±1.64) cun in males,(9.42±1.29) cun in females]. The results in the manual measurement at the supine position showed that the distance was(41.89±3.88) cm from the greater trochanter of femur to the popliteal transverse crease [(42.36±3.88) cm in males,(41.67±3.89) cm in females]. The distance was(23.01±3.37) cm from the tip of the middle finger to the popliteal transverse crease [(22.50±3.73) cm in males,(23.25±3.20) cm in females]. After calculated according to the formula of proportional bone measurement, Fengshi(GB 31) was located(10.51±1.69) cun above the popliteal transverse crease [(10.16±1.75) cun in males,(10.67±1.63) cun in females]. Conclusion Fengshi(GB 31) is located on the femoral region, in the depression under the tip of the middle finger at the standing position. The simple localization of the acupoint at the supine position: at the supine, the palm touches the middle of the lateral side of the thigh, about 1 cun directly below the depression under the tip of the middle finger. The location of Fengshi(GB 31) in female is slightly upper than male.
Objective To compare the difference in the manual measurement of Fengshi(GB 31) between the standing position and the supine position so as to determine the location. Methods A total of 197 volunteers were included in the manual measurement of Fengshi(GB 31) at the standing position and 92 volunteers at the supine position. The differences were compared between the two measurements. Results The results in the manual measurement at the standing position showed that the distance was(39.27±3.83) cm from the greater trochanter of femur to the popliteal transverse crease [(39.96±4.21) cm in males,(38.82±3.49) cm in females, P < 0.05]. The distance was(19.08±2.97) cm from the tip of the middle finger to the popliteal transverse crease [(18.96±3.50) cm in males,(19.16±2.58) cm in females]. After calculating according to the formula of proportional bone measurement, Fengshi(GB 31) was located(9.28±1.44) cun above the popliteal transverse crease [(9.07±1.64) cun in males,(9.42±1.29) cun in females]. The results in the manual measurement at the supine position showed that the distance was(41.89±3.88) cm from the greater trochanter of femur to the popliteal transverse crease [(42.36±3.88) cm in males,(41.67±3.89) cm in females]. The distance was(23.01±3.37) cm from the tip of the middle finger to the popliteal transverse crease [(22.50±3.73) cm in males,(23.25±3.20) cm in females]. After calculated according to the formula of proportional bone measurement, Fengshi(GB 31) was located(10.51±1.69) cun above the popliteal transverse crease [(10.16±1.75) cun in males,(10.67±1.63) cun in females]. Conclusion Fengshi(GB 31) is located on the femoral region, in the depression under the tip of the middle finger at the standing position. The simple localization of the acupoint at the supine position: at the supine, the palm touches the middle of the lateral side of the thigh, about 1 cun directly below the depression under the tip of the middle finger. The location of Fengshi(GB 31) in female is slightly upper than male.
引文
[1]胡智海,潘守伦,潘山鹰.风市穴定位的人群抽样分析[J].中国针灸,2001,21(2):21-22.
[2]王启才.风市定位取穴疑误[J].上海针灸杂志,1985,23(3):36,20.
[3]国家中医药管理局.GB 12346-90经穴部位(中华人民共和国国家标准)[M].北京:中国标准出版社,1990:29.
[4]中国国家标准化管理委员会.腧穴名称与定位(GB/T 12346-2006)[S].北京:中国标准出版社,2006:31.
[5]黄龙祥.针灸腧穴通考[M].北京:人民卫生出版社,2011:1082-1086.
[6]武晓冬.针灸骨度人体测量100例研究报告[J].针刺研究,2011,36(1):66-71.
[7]张梅林.简便取穴法质疑[J].中原医刊,1985,12(6):22-23.
[8]丁一丹.谈腧穴定位的准确性[J].上海针灸杂志,1999,18(1):29-30.
[9]Molsberger AF,Manickavasagan J,Abholz HH,et al.Acupuncture points are large fields:the fuzziness of acupuncture point localization by doctors in practice[J].Eur J Pain,2012,16(9):1264-1270.
[10]毛宾尧,张学义,乐兴样.膝关节外科[M].北京:人民卫生出版社,1987:118.
[2]王启才.风市定位取穴疑误[J].上海针灸杂志,1985,23(3):36,20.
[3]国家中医药管理局.GB 12346-90经穴部位(中华人民共和国国家标准)[M].北京:中国标准出版社,1990:29.
[4]中国国家标准化管理委员会.腧穴名称与定位(GB/T 12346-2006)[S].北京:中国标准出版社,2006:31.
[5]黄龙祥.针灸腧穴通考[M].北京:人民卫生出版社,2011:1082-1086.
[6]武晓冬.针灸骨度人体测量100例研究报告[J].针刺研究,2011,36(1):66-71.
[7]张梅林.简便取穴法质疑[J].中原医刊,1985,12(6):22-23.
[8]丁一丹.谈腧穴定位的准确性[J].上海针灸杂志,1999,18(1):29-30.
[9]Molsberger AF,Manickavasagan J,Abholz HH,et al.Acupuncture points are large fields:the fuzziness of acupuncture point localization by doctors in practice[J].Eur J Pain,2012,16(9):1264-1270.
[10]毛宾尧,张学义,乐兴样.膝关节外科[M].北京:人民卫生出版社,1987:118.