危险穴位针刺深度与角度的研究  

Study on needling depth and direction for dangerous acupoints

作　　者：严振国[1] 白娟[1] 邵水金[1] 张建华[1] 

机构地区：[1]上海中医药大学解剖教研室,上海200032

出　　处：《中国针灸》2004年第11期769-772,共4页Chinese Acupuncture & Moxibustion

摘　　要：目的 :为临床医生提供安全的进针深度和角度的参考数值。方法 :(1)经穴的断层解剖法为先在尸体上标经定穴 ,经 - 2 0～ - 30℃冰冻 ,再通过穴位作多种断面 ,以反映在各种角度、深度、范围进针时所涉及的断面解剖结构。 (2 )经穴的层次解剖法为先在尸体上选穴定位 ,在穴位处用钢针刺入或刺染 ,再逐层解剖 ,以反映穴位区的解剖结构。结果 :得到头颈部、胸腹部和腰背部常用危险穴位针刺的安全深度和危险深度的范围 ,以及部分危险穴位进针的方向和角度。Objective To provide safe depth and direction of ne ed ling for clinical physicians. Methods (1) Tomographic dissectio n of acupoints, i,e.acupoints were located in the dead body, which was frozen at -20～-30 ℃, and then various cross-sections passing the acupoint were m ade to reflect cross-sectional anatomical structures involved at various angles , depths and ranges of needling. (2) Layered dissection of acupoints, i,e. acupoints on the dea d body was selected and inserted with steel needle or stained needle, and then layered disse ction to reflect anatomical structures of the acupoint region. Results The ranges of safe depth and dangerous depth of needling for commonly-u sed dangerous acupoints at the head-neck, the chest-abdominal and the lumbodor sal parts, and the needling direction and angle for a part of dangerous acu points were attained.

关 键 词：穴位针刺 进针深度 经穴 断面解剖 选穴 胸腹部 再通 角度 

分 类 号：R224[医药卫生—中医基础理论] R322[医药卫生—中医学]