芒针深刺中脘穴得气层解剖学观察  

Anatomic Observation of the Qi-getting Layer of Point Zhongwan with Deep Insertion of an Elongated Needle

作　　者：郝治中[1] 啜振华[1] 高彤[1] 

机构地区：[1]石家庄铁路中心医院,河北050011

出　　处：《上海针灸杂志》2004年第11期35-37,共3页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的　观察芒针深刺中脘穴得气层解剖学情况。方法　对 2 5例芒针深刺中脘穴病例在进针得气后行局部螺旋 CT扫描 ,取得芒针行径及针尖部位的腹部横断面 CT图像 ,用以解剖结构分析研究。结果　对 2 5例芒针针尖位于腹腔内情况为胃体小弯侧 3例 ,肠系膜上静脉右侧缘 5例 ,肠系膜上静脉左侧缘 1例 ,胰头 2例 ,胰头胰体交界处 5例 ,下腔静脉前缘 2例 ,下腔静脉左侧缘 3例 ,腹主动脉前缘 1例 ,腹主动脉右侧缘 3例。针尖与椎体前缘的距离为 10 - 6 0 m m ,平均 33.10± 17.2 9mm。针尖端在椎体正中线左右 2 5 mm以内。Objective To anatomically observe the qi -getting layer of point Zhongwan with deep insertion of an elongated needle. Methods In 25 patients with deep insertion of an elongated needle into point Zhongwan, local spiral CT scan was performed after getting qi to obtain an abdominal cross-section CT image of the elongated needle route and the needle tip position for analysis and study of anatomic structure. Results In 25 patients with the tip of an elongated needle in the abdominal cavity, it was situated at the side of gastric lesser curvature in 3 cases, at the right border of superior mesenteric vein in 5 cases, at the left border of inferior mesenteric vein in 1 cases, at the head of pancreas in 2 cases, at the place connecting the pancreatic head and body in 5 cases, at the anterior border of inferior vena cava in 2 cases, at the left border of inferior vena cava in 3 cases, at the anterior border of inferior vena cava in 2 cases, at the anterior border of abdominal aorta in 1 cases and at the right border of abdominal aorta in 3 cases. The distance between the tip of a needle and the anterior border of vertebral body was 10-60 mm with an average of 33.10±17.29 mm. The needle tip was within 25 mm left or right to the midline of vertebral body. Conclusion The qi-getting layer of point Zhongwan with deep insertion of an elongated needle is closely related to solar plexus and celiac ganglia.

关 键 词：长针疗法 穴 中脘 解剖学 

分 类 号：R224[医药卫生—中医基础理论]