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com
of Acupuncture:
Foundations
Morphological
of Acupuncture
An AnatomicalNomenclature
Structures
clausC schnorrenberger
Summary
ELlropeanmistranslationsof oriSinal Ch/nesetexis
have not merely intrcduced incorrecl concepts to
Westernacupunctutists,but have adverselyaffected
treatmentmethods. The FrenchdiplomaLSoulie cle
Morant published an important treatise,
"L'acuponctureChinoise",in 1939; this hasfomed
the basis ol Westernised"traditional" chinese
acupuncture. Becausehe hacl no medical
background,he was unable to interpretthe medical
,tEnili,dn,e ol tr"dilionrl ahina'e ' on cpt- in thl
LerL,th.t he had ,e"d. Ure hc, oulclnot \cp lhata
firm basisol medical knowledgeis necessarytor the
rcliable practise of acupuncture, thus unwittingly
inttoducin7 acupuncturc as a playgrcund for lay
theraptsts.
were: i the
The two most importantmistranslations
use of "point" lor Xue wei, which would be better
translatedas "foramen"to give fhe impressianof a
three dimensionalslructure;and ii. Qi, which is a
particularly difficulLconcept to translate,but is
c e r t a i n l y n o t e q u i v a l e n tt a t h e W e s t e r nt e r m
"energy".Theseerros have now been acceptedinto
standard usagethrough their transcriptioninto
ChineseLextbaoks
modern, westernlaDBuage,
are mainly unawareat' the
Westernaa:upuncturists
substantialanatomicalbasisfor the nomenclaturcin
a c u p u n c t u t e ta n d i n r i e e d o i t h e a n a t o m i c a l
knowledgeol the ancient Chinesephysiciansas
e x p r e s s e di n a r i g i n a l C h i n e s en e d i c a l t e x t s ,
examplesol which areBivetl in thispaper.
89
C h i n e s eq u i t e w e l l , i n t r o d u c e df o r e x a m p l et h e
incorrecttranslation"poirt" insteadof the general
Chineseterm Xue-Weialthoughhe was welt aware
o f t h e t h r e e - d i m e n s i o nnaal t u r eo f t h e c l a s s i c a l
acupunctlrre
structures.
ln his book he quitestresses
t h e c h a r a c t e r i s t if ce a t u r eo f t h e p o i n t sa s h o l e s
(foramina)
or as hollows,but nevertheless
chosethe
word point as his translation.
ln particularhe is the
originatorof the ambiguousterm "energy"for the
ChineseQi as he himselfadmits"fautede mieux".
The latterhas leadto endlessmisunderstandings
in
European
acupuncture.
Furthefmore,
Souliedid not
h a v ec o r r e c tu n d e f s t a n d i nogf t h e n a t u r eo f t h e
metidiarc(Jing-Luo)
which are time orientatedas
well as anatomicaland topographicai
by definition.
A s a r e s u l tS o u l i ec o u l d b e c a l l e dt h e f a t h e ro f
"Euro-Puncturc",
the playgroundof many laymenas
w e l l a s p h y s i c i a n sb, e c a u s ei t s e e m e dt h a t
accordingto SouJie,solid medicalknowledgewas
not absolutelynecessary
for the reliablepracticeoi
acupuncture,
Anatomical and topographical informa on
conlainedin original acupunclurc le.ms
T h e o l d e s t t r a d i t i o n a lt e x t r e l a t i n Bt o C h i n e s e
medicine,entitled Huang-Di Nei-JinBSu-Wen,is
quilc ' l.dr in :lsrl.l(.\o1l tl^rmdlon , or(err rB lhe
anatomicalstructures
of acupunctureloramina(4).
w>t 1^E
;il;
4ffi#
itrth
r,tr*
E4F
'iffillL
l\tr
3rn
)2rE
Plate1.5u Wen.Chaptet64.
middle:"Ihis totunen @)nment:rcfe6 ta Stamach12,
Que Pen)liesbetweenthe tupafthe shouldetantl thc
h o t z . - ' t ' h . " t d q b o " , \ , n r p ' t . t . - | d \r : l
left:"lt is possible(comment:fq backpain and tenicularpain)
Io puncturclhe E sa.Jalforamina(Chin:Ba Liaa)and the points
ofpain.Ihe 8 saualforanina lie in depr$sionsbetweenthc
lunbar and sactatrcBbns."
II,'J
(tu .:Ji:
Eri9e
#r.ffi
Plate2. LinBShu,Chapte.3l.
"Thehunan latynxis 1A Lian1
lapTox. 1|Ad heary and
2.5 Cun (apprcx.5cn) r,ide, to thestona.h the distance
1.6Chi" (apprcx.25cm).
Forinstance,
the B sacralfofamina(Bal/ao) as welJ
a s s e v e T aol t h e r a n a t o m i c a lb o n e o r i f i c e sa r e
referredto in the 16th Fascicle,
Chapter60, section
"Cu-Kong-Lun"which rneans "Essayon the Bone
Orifices"lsee P/are /, original pag of the su-Wen,
Chapter60, containingthe Chinesecharacters
for
t l - eB - a , r " l l o r d m i n drJ5 / . r h e \ d , a l f o r " m i r dd r e
known to modernEuropeanacupuncturists
as the
p o i n t s B l a d d e r3 1 , 3 2 , 3 3 a n d J 4 . T h e y a r e ,
however,not in lact "points"but well described
bonestructures.
The samechapterof the su-We, is alsoconcerned
with the anatomicalstructures
of numerousother
b o n e so f t h e h e r m a nb o d y . l t i s n o l o n g e rj u s t
a s s u m e db, u t h a s b e e n h i s t o r i c a l l p
y r o v e n ,t h a t
medicalpractilioners
in ancientChina carriedout
extensiva
e n a t o m i c asl t u d i e s f 6Tl .h i s f a c t i s s t i l l
widely unknownin Westerncountries,neithernonp h y s i c i a n e n t h u s i a s t sn o r m a n y m e d i c a l
acupuncturists
with specialised
trainingareawareof
the exacthistorical
context.
Moreover,the second part of the Huang-Dl Nei
sometimesreferredto as the
JinB,Ihe Ling-Shu-Jing,
" B i b l eo f A c u p u n c t u r e "c, o n t a i n sd o c u m e n t a r y
evidenceof anatomical
studiesin ancientChina.For
exampleChapter31, ChangWei-Lun,which means
"Essayon the lntestinesand Stor?ach"
Bivesan exact
accountof the lengthand structureof the different
sectionsof the digestivesystemwhich coulclnot
havebeenachievedwithoutpreviousand thorough
d i s s e c t i o no f t h e a r e a sc o n c e r n e d( 7 ) ( P l a t e2 l
originalpageof lhe LinB-Shu-JinB,
Chapter31, see
also Table I) (8, 9).
9A
\.upun.tLne tn MedLne
I H t M I A s U R T M T \I S O F I H I D I G E S I I V I\ Y s T E M
f r o mL i n s - S h lui n 8 ,C h a P l e3r l
Chinese
Measurements:
oi slonrach l5Chin.lect lcht) o 25-|.
1 . Pharyfxto enbance
l 3 C h i n .t e e t
5.80m
2l Chin.lecl
1.60m
( D u o d e n ! m, n d J e j ! n u m )
( l e u mw i t h a s c e n . l i n B
and tr)nsve6ecolon)
2 . 8 C h i n .i e e t
l D c s c e n d i nasn d s i E m o i d
Comparisonofancient Chinseio modernmeasurements
RatioofOelophaSus: Intestnes
1.6:56.8Chin.t=
e e tI r J 6
=
1::t7
0.25:9.25m
II l i I L I
'4&W
EvEM'
_',
1
rt i
t
t
Wl.rttr-
ii,\'xX
iltl4liX
tEfre
i;i$ffi;fr
ft4f
tr,l.lEE
6r1.fltir,t
R,r,4
r
D$+i1Et
-r$,^\trfr
t4tfr.,1
,1ft*r6'r
t F i ) t l , E + - + t + + E + +Trl
^=44'
3 \,*,1,=*r.g :,2,n,
q^=*, *t
aiigir
O ":4" (+:lq) firili'FH=i'1f "--l',
i6r!IJE=i "=i'.
(i&iEr X?,EH:!iiElL+, it6*2,
trT-5Ein:+.F. Afilt6'=-ii.
(fa)
t.ffi
8tE,
r!+1tE=I
r+ri 1!
{ft1
t F ' l l d E . 1 i f: : G 4 c 6 r , i , l
'J+E. {= E .,E,.r- ,='"
\-i.
i+i
I
t l
(iE+r ,.81.
(Si:l F9iEF=i{rd}LF, riE.lxz, + +E:A-5
e&IzrA. eFtt4'=-i,
Plate3. ZhenJiu lia YiJinS,Fas.icle3
91
l n a d d i t i o n ,t h e w o r k o f t h e f a m o u sp h y s i c i a n
Huang Fu-Mi, entitledZhen,Jiulia-Yi-ling which he
c o m p i l e di n 2 5 9 A D , c o n t a i n sa n a b u n d a n c e
of
exact descriptionsof the anatomicalstructures
of
acupuncture
loci (Plate3) (10).
T h e p r i m a r y s o u r c eo f i n f o r m a t i o na n d e x a c t
anatomicalaccountsis howeverthe classiclon6
Rer, the CopperMan f:i7) (seealso Plates4, 5,6
and 14). Platel providesdocumentaryevidenceof
t o p o E r a p h i c a al n d a n a t o r n i c a li n t o r m a t t o n
concerningthe foramina Bladder31, 32, 33 and 31,
found in this text in classical
Chinesecharacters_
A
japanesework of acupuncture
classical
dating
from
the middleof the '19thcentury,which waswflttenln
Chineseand thereforeread in China, containsan
a n a t o m i c a l l ya c c u r a t ei l l u s t r a t i o no f t n e s a c r a t
foraminaT
. h i s w o r k m a y a l r e a d yh a v e b e e n
influencedby earlyWesternanatomy,but it stands
4 , 3 i { F. ,g t
4$i.f+ r* f4 *'i!
r31.: F fi
- 6 E"
J,i
3#. z*^tpry
f
t
t1,
1 -
'F
a s i t s p r e c i s i o ni s c o n c e r n e d( P l a t e s7 , 8 ) ( 1 2 ) .
4E
Ptate 7. OtiEinal page fran rhe classicalwark Jins Xue Hui-lie.
dt
+tF
tlfi'
-A{ hE
A
l*
,\
B.
u
Pl
Oti9lnal paqe fron the classi.al work Jing-Xue
Plate6. TonERenShu Xue ZhenJiu Tuline, fascicle1.
"TheYanELins
92
E
g
C
(
(
t:
j*g*tr
Plate12. Vertebralsttuclures,scapula,humetusanct
"ling Xuellui lie")
tapollaphy of sone fotamlnalfrcn the
and Risks
EuropeanAcupuncturc: Discrepancies
rnatter
of
unqualified
It followsthat it is not only a
why
degree
explain
controvers,but can to sorne
r
i
l
l
o
r
e
'
c
,
8li'"
\ \ p r l p r no t i i r . r ' .d r o J n r \ e r . . i e \
s
o
.
r
e
iles
a
c
u
p
u
n
c
t
u
r
e
a c up un c t ur e . E u r o p e a n
rnake
of
members,
with theirthousands
thernselves,
pertaining
to Chinesemedicineand
Eravemistakes
acupuncture.In additionthey olten passon false
d u b l j c ,t o . . e d l c a l
i n { o r m a t j o tno t h e i n t e f e s t e p
r
r
d
m
' d i , J l i , l . L r r d 1F'
o o ( o r \ d - . u ri a l i o r s
Western
authorseven
companies.The errors oi
oi
acupuncturespreadasfar asChina,the cradle
"holes",
While the Chinesestill correctlyreferto
"nests"and "piis" (originalter.a: Xue Wel) when
in
speakingof needleand rnoxatherapy(Zhen-Jiu)
t
a
lk
s
p
e
c
i
a
l
i
s
t
s
t h e i r m o t h e rt o n B U et,h e s es a m e
"poinis"
$'ith
when
dealinB
of acupuncture
about
interestedWesternpatties(1,2).The onLyrelatlvely
are a few pointson the ear
exceptions
insignificant
'hew"
pointsof the hand,
acupuncture
and the 18
w h i c h e v e n i n m o d e r nC h i n e s ea r e a l s o c a l l e d
"points"(Dian).
Acupun.tLrc h Medicine
93
t
Zhong
Di
1O
Traditional
Chinese
[E
YanB
Yin
FX
Qian
Ei
(Earth)
English
fraditional
Chinese
Maning
wai
tl
You
Medianus
C r a n i ai s
Centralis
Ca!dalis
English
Meaning
nSnr
Sinister
HenB
Bei
.ffi
H
ru
BE
Obliquus
Dorsalis
R e g l op e r i n e a h s
tr
Ial Yans ,t[E
Mian
tu Yin ::Pff
jinc
xions
tn
l@
HuiYin AFA
Bei
?f
Regionesabdominales
94
Acupuncturcn Medi.ine
Table3
SYNoNYMS
FORTHEBAslcIERMXue'Wei
AND ANATOMICAT
cHfNESE
TOPOCRAPHICAL
fonmina
wilh eramples
of someilpiel acupunclure
English
Traditional
Latinanatomical
Examples
1stcRoUP: meaning"hole,hollow"
,\fi
t*
Tang
K t . 1 3N, Pl 3
st.18,81.31-34,
AP160
pit
halJ
lcatinusl
lDomusl
tHorreuml
st11, BL_49
LU.1
L l. 1 7
PC.8
st4, 81.50
IScutulal
ft
DinB
Cong
CanE
"gate,door.opening"
2ndGROUP:meanin8
ll
door,gate
tr
mouth,estuary
f,
bowl
Chuang
r+
poot,pudote
tstagnuml
it
is
pond
ve,
ILacud
IFonsl
auan
au
Cou
Q'
Chong
ra
groove, channel
14
ffi
't,"uabundantwater
ii
E
i$
receipt of water
sea,ocean
risincwhirlpool
Canalis
tRivrsl
tAbundantial
Receptaculum
aquae
IMarel
IVortexl
T E . 1 0C
, 8.21
1 U , 5 ,P C . 3
Kt.t5
1I.11
TE.11
K L 1 ,K t . 5
LU.8
1 R . 5C
, V26
1 t . 5 ,S P l S
Kt.14
5tl
sP.10,
cv6
BL,3
Kt.7
vall, path"
4th GROUP: meaning"depression,
t;
t4
cu
xi
Rivus
K1.20
11.4,
1t.5,Kl.3
st28, c8.28
Caput
8 L . 5 7A
, P4
PC.7,G8.34, SP.9
A P 1 4 6 , 8 78, 8 , 1 0 6 , 1 5 1
"hill,elevalion"
5rhGROUP:meaning
dr
[n
+
shan
Lins
)ian
m o u n d ,h i l l
"bone.bonestructure"
6th GROUP:meanine
C
Jian
Os
lEl
Spatium
"boundar,dge
7rhGRoUP:meaning
Cuan
;
Margo
95
Ll.t6,AP1s7
sT.3,8t.31-34
Lt.2,3
PC.6,1R.7,
TE.5
1t.8,9
LR,4
Novenber1996vol 14No-2
English
Traditional
1t.13,
St35
9th GROUPTmeaning",unction,meetingplace,distribution"
{
Ji
crosslng
distribution
IDistributiol
C8.42
SP6
81.41
vesel
tendon
81.62
C V 8 , A P 1 4 7 ,B 1 . 5 6C
, B.2]
1 1 t hG R O U P :meaning"place,plain
Ting
fi
(niarket)p ace
IE
innercourt
51t3,cB.3l
N P7 7 ,A P 9 5],] 9
st44
(Aj)
cleft
P C4 , H T 6
N P4 1 , 5 0 ,H a n dl - 1 8 ,E . rl
"bodypartsandorgans"
14thCROUP:meaning
,
yaro,eroow
lF
abdomen
Er
Bi
l@
E
ffi
F
^fl8[6
LU.5
5P16.14
5 1 . 91, 4 ,1 5 , T E . ] 4
SP19
T E . 2 1A, P ] O
A P 1 5 ,1 6 ,N P 1 2
chest
ear
upperabdomen
lumbar
resion
innerorsans
Cap!t
sr8
Epiganri!m
c v ] 0 ,r 2 ,1 3
CV2
81.12-2A
lil
wind
lventurl
lvis vitalisl
Qi
Zhong
Ian
,n8
Liq!oftSuc!t
w
t4
8 L . 1 2A
, P 137,C8.2O,CV.16
s t . t 2 ,A s P2 8 , 6 8 , 8 9
c v 6 , A P 5 9 , S t t t , I 3 , K t . t3 , A P 4 1
slt0, Kt.5
L U . t ,K t . 1 5 , 2 6
Kl_7,81.44,CV.24
IE-2
A P3 3
nlght,darkness,lower etc.
cannotbe translated
day,briSh(ness,
upper,etc. cannotbe translated
sPtl
K1.25
fll
(ZanB)
Novenber1996vol 11No.2
C V 1 ,S I 3 3 , C V 7 , B L . 6 Z ,
K t . 1 01, 1 ,A P 1 6 6 - r 6 8C, B . l t ,1 t . 9 1, 1
c v 9 , c B . . l 5 ,3 4 , 3 3 , C V 3 8 ,A P 9 ,
1 1 . 5S, T . 4 2S, 1 . 58, 1 . 4 8 5
, 5 , 5 9 ,C 8 . 1 4
96
"point" nafies
on the meaning of the original
in classicalacupuncture
are not
acupuncturists
The maiorityof the European
a w a r et h a t t h e o r i g i n a n a m e so f t h e C h i n e s e
foramina are derived either from the anatomical
of the humanbody,or in rarecasesfrom
topography
l hinese
t h e i r e f f e c t ,i n t h e s e n s eo f t r a d i t i o n a C
m e d i c i n e I. n a d d i t i o n t, h e c o n c e p to f m o d e r n
Westernmedicine is at best incorporatedin the
a c u p u n c t u r e" p o i n f "n a r a e so f e a r a n d s c a l p
acupuncture.In some casesthe AddilionalPoints
( A P ) a n d N e w P o i n t s( N P ) a r e n a m e do u t o f
of traditionalChinesemedicalthories
conceptions
More often, however, their names contain
to the anatomy,topography,
informationpertaining
therapeuticeffector iraditionalphysiologyof these
foramina.
A maiority of the namesof the 361 well-known
to
classicalmeridianpointsmakeexpJicitreference
how
the
4
shows
Iable
topo8raphy.
anatomical
originalnamesof the foraminaon the 14 so_called
jnto the following
Main Meridiansmay be classified
A o u p ' : d . r o p o 8. o h r b . e f f e r, . , . p h r so o g v o f
r . o . t i o n rLl l ' r e . e^ c o r ,i n e . . r dd . o l h e r ,r i p r t a l
is cJearthat anatomicaland topographicalnames
Dredorrinate,as 259 of the 361 are thus named.
T h i s i u s t i f i e st h e t r a n s c r i p t i o on f t h e t r a d i t i o n a l
C h i n e s en a m e si n t o t h e t e r m i n o l o g yo t m o d e r n
Westernanatomy(29).Only 51 of the 361 meridian
points are named after their effect,'14 aftertheir
c h a r a c t e r i s t i ci sn t h e s e n s eo f t h e t e a c h i n g so f
traditionalChinesemedicineand only 7 havetheir
(e8. lung 77
ofientalionin othertraditionalaspects
= L i t t l e 5 t h n o t e o f t h e C h i n e s em u s i c a ls c a l e ;
Largelntesline1 = 5th note of Yang;Spleen5 = Htll
of the 5th note; Sma///ttestine 6 = Careof Old Age;
Pericardium8 = Palaceof Work; ConceptionVessel
2 ? = R o t a t i n gA x l e , r e f e r t i n gt o a n a s t r o n o m i c
constelation).
OER I G I N
NOMENCTATUR
O T T H E3 6 I M E R I D I A NF O R A M I N A( % )
5T
SP
HT
S1
BL
KI
PC
TE
CB
CV lDM)
cv (RM)
folal
grapny
l0
17
4
0
2
4
3
6
5l
15
)
2
tl
5
17
2
8
11
2
0
12
259
72
Acupuncturcin Medicin
3
9
|
5
1
51
14
PhysiologyOiher Total
(ChinMed)
ll
2l)
45
21
1
I
27
9
2)
I
3
7
2
3
5
12
28
25
361
100
ORIGIN
NOMENCTATURE
f O R A M I N A( % )
O F T H [ 2 0 3A D D T f I O N A T
Topo- Effect PhysiologyOther Total
(chin Med)
graphy
I
l4
0
13
20
croup
l - l e a da i d
Th.rraa
x nd
23
12
39
Backand
25
l0
38
Totaf
%
144
7 1
50
2 5
3
1
2O3
6
o
ORICIN
NOMENCLATURE
o f T H E1 1 8 N I W T O R A M I N Ae / . )
croup
Backand
0
2
62
53
5
4
4
0
15
Total
o/.
6
7
8
1
lrr
0
0
0
0
118
100
I n s h o r t ,i n t h e o r i g i n a lC h i n e s et h e n a m e so f
almosrT2okof the 361 meridianpointsare derived
or anatomicalstructuresOf the
from topographical
(or
PaM)thereare 71'k (Table5),
Points
Additional
Points
537"
the
New
of
lkble 6) in this cateSory.
of the foraminaof the ear ls irom
The nomenclature
a d;fferentsource.Someo{ them bearthe original
name 'bolnr". The .najority,i.e. 186 out ot 192
foraminaof the ear,relateto an innerofganor an
affectedpart of the body or to their therapeutic
etrect(Table7). Only 6 of the 192 ear tofamLnaare
n a m e d a f t e r a n a t o m i c a lt o p o g r a p h ya n d i t i s
t o n o t e t h a t t h e s e6 o r i S i n a l ef r o r n
interestinB
t
e
c l a s s i c a l x t s .T h e p l a u s i b l er e a s o nf o r t h i s i s ,
amonSotherthings,that the outer struciureoi the
characterlstlcs:
ear offersonly a few mofphological
in
the
anatomyof
criteria
is
few
differentiating
that
large
numberol
relatively
to
the
cornpared
the ear
eaf
foramina,
known
I t s h o u l da l s o b t a k e n i n t o c o n s i d e r a t i otnh a t
a u r i c u l o t h e r a p yi n i t s p r e s e n tf o r m h a s b e e n
mainlythroughthe work of
only recently,
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Acupuncture in Meclcine
MERIDIAN
LARCI INTESTINE
Lt.
ShouvangMing Da changIing
Bright Yangofthe Arm - LargeIntestineMeridian(Ll)
Radial-Brachial"Ceivical-lnfraorbital'Proiection
Ll.lsr'a'Avang(seeasoLU.ll)......VallumunguisindicisradiaislNdisitalisdo6alislb,
R .s ! p e r f i c i a l n
i s. m e d i a n u s l
Lt.2
tt \
L.1
IL
Ib
L).7
Ll.8
Ll.g
5th noteof YaDa(Shargis the 5th noie of rhe Chinesescale,corcsponding to metaI = L! ng/LaeIntestine
N digitalisdonalisla
t N r a d i a l ies t R s u p e r f i c i a l i s
lian
(Art.
2 dist )
metacarpophalangea
n
medjanusl
2nd spacehefersto topography
joint)
distalmetacalpophalanseal
s t R . s u p e rt i c i a l G
N . d i g i t a l i ds o | s a l i 1
s b t N . r a d i a l ie
tan tDn
2 prox.)
n. medianusl(Art. metacarpophalansea
ansealjoini)
3rd space(iopography proxima metacarpopha
T
hl, N.
1
r
a
d
i
a
l
i
s
'
C
5
M
.
a
d
d
u
c
t
o
r
p
o
l
c
l
i
s
t
N
.
HeGu
u l n a r i s- C 8 - T h 1N
; . m e d i a n u-sC 6 T h l l
ealley")
M e e r i n gp o i n ti n t h e v a l l e y( o rr a t h e r ' B o nV
po licis)
Fo$a radialis(articulatiocarpometacarpea
YanpXi
Yan!vally (or ransdepresion;
refersto structureand lopoEraphy)
N. curaneusantebrachiiposterior1 [N. radialis]
PianLi
(ruoVessel
paih
offhere)
branches
Branchinsofi
N cutanelsaniebrachiiposterior2 lN fadialGl
Wen Liu
C i r c ! l a t i o no f w a m t h
N cutaneusantebrachiiposterjor3 tN radialisl
Xia Lian
shangLi;n
..
ii poneior 4 tN radjalisl
. N. cutaneusantebrach
.
. . M e x t e n s ocra r p ir a d i a l i lso n g u s( M s l p i n a t o r )
.... .. ..
L l . l 0 S l ' o us a n I i
C5-Thll
ot the arms
tN.radia,, r profu.dus;
Threemeaslrfements
(ri= Cun, ;.e. 3 Cun below the elbow when arm is extended)
. M b r a c h i o r a d i1
a (l ias' 1c.u bt i l ) t N r a d i a l i s ,
..........
1r.11 QuCr,i.........
r r m u s c l l a r e sc;5 T h l l
A r c h e db a s i n
N . c u t a n e ubsr a c h i i l a t e r ai nl ifse r i oI r I N .r a d i a l j s l
.......
Lt.12ZhouLiao.......
Crooveof the elbow (toposraphY)
. N . c u t a n e ubsr a c h ilia t e r a l iisn f e r i o . 2t N r a d i a l i s l
L1.13 WuLi
F i v ep a t hm e a s l r e (st l = C u n ,t e . a C u n b e i o wL U . l )
M d e l t o i d e u3si n f e r i o r
Ll.l4 ai Nao
Shouldernruscle
. M de loideus1 superior[N axillaris(N cutanels
Lt.15 JianYu
b r a c h ilia t e r a l issu p e r i o f ) l
s h o u l d ebr o n e{ o r : c o r n eor f t h e s h o u l d e r )
I Cs 3 - C ' U
. . . N n s u p r a c l a v i c u llaarteesr a l e
Lt.16tucu..........
C i a n tb o n e( 1 . ec. l a v i c l e )
. . . N t r a n s v e r s cuo, l l i t Pe x u sc e r v i c a l i s l
L1.17 TianDing.......
Heavenlysaucepan
"uppef', "heaven)
{refe$to positionofthe neck:
N . a l r c u l a r i sm a g n u s1 l P l e x u cs e N i c a l l s l
..... .
L l . l 8 N e c k - F !I u
Lateraloverhang(Prominentiaaryngea)
. . . N. infnobiialis et rr buccale,1 tTriseminls/Facialisl
. .
1t.19 Nose-HeLtao
G r a i i d i t c h( t o p o S r a p h y )
nu s / F a c iias l
l i tsr r .b u c c a l e2s t T r i 8 e im
.. .. N infraorbitae
.. .
L))a vinl ^ianl . . . . . . . . . . ..........
Greetne ofthe scentlrefersto eilect)
MERIDIAN
STOMACH
sT. zu YangMinB wei JinB
BriShtY.ngof the leB- slomachMerididni51)
Facial-lniercostal-Femoral-Tibial-Proiection
s
. Suturazvsomaticomaxillar
. . .
ChengQi
Receptionot tears
.
. . F o r a m ei n. f m o r b i t a l e
S L 2 S i B a i- . . . . . . . . .
B r l g hvt i e w i n a l l f o u rd i r e c t i o n s
Fossacanina
SL3 )u iiao
Enormou5ditch (topography)
M. buccinatorl
SL4 Dicans
Eadhg;nary (for the five cereals)l.e. mouth
(sensorvIN triseminus
Nn buccalesa Rr.buccales
sT.s Da vig
facialis
Vlll
anastomos6)
Vl
and
motoric
(refers
tN
g;eting
lo
function)
Creat
(motor')
M masseterIN ma$etericLrs
5I.6 JiaChe
TriseminusVl
N mandibularis,
cart ofthe cheek
(refersto shapeofthe two mandib!lar bones topo8raphv)
N . a u r i c u l o t e m p oi lsa1 t N . m a n d i b u l a r i r ,
ST.7 Xia Cuan
Lowerbader (Arcuszygomaticusinlerior refersto topographyl N . t r i g e m i n uVsl
sI.1
r
Acupunctu.ein Med icine
99
100
N fcr.
r P ! \ p r o i ! r d ! ! ( r \ 1 p. . r o n e e ! s l o i g ! l
A.upun.tuc tn Mecli.ine
S P L E EM
N ERIDIAN
Zu Tai Yin Pi ling
SP.
creat Yin ofthe Leg- SplenMeridian (SP.)
S P . 1 v i n B a t. . . . . . . . . . - . . . .
H i d d e nb r s h t n e $
SP2 D a D u . . . . . - . . . . . . . . .
Creatgatherlne(ol the Qt
...
5 P 3 T a iB a i . . .
SP4
sP5
SP6
Gongsun ...........
Junctioi (ol the luo Vessel)
s h a n gQ i u . . . . . . . . . . . .
Hi lof lhe 5th note(rele6 to melal = 5th note,
meta poinrof the nieridian)
S a nY i nJ i a o . . . . . . . . . .
Tibial-rmoral-Thoracic-tingual-Projection
.. .
...
..
A t a r s a Lm
i se d i a l l s
2 sd i s t ai 5( A t i b i a l ipso s t e f l o r ;
. . . . . . . . N .s a p h e n u
5P1l J i M e n . . . . . . . . . . . . . .
101
. N s a p h e n l s8 c e . t r a l i st N l e n r o r asl ; 1 2 L 4 l
F o $ ai n 8 !n a l i lsa t e r a l i s
i sh l 2 - L r l
N i l i o h v p o 8 a s t5r ll ac tuesr a l T
. .N interconalis1l Lateralls
N intercosiais 10later.rlis
N .inierco(alis08 aterals
.
.
05 Laterals
N. intercostalis
N inlercostais 04 lateralis
N. nlercostalk03 aleralis
02 aleralls
N. intercostalis
..
Conclusion
I t i s n o 1d i f f i c u l tt o c o n c l u d et h a t t h e i n 8 e n j o u s I l A c a d e h ] ,o f T r a d i t i o n aC h i n e s eM e d i c i n e( ' 1 9 7 5A) n
Outline ol ChinescA.upuncturc. FoteiA. LanBuag.sprc$,
a u t h o ra n d c r e a t o ro f l h e c l a s s i c aCl o p p e rM a n
(Platel4), LhephysicianWafg Wei-Yi(98/ 1067
2 . B e i j i n sC o l l e s eo i T r a dr i o n a lC h i n c s eM e d j c i n S
, hanshai
A.D.),would havenamedthe acupuncture
foramina
C
olleBo
e f T r a dr i o n a C
l h i i e s eM e d c i n e ,N a n j j n sC o e s ; o t
'liadit
afterthe terminoJogyof the Noml/raAratomica if he
onal ChineseMed cine, and thc A.uprnciure Instrtute
o f r r a d i t i o n aM
l e d i c i n e( 1 9 8 0 ) E s t c n t i a losf C h i n e s e
w e r e a l i v e a n d w o r k i n g i n h i s f i e l d t o d a y .t J i s
a.upurclure. fori8n Lansuagcs
Press,tleijifg
C o p p e rM a n i s a n a t o m i c a l Jey x e m p J a r ay n d
: r . 5 o u i e d e M o r a n t ( 1 l 9 . 1 9L) ' a c u p a n c t u t c C h i n a i s e ,2
c o m p l e t e l ya n d a c c L r r a t e lm
y o d e l l e de v e n b y
y o l u , r e sP. a rs r V o. I , p l 9 I l . , 2 3 a l l . , e t .
modernstandafdsf33).This ancientmodcl,which 4 . H u a n l jD i N e i - J i h5Eu W r , ( S i m p l ee l e s l i o n so i l h e l n n e r
has recentlybeen investigatedand describedby
Classicof the Yellow [mperor) 7t6J Ncw ti]/toD. RenMin
W e i S h e nc h ! B . r ns h c ( P u b l i s h i nH
s o l s e o l t h p e o p t es
P r o l e s s oH
r o n g c h i e nH a o f t h e C h i n a M e d i c a l
l r y Be n e ) B
, c i j j n BC: h a p r e6r 0
College,TaichunEi,
Tajwan,is exhibitedin Tokyo.lt
NeiJiDgSD-wenl11872)anltn1atedition.pti etl
is hollow and can be opened;ori8inallyit probably 5. ittuan*Di
n 5! Zhou
c o n t a i n e dr e p l i c a so f t h e i n n e r o f g a n sw h i c h , 6. HuanBDi Nel-ltnELinEsha Trans.SchnorcnbeerCC et
unlortunatel,no longerremainaJ4J.
al., see Refcrcnc7 and HuanE-Dj Nei Jrjs Su-w;n jiaa.yi,
In the Chinaof
2
vatumes.i982) Publish-"dby ShanDonCZhofS yi Xle
thosedays,however,a highlydetaileddissection
of
Y ! ! n , P u b l i s l r i nH
g o ! s e o f r h e p e o pc ' s H y g t e n e B
, etjiiS
t h e h L r m a no r g a n i s mw a s u f c o m m o n ,a n d i t s
microscopic
histological
exploration,
as practisedin 7 . S . l r n o r e n b e r s eCr C e t a l . 1 1 9 7 1 JK l a s s i s c hAek u p u n k t u t
modefnWesternanatomy,impossible.
lt foliowsthat
. J . . _ . . . H t . . . . \ - . t d p. . h E " | \ , , , r n
in the text relatingto the Copper Man, cornmon P H , . . . . D ! b . / . . . / . . o \ / . r . 8 q 2 o r 8 ' t . . r o n , u - t I
namesof traditionalChinesemedicinefor the parts r . c l ' . ' . b . 8 6 . , i t r 8 8 D . . - - J . . , \ " . - . ^ / d . . . / r J
d e r A k u p u n k t u r( T h e Y e l l o w E m p e r o r , sC a s s i co f
of the human body were chosento diffefentiale
ncturc),2r.1 dittor. I lochschu Vcr ag, Freiburg:2J4{
d r , r l o - : r , r r. t L , t J t F . .l h p r m e r n r g . a . o i n m o s l a . HAcupu
D i n r - D i j i a Y i - l i n He, d . 6 y H u a n s F u M j . t h e D i s p o s e r l
c a s e s i d e n t i c a lt o o u r m o d c r n a n a t o m i c a l
Cla$ic oI LheYcllow E.rperor beftefknown a5Zherrtulja
topography
and morphologyY i j i r g . t h e D s p o s e dC l r s s i c o l A c ! p ! n c t u r e a n d
M o x i b u ( i o n .l 2 F a s . i c l e s , ,V1o i . 8 y H l a n e F u M i ( s h t A n )
( 2 1 52 8 6 A . D I c o m p ie d 2 - 5 9A . D . a f d d i s p o s ed u r i n gt h e
Q i n D y n a s r (y2 6 5 - , + 2A0. D . ) J. i a n 8Z u o S h ! - L t n( n t h e B o o (
Fornleft of rhe ltiver, Lithographr(t 9t 7l ShirnShai
l a n t R e nZ h e n l i u - S h uX u e t u - l i n ? ,T h e c l a s s i c arle x t o f
illuslr,rtion
o sf t h e a c u l r ! n c t u r a
e . d m o x i b u s r i opno i n c o n
r-, ool, Md. L.
I
B.\\'-i!\n \',8- uh
a.D |.b.,d"
. n , l 0 l a D . , , 'h , \ o I F
ro8
Dynasry(960-1t26 A.D.). tn.tudcd i: zhotlg Guo yrxue
D a C h e r g( f h e C r c a rW o r k o f C h i n e s eH e a i n d . S h a n S h a i
D a D o n g S h u j u ( S h a n g h nEi o o k s r o r o
e i t h e G r e a rE a s r ) ,
{ 1 9 3 5l 9 l 7 ) S h r n S h a i
12.line-Xuellui lie tsrmnary ard Explanaton oi the l:oramna
o l l h e M c r i d i a n t . J a p a n ,t 8 5 . 1 i n C h i n e s eA
. u t h o r :y u a n
ChangKe. NcL/ e.llrior PckingacLal)erl982.Zhary\i Crjl Chu-Ban
5 h e ( P ! b l i s h e rosf C l a s i c a lt _ i t e r a t uof e
l Chnese
M c d i . i i e ) ,t j e i i i n g1: i l 2 i
13.Soulide Mornnt G. l',,l cuponctureChihaise.op.. t.102 3,
1 1 0 ,1 1n , 12 6 , 1 3 2 ,1 3 8 , 1 4 5 ,1 5 1 , 1 7 2 a , 1a 2 3 e t c .
r 4 . 5 c h n o f l n b , " r 8C
e rC e t a l . t 1 9 7 4 ) K l a s s i s c hAek u p u h k t u r
C l ' i r a s( C l a s i c aAl c ! p u f c t ! r eo i C h i n a )o, p . c i r .
l 5 . S c h . o r r e n b c r g eCr C e t a l . ( 1 9 7 4 ) K t a s i s . h eA k u p u n k t o l
C h D l r ( C l a s s i c aAlc u p u n c t ! r eo i C r n r . t l ! a n g d i N c j i n g
L i n g s h uo) p . c i t .2: 6 L , 1 9 0 ,3 9 6
1 6 .S c h n o r e . b e r SC
c rC 1 1 9 7 4S) c l c c t a
2 9 :2 6 . 1 0
l 7 . C a t r o n H , E p n c i n B S ,C r J n d B { 1 9 7 . 1C
) o m p t i c a t i o nosf
acupun.rure./ourral o/ Ihe Ameican Me.li.al A$acidtian.
228:1552
4
r8. ProkopO (19761Dts.h. Gesundhejtrr.35:16A1
I9. S.hnorcnber8e
CrC ( t 9 7 8 )s e / e . r a- 1 j5 . j 6 5
2 0 .B r e t t eHl F ( l 9 8 1 )M r r c h . M e c l . W s . h1t .2 J : 9 7
2 l . M a j o r P ( 1 9 8 2 ) K o r r p l i < a s l o n e vr e d a k r L r u f k r u r
bcha.dlinS.Ii./sstfNofsk t aegcfDren 6. 102:J923
2 2 . ( l 9 8 l l A k ! L r u n k t ! r i a d en a l s E n d o c a r or r s o r s a c n e .
, 4 - " . " . . u - . t _ . , J . .| d
, .r 4 r l . -
2 l . C e e D J { 1 9 8 4 1l : i r t . rp n . u m o r h o i a xd u e r o a c ! p ! n c r u r e
EtitishMedical Jauthal.28u: 114
ll.'r o. o16 'r I81 \6,r c, pu t,r;,.;n.r,
,\i lrU',nA
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u r . 4 , i r , , h ,r ' . . , . J .
9 8 1 2 a t hY e a l : 3 8 5 7
2 5 .5 chn o t r e n b e r g eCrC l i 9 8 l l C o m p l. n t i o n so i A c ! p u n c l u r
ItearmcnLZ. AllE.Med.95:1355 9
102
Acupuncturc in Medicine
n tn a t a n r i . u n l
2 6 . 5 . h r o r r c l , b e r E . rC L t 1 r t 5 t C a m P e D L l i u A
A.uputitLttrip, Tcxtbook.nd Allasoi Attrr.Di.n/ slf!.lrrr-'s
oi/\.!/r!r.arr.. \\ lleai'!vtcr, 80 if
2 7 . 5 e er s o A r i s l o l e l e sr l 9 8 9 r t l e r 4 r / r r J i . ! , l i o . l \ ' 1 F . x
t 1 e f . r P ! l i l i s , e 6 , F l a m b !8 : ( h a P l c r I l 0 ( . o . . . n r i r g
r a L e F o r i . sI 7r 7 i l
'th
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2 1 r . l h i s! i r r L e m n t i c .! d e s . rb c d J n d l l u s | a t c d i l
S c h i o r ' e . b e r g c rC l I t ) ( ) 6 )C o n p " r . l i D n A D a t a o t i t L l n l
A t q D n . t L t a a \ \ r e c f l l . B t oP l b l i s h i n 8 o u { ' , l i e l l n b c c
el t t i n c
l 0 N o q . r P t M 1 r ! 6 t ) t . a i t [d A u r i . u i a t h c t a ] )5i '. r l n LR
- ll . l h . . o r n p l c t el i n o i a r . l o f r . a l n o n r c n c l i L ! 'i eo r 1 0 2 0
i.!p!Dcture io'.rnr na i! .ont.r .ed lD dx' .iLrtIr s nelt i'orl(
s . c r c i c r er c e i 2 9 i
1 2 5 . c i L i : S . h i o t r . i L r e . s e ' C Ct l 9 9 ' l ) t ) i e t a P o g t a p h s . h '
t n . t . r t i t . h c n a ; t D D d l a | . n d e r A k u P u n k t o tu n d
s ub sl B tso!sc
O h L t k u p u n k t r l t . 6tA/ i t r o , l r i p p o k f a l c P
sl!ltEnrt
: l l H a H o r 8 c h e . i 1 9 8 8 )Z , e . l i u T o i S R c r K i o , C / r t r !
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