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Foundations
Morphological of Acupuncture:
An AnatomicalNomenclature of Acupuncture
Structures
clausC schnorrenberger
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". II,'J
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 (tu .:Ji:
accordingto SouJie,solid medicalknowledgewas
not absolutelynecessary for the reliablepracticeoi Eri9e
acupuncture, #r.ffi
Anatomical and topographical informa on
conlainedin original acupunclurc le.ms Plate2. LinBShu,Chapte.3l.
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 "Thehunan latynxis 1A Lian1
lapTox. 1|Ad heary and
quilc ' l.dr in :lsrl.l(.\o1l tl^rmdlon , or(err rB lhe 2.5 Cun (apprcx.5cn) r,ide, to thestona.h the distance
anatomicalstructures of acupunctureloramina(4). 1.6Chi" (apprcx.25cm).
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
Measurements: Chinese
oi slonrach l5Chin.lect lcht) o 25-|.
1 . Pharyfxto enbance
l 3 C h i n .t e e t 5.80m
( D u o d e n ! m, n d J e j ! n u m )
2l Chin.lecl 1.60m
( 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
II l i I L I 1
t
l
t
rt i
'4&W EvEM'
ii,\'xX
_', Wl.rttr-
^=44'
t F i ) t l , E + - + t + + E + +Trl
3 \,*,1,=*r.g :,2,n, q^=*, *t
i;i$ffi;fr
tr,l.lEE
iltl4liX
tEfreft4f
6r1.fltir,t
R,r,4
D$+i1Et r
aiigir
O ":4" (+:lq) firili'FH=i'1f "--l',
i6r!IJE=i "=i'.
(fa) t4tfr.,1 -r$,^\trfr
,1ft*r6'r
t.ffi I r+ri 1!
(i&iEr X?,EH:!iiElL+, it6*2, r!+1tE=I 8tE,
trT-5Ein:+.F. Afilt6'=-ii.
t F ' l l d E . 1 i f: : G 4 c 6 r , i , l
'J+E. {= E .,E,.r- €,='"
{ft1
\-i.
(iE+r ,.81.
(Si:l F9iEF=i{rd}LF, riE.lxz, + +E:A-5
i+i
t l
I
e&IzrA. eFtt4'=-i,
l n a d d i t i o n ,t h e w o r k o f t h e f a m o u sp h y s i c i a n
Huang Fu-Mi, entitledZhen,Jiulia-Yi-ling which he
c o m p i l e di n 2 5 9 A D , c o n t a i n sa n a b u n d a n c e of 4 , 3 i { F. ,g t n
exact descriptionsof the anatomicalstructures of 4$i.f+ r* € f4 *'i!
acupuncture loci (Plate3) (10). r31.€: F fi
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 - 6 E" J,i
anatomicalaccountsis howeverthe classiclon6 3#. z*^tpry
Rer, the CopperMan f:i7) (seealso Plates4, 5,6 f
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
classical japanesework of acupuncture
Chinesecharacters_
dating from
A t
the middleof the '19thcentury,which waswflttenln
Chineseand thereforeread in China, containsan t1,
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 1 -
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 'F
L o - p d r ' \ o r \ ^ r l h a 1 ) ^ o d c r ' l d ' 1 d l o r r i t , J r l , a sa s ' a r
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
dt +tF
tlfi'
-A{ hE
A
l*
,\
B.
u
Pl
Plate6. TonERenShu Xue ZhenJiu Tuline, fascicle1. these illustrationsin the ling-Xue Hui-Jie,as he
p u b l i s h e dt h e m i n h i s v , t o r k( 1 3 ) .^ s d n o n -
"TheYanELins physician,however,and withoutsufficientmedical
Quan (Callbladder31).onsist;af 2 Fotanina
and lies 1 Cun below each kneein the mitldle af uE knowledgeand understanding, he was not capable
depresstans ofthewai Lian"(= headofftbula). of interpretinB t h e i r m e d i c a la n d a b o v e a l l
morphologicalsi8nificance, and just addedto the
This issueis provenby comparingit to an almost conluston-
identicaJillustrationof the sacralforaminawhich Also, in his predicament, he soughtrefugejn the
hasbeentakenfrom a well knownanatomical atlas term "erer8y'for the ChineseQi. ln rcality,"enetgy"
of our day (Plateg). Ovet and abovemany other explainsnothing but only repJaces one unknown
structures,which cannotpossiblybe referreclto hefe tactor by anothef, resulting in lhe ',energetic"
in full, the /lng-XueHuilie describesthe foramina a c u p u n c t u r et h e o r y , p o p u l a r i n t h e E u r o p e a n
YanBLing Quan (Gallbladder34) and Yin Ling acupuncturesceneof today.The medicalessence
Quan (Spleen9/ with greatcompetence(Plates10 and foundationsof the importantclassicaltexts
/2). The author Soulie de Morant was aware of remained out of Soulie'sreach-
f
o t h e r w i s ew o u l d n o t h a v e b e e n u n d e r s t o o di n (
acuplrncture circles.ThisappJies for exampleto the
incorrectuse of the term "ener1y"lot the Chinese
expression Qi which he still usedin his translation
of the work Huang-Dl NeiJinBLing-Shuin 1974 (14).
t:
Plate 11. Otder af the rJetidiarsand fotaminain the
interc%talspa.eslfrcm the "ling Xuc Hurlie").
j*g*tr
Plate12. Vertebralsttuclures,scapula,humetusanct
"ling Xuellui lie")
Piate9. VenttalanddaBalvie\r ofthe os sactunt tapollaphy of sone fotamlnalfrcn the
In the author'sopinion, an acupuncturist who is: humanbody in the senseof upper(superior), middle
L not acquainted with the histoficaland anaromrcat- ( m e d i a l a ) n d l o w e r ( i n f e r i o r )T. h e C h i n e s et e r m s
t o p o g r a p h i c a lt,h r e e d i m e n s i o n a lb a s i so { t h e "Shang"(uppetl, "Zhong"(middle)and ,X/a,,(lower)
foramina,who: havethe samemeaning.Thesetermscan neatlybe
ri. perhapsout of misguidedtraditionalperception translatedinto a Latin anatomicalnomenclature
neglects the thoroughanatomicalfoundationof his w h i c h i s i l l u s t r a t e di n T a b l e2 . T h e o n l y t w o
dailywork,and who: exceptionshere are the basic terms yin and yarg,
i / r ' . c a n n o t r e c o g n i s e t h e m o r p h o l o g i c a l , which are of a pre-categorial character,i.e. they
topographicaa l n d a n a t o m i c a ls i g n i f i c a n c eo f have no equivalentin ouf occidentalAristotelian
acupuncture s t r u c t u r e ss,h o u l db e s td i s c a r dh i s t r a d i t i o no f t h i n k i n g a n d s p e a k i n gi n t e r m s o f
needlesand closehis practice.He is certainlya risk categories. The integrationof time and spacethat
to his patientshealth.Thisappliesas muchtodayas y l r - y a n g i m p l i e sh a s n o e q u i v a l e n ti n m o d e r n
it did duringthe periodof the classicbook ling-Shu Westefnlanguages at all f2Z.
J i n g 2 0 0 0 y e a r s a g o , w h e r e e x p e r i e n c ew a r n s D u e t o t h e c o n s i d e r a b l ea n d c o m p r e h e n s i v e
a g a i n s tu n s c h o o l e dt h e r a p i s t as n d t h e r e s u l t i n g d i f f e r e n t i a t i oonf m e d i c a l a n a t o m y ,m o d e r n
dangerousinjuriescausedby poor acopuncture. anatomicalnomenclattrregoesas a matterot course
E v i d e n c eo f t h i s f a c t c a n r e a d i l y b e f o u n d i n into Ereatdetail, as the contemporarystandardwork
historicalaswell as in contemporary literaturef/5 26). "NominaAnatomicafillustrates (28).The traditional,
d n a l o m , ca . h n e r e " , u p u n rl u e t e r m \ d r e i n
The Thrce'dimensional Orientation of comparisonmore simple, but often a great deal
ChineseMedicine in the Human Bodv nioregraphic.Neveftheless, the conformityin many
B e s i d e tsh e t h r e e - d i m e n s i o noarli e n t a t i o ni n t h e cases,the objectiveand logicalparallels,and the
world and environment, the correctstructural order analogies of our anatomicalnomenclature with the
of the humanbody also playsan importantrole in traditional Chinesenamesarenotonly evident,but to
the ancientChineseacupuncture texts.Theclassical a largedegreeanatomically andtoposraphicalJy proved.
C h i n e s eo r d e r o f s p a c e i s d e r i v e df r o m t h e I a b l e 3 s u m m a r i s etsh e C h i n e s et o p o g r a p h i c a l
correlatjonbetweenheaven,mankind ano eartn, synonyrns tor the genericterm rxue Wel" (literally:
M a n i s s e e n a s b e t w e e n h e a v e n a n d e a r t h . hole spot,pit-place) on the humanbody as we as
The Chinesecharactefs"Tiar" (heaven),"Ren"(man) other topographicalnameswith their translations
and "D/" (earth)ar€ thereforeoften found in the a n d c o m p a r e sw , h e r e v e rp o s s i b l e t, h e L a t i n
n a m e so f a c u p u n c t u r e f o r a m i n a( T a b l e2 ) . I h e y e q u i v a l e n tw, h i c h m a y u s u a l l yb e f o u n d i n o u r
s e r v et h e t h r e e d i m e n s i o n aol r i e n t a t i o no n t h e modernanatomical nomenclature.
CENERAT
TOPOGRAPHICAT TIRMS OF CHINESEMTDICINEFORTHREE.DIMENSIONALORtINIAfION ON THEBODY
TraditionalChineseropographi.al Terms LatinAnatomicalTrandation
t C r a n i ai s
Zhong = Medianus Centralis
Di 1O (Earth) T Ca!dalis
Traditional English fraditional English
Chinese M€aning Chinese Meaning
YanB [E wai tl
Yin FX
Qian Ei You E nSnr
Sinister
HenB .ffi Obliquus
Bei H Dorsalis
ru BE
R e g l op e r i n e a h s
tr
Ial Yans ,t[E
Table3
cHfNESE TOPOCRAPHICAL AND ANATOMICAT FORTHEBAslcIERMXue'Wei
SYNoNYMS
fonmina
of someilpiel acupunclure
wilh eramples
1stcRoUP: meaning"hole,hollow"
,\fi pit K t . 1 3N, Pl 3
st.18,81.31-34, AP160
Tang
t*
halJ
1
DinB
ft
lcatinusl
st11, BL_49
LU.1
L l. 1 7
t
Cong lDomusl PC.8
CanE d tHorreuml st4, 81.50
"gate,door.opening"
2ndGROUP:meanin8
ll door,gate tu.2, Hr.7, AP112
sT_11,cv17
tr mouth,estuary st38
Chuang st.16,5116
f, bowl IScutulal sl12
"bone.bonestructure"
6th GROUP:meanine
C U F Os Ll.t6,AP1s7
sT.3,8t.31-34
Jian lEl Spatium Lt.2,3
"boundar,€dge
7rhGRoUP:meaning
Cuan ;€ PC.6,1R.7,
TE.5
Margo 1t.8,9
LR,4
Traditional English
9th GROUPTmeaning",unction,meetingplace,distribution"
C8.42
{ crosslng SP6
Ji distribution IDistributiol 81.41
1 1 t hG R O U P :meaning"place,plain
fi (niarket)p ace 51t3,cB.3l
N P7 7 ,A P 9 5],] 9
Ting IE innercourt st44
Novenber1996vol 11No.2 96
Downloaded from aim.bmj.com on July 14, 2014 - Published by group.bmj.com
"point" nafies
on the meaning of the original
in classicalacupuncture NOMENCTATURE ORIGIN
The maiorityof the European acupuncturists are not f O R A M I N A( % )
O F T H [ 2 0 3A D D T f I O N A T
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 croup Topo- Effect PhysiologyOther Total
foramina are derived either from the anatomical graphy (chin Med)
topography of the humanbody,or in rarecasesfrom l - l e a da i d 20 13 0 I l4
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 l hinese
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 Th.rraa
x nd 23 12 I 1 39
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 Backand 25 l0 0 I 38
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 U p p e r 4 0 8 0 l 4 e
conceptions of traditionalChinesemedicalth€ories
More often, however, their names contain L o w e r 3 6 7 0 0 4 3
informationpertaining to the anatomy,topography,
therapeuticeffector iraditionalphysiologyof these Totaf 144 50 3 6 2O3
foramina. % 7 1 2 5 1 3 l o o
A maiority of the namesof the 361 well-known
classicalmeridianpointsmakeexpJicitreference to
anatomical topo8raphy. Iable 4 shows how the
originalnamesof the foraminaon the 14 so_called NOMENCLATURE ORICIN
Main Meridiansmay be classified jnto the following
o f T H E1 1 8 N I W T O R A M I N Ae / . )
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 Topo_ tffect PhysiologyOther Total
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
croup
Siaphy (chin Med)
is cJearthat anatomicaland topographicalnames 2 0 0 I J 3 7
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 3 0 0 6
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 6 1 2 4 0 1 8
Backand
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 6 0 0 2 1
traditionalChinesemedicineand only 7 havetheir
ofientalionin othertraditionalaspects (e8. lung 77
15 0 0 lrr
= 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 5 6 0 0 118
Total 62
of the 5th note; Sma///ttestine 6 = Careof Old Age; o/. 53 4 7 0 0 100
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). 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
from topographical or anatomicalstructuresOf the
NOMENCTATUR OER I G I N Additional Points (or PaM)thereare 71'k (Table5),
O T T H E3 6 I M E R I D I A NF O R A M I N A( % ) of the New Points 537" lkble 6) in this cateSory.
The nomenclature of the foraminaof the ear ls irom
PhysiologyOiher Total
grapny (ChinMed) a d;fferentsource.Someo{ them bearthe original
ll name 'bolnr". The .najority,i.e. 186 out ot 192
l0
17 2 2l) foraminaof the ear,relateto an innerofganor an
4 0 4 45 affectedpart of the body or to their therapeutic
5T
21 etrect(Table7). Only 6 of the 192 ear tofamLnaare
SP
3 )
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
HT
1 interestinB 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
S1 6 2
5l tl I
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 ,
t e
BL
15 5 27 amonSotherthings,that the outer struciureoi the
KI characterlstlcs:
I 9 ear offersonly a few mofphological
PC in the anatomyof
2) that is few differentiating criteria
TE 17 3 3
the ear cornpared to the relatively large numberol
CB 2 8 9 7
2
known eaf foramina,
11 |
2 0 5 3 28 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
CV lDM)
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
cv (RM) 12 1 5 25
only recently, mainlythroughthe work of
51 361 developed
folal 259 physician
the renowned French PFM Nogier f30)
72 14 12 2 100
and several o l h e r m o d e r n c h i n e s ed o c t o r s .
NOMENCTAfUREORICIN
O F f H E 1 9 7 E A RF O R A M I N A( % )
tr
Croup Topo- Effect Physiolo8y
Other Total
grapny
13
(chinMed)
0 0 1l
m
Tra8us l 9
2 0
0
0
0 10
2
m
: 0 0 1
AntitraSus 0 18 0 0 18 E
tl 0 0 13
7 0 0 7
C r u si n f . a n t h . 0 ,1 0 0 1
Triangular
Plate 13. NeNe distribution ofthe eaL
13 0 0 13
17 0 o 1 7
medicinewere taken into account only in a few
0 0 t8
C r u sh e l i c i s 1 5 exceptions(eg.Ear 35, 55, 76, 77, and 159).A new,
0 0 6
C r u sh e l .f e 8 i o n 0 t2 m o d e r n . a a a r o m i c a l l ra n o t o p o g r a p h i t a l l l
0 a 12
12 o l | e r l d l a d1 0 m e 1 . l J t u . es e e . l \ , l h e r e l o r en, o r "
0 o 12
8 0
s!itablefor auriculothefapy
0 8 as well, particularly as
3 9 0
the effectof the nerveswhich supplythe ear and
0 4 1
Total 17 186 I a l - m ' l r h e r e s u l lo. f a , u p u n tr u r eo n t h eo r g a n i s m
0 0 t97
9 4 0
a n d t h e i n n e r o r g a n sc a n b e m o r e c l e a r l y
0 100
distinguishedfPlate /J). Examplesof anatomical
namesof the acupuncture foraminaof the primary
This fesultedin the effectsof the earfofaminabeing m p r i d i d nr o l a l i o nr l , i 1 g t o 5 p l e e l \ 4 e . i o . d n .m d )
expressedin terms of Westernmedicine,which be seetlin TableB t31-2).
explainswhy the conceptsof tradjtionalChinese
L U N CM I R I D I A N
L U . S h o uT a i Y i nF e i l i n g PulmonaFPectoral-BrachialRadial-Proi€ction
Great Yin ofthe Arm - LungMeridian{Lu)
LU.1 Zhong F! . . . . . . . . . . . . . . . . . . . . .A. axjllarts,V axi aris IR. ventralisn. rhoraciciU
P a l a c eo f t h e M i d d l eE u r n e r
(the Lungand SpleenMeridiansmeetto fom the lal-ytn)
LU.2 YunMen....-... . . . . . . . . . . . . . . . V c e p h a t i c1ap e c t o r a t i s
Clold gatelrefeu to topographyof rhe,,uppea, thorax)
tU.3 TianFu......... ..............Vcephatica2dehoidessuperior
Heavens house(refe6to locatjonon upper arm)
LU.4 Xia gai . .V cephatica3 dehojdesinrefior
O n b o t hs i d e so f t h e l u n s s
(colouo r f t h e l u n s s- w h i t e ,C h i n .B a t
LU.5 Chi Ze . .Tendom. bicipitk Iar€ratis(art.cubiti |)
Ell puddle (or Ell pond) (toposraphyand anaromy)
Lu.6 Kongzui . . .A. radiatisproximatisl, Vv. radiatesproximalesl
D€epenhole kefe6 to topographyand effect) IR.supedicialis n. radialit, M. bra.hioradiatisdistalis
LU.7 Lie Que .procersus stytoidesradii iN. radia|r, R. supe.ftciatisl
A4aneeme.ri. a depie$ion tropo8raphy)
LU 8 linq Gu A. radialtsproximatis2, W. radialesprox.2
Croove ofthe meridians course(topography) tR superficiatis N. radialis,C5_Thtl
tU.9 Tai yuan .A. radiatisdistalis,Vu radiatesdEtares
Deeppond (topography) IR. super{iciatjs n. radia|s,C5_Thtl
tu.1a vuJi......... .. .... . . . . M .a b d u c r op ro l t i c ibsr e v i ;
Flankof a fish kefersto firhlike appearance
o f t h e b a l lo f t h e h a n d )
L U . 1 1S h a oS h a n g( s e e a l s o L l . l ) ........Va umunBukpollicjsradiatis(A.erVpalmaris
p o l J i c irsa d i a l h )
Little5ih nore(5,5ana is the 5th noteofrhe chinesemusicalscale,correspondinS ro metal= LundlarSeInrestine)
5th noteof YaDa(Shargis the 5th noie of rhe Chinesescale,corcsponding to metaI = L! ng/La€eIntestine
Lt.2 lian N digitalisdonalisla t N r a d i a l ies t R s u p e r f i c i a l i s
2nd spacehefersto topography n medjanusl (Art. metacarpophalangea 2 dist )
distalmetacalpophalanseal joint)
tt \ tan tDn N . d i g i t a l i ds o | s a l i 1
s b t N . r a d i a l ies t R . s u p e rt i c i a l G
3rd space(iopography proxima metacarpopha ansealjoini) n. medianusl(Art. metacarpophalansea 2 prox.)
L.1 HeGu M . a d d u c t o r p o l
c l i s 1 t N . r a d i a l i s ' C 5T hl, N.
M e e r i n gp o i n ti n t h e v a l l e y( o rr a t h e r ' B o nV
ealley") u l n a r i s- C 8 - T h 1N ; . m e d i a n u-sC 6 T h l l
IL YanpXi Fo$a radialis(articulatiocarpometacarpea po licis)
Yan!vall€y (or ransdepresion;
refersto structureand lopoEraphy)
Ib PianLi N. curaneusantebrachiiposterior1 [N. radialis]
Branchinsofi paih (ruoVessel branches offhere)
L).7 Wen Liu N cutanelsaniebrachiiposterior2 lN fadialGl
C i r c ! l a t i o no f w a m t h
Ll.8 Xia Lian N cutaneusantebrachiiposterjor3 tN radialisl
STOMACH MERIDIAN
sT. zu YangMinB wei JinB Facial-lniercostal-Femoral-Tibial-Proiection
BriShtY.ngof the leB- slomachMerididni51)
sI.1 ChengQi . . . . Suturazvsomaticomaxillar s
Receptionot tears
S L 2 S i B a i- . . . . . . . . . . . . F o r a m ei n. f m o r b i t a l e
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
SL3 )u iiao Fossacanina
Enormou5ditch (topography)
SL4 Dicans M. buccinatorl
Eadhg;nary (for the five cereals)l.e. mouth
sT.s Da vig Nn buccalesa Rr.buccales (sensorvIN triseminus
Creat g;eting (refers lo function) Vl and motoric tN facialis Vlll anastomos6)
5I.6 JiaChe M masseterIN ma$etericLrs (motor')
cart ofthe cheek N mandibularis, TriseminusVl
(refersto shapeofthe two mandib!lar bones topo8raphv)
ST.7 Xia Cuan 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 ,
Lowerbader (Arcuszygomaticusinlerior refersto topographyl N . t r i g e m i n uVsl
r
Acupunctu.ein Med icine 99 November1996 val 1,1No.2
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S P L E EM
N ERIDIAN
SP. Zu Tai Yin Pi ling Tibial-r€moral-Thoracic-tingual-Projection
creat Yin ofthe Leg- Spl€enMeridian (SP.)
S P . 1 v i n B a t. . . . . . . . . . - . . . . .. . A h a l l u c idso B ac t i b i ai s 'V h a l l u c idso r sd i g i t
H i d d e nb r s h t n e $ t i b i a l i st N d i s i i ai sd o r s a l ips e d i sl l
SP2 D a D u . . . . . - . . . . . . . . . ... . . . . N .d i g i t a l pi sa n t a r ipsr o p r l u2sd l s t a l i[ sN t i b i a i s l
Creatgatherlne(ol the Qt
5 P 3 T a iB a i . . . ... s p r o x i m a l ilsN t i b i a l ' l
. . N d g i t ai s p a n t a r j sp r c p r i u 3
5P1l J i M e n . . . . . . . . . . . . . . . . . M s a r i o r i2l sn t € m e d i l s
shoveldoor (refersto appearance wh€n lessar€ stretched)
s P 1 2 C h o n g n e n. . . . . . . . . . . ... F o $ ai n 8 !n a l i lsa t e r a l i s
R ver door or: passa8€ door (tor Q,
5P1l f u s h e . . . . . . . . . . . . . . . . . . . . .. . . .. N i l i o h v p o 8 a s t5r ll ac tuesr a l T
i sh l 2 - L r l
Seatofthe hollow orSans(fu)
5 P t4 Fu lie . . . . . . . . . . . . . . . . . . .N interconalis1l Lateralls
Banierofthe stomach(relercto jndlcauon)
SP.15Da Heng . . . . . . . . . . . . . . . . N intercosiais 10later.rlis
Crcat crossins(reference ol the horizonta line
throughth-"navel)
S P l 6f u A i . . . . . . . . . . .. . N .inierco(alis08 aterals
Stomachachekelersto ndlcation)
5P-17 ShiDou . . . . 05 Laterals
N. intercostalis
Nutritions openingkefersto lnd cat on 1or
lactationand digestlon)
SP.1P,TianXi .. . N inlercostais 04 lateralis
Strcamot heaven(HeavenmeanshiShup o. the body,
streanrrelersto niercostalspac€)
S P ] 9 Xiong Xiang . . . . . . . . . . .. N. nlercostalk03 aleralis
Su ace oithe chesl(toposraphy)
5P20 Zhou RonE . . . . . . . . . N. intercostalis
02 aleralls
CeneralnutritionGtrenBthens the nutfitlonQt
5 B 2 l Da Bao(PiZhi Da Luot . .. N intercosLalt0Tlaterah (A' etV thoracodorsaljs)
Crearsheathing(Spleenas the centreofstorageorgans) tN thoracicuslon8usl
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
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 Outline ol ChinescA.upuncturc. FoteiA. LanBuag.sprc$,
(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 Cl 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
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 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
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 a.upurclure. for€i8n Lansuagcs Press,tleijifg
: 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
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 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
College,TaichunEi, Tajwan,is exhibitedin Tokyo.lt l r y Be n e ) B , c i j j n BC: h a p r e6r 0
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.Schnorcnbe€erCC et
unlortunatel,no longerremainaJ4J. In the Chinaof al., see Refcrcnc€7 and HuanE-Dj Nei Jrjs Su-w;n jiaa.yi,
thosedays,however,a highlydetaileddissection of 2 vatumes.i982) Publish-"dby ShanDonCZhofS yi Xle
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 Y ! ! n , P u b l i s l r i nHg o ! s e o f r h e p e o pc ' s H y g t e n e B , etjiiS
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
of the human body were chosento diffefentiale 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
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 ncturc),2r.1 €dittor. I lochschu Vcr ag, Freiburg:2J4{
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
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Notes