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Abdominal Acupuncture For Musculoskeletal Disorders
Abdominal Acupuncture For Musculoskeletal Disorders
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Keywords Schlüsselwörter
Abdominal acupuncture, musculoskeletal disorders, holograph, Abdominelle Akupunktur, muskuloskelettale Störungen, Holo-
somatotope, microsystem gramm, Somatotop, Mikrosystem
Introduction
Based on the theories of traditional Chinese medicine (TCM), of the body could be treated through needling their correspond-
Abdominal acupuncture is a method of acupuncture and moxi- ing holographic points on the abdomen.
bustion directed at specific points on the abdomen [1]. Abdom- At the deep layer of the abdominal wall, there exists a Zang-fu
inal acupuncture was invented by Dr. Bo Zhi-yun in 1972 and organ system. The projection of the five interiorly-exteriorly
was formally established in 1991, known as Bo’s Method of Ab-
dominal Acupuncture (BMAA). Dr. Bo found out that besides
the traditional meridian system in Chinese medicine, there are
another two regulatory systems at different layers of abdomen
wall. They developed from the Shenque fetal circulatory system,
which served as a regulatory system of the human body by de-
livering blood and nutrients to the fetus via the umbilical cord.
Immediately after birth, the infant transits to the postnatal cir-
culatory system. However, elements of the prenatal system and
its ability to distribute qi and blood still exist, and are centered
at navel, where the acupuncture point Shenque (CV8) is located.
Needling an abdominal acupoint at different depth may perform
different functions because different layers of the abdominal
wall are attributed to different regulatory systems.
DZA
Originalia | Original articles
German Journal of Acupuncture & Related Techniques
paired zang-fu organs and the upper, middle and lower Energiz- and then further inserted to the middle or deep level if meridian
ers are distributed in eight zones around the navel, called eight and Zang-fu organs need to be adjusted. Then, the practitioner
Kuo, which are represented by eight acupoints in each zone. The needs to confirm whether there is change of the presenting
eight acupoints are summarized with the post-heaven Eight Tri- symptoms. If there is no change, then mildly twists the needle,
gram in eight orientations (Table 2, Fig. 2). but does not lift and thrust it. If there is still no change after 3
Between the superficial and deep layers is the traditional merid- to 5 mins, try to adjust the depth and the needle tip direction a
ian system. There are 48 meridian points on six meridians: 14 little bit to promote the effect. Since needles used in Abdominal
on Conception vessel, 11 on Kidney meridian, 12 on Stomach acupuncture are thin and manipulations are mild, it is almost
meridian, 5 on Spleen meridian, 2 on Liver meridian and 4 on painless. In Abdominal acupuncture, no conventional needle
Gallbladder meridian. sensations, such heaviness, soreness, numbness, or distention
In order to locate acupuncture points accurately, the abdominal (deqi) are required. Needle retention is approximately 20–30
points are located with a combination of traditional bone pro- minutes.
portional measurement method and ruler measurement method.
The distance from Zhongting (CV16) to Shenque (CV8) is 8 cun. Abdominal acupuncture formulae
The distance from Shenque (CV8) to Qugu (CV2) is 5 cun. The Dr. Bo has established standard formulae for commonly seen
horizontal line between the right and the left lateral borders of conditions. The formula specifies the acupoints, sequence and
the abdomen at the level of the center of the umbilicus is 12 depth of needle insertion. The practitioner may add or elimi-
cun. The practitioner measures these horizontal and vertical lines nate certain acupoints based on the individual patient’s situ-
with a ruler and converts the corresponding cun into centimeter. ation. At present, fourteen standard formulae have been issued
Then acupoints are located with the help of ruler and marked formally and thirty formulae are under research. Nine of the
with a pen. formal issued formulae are for disorders and five for regula-
tion of the zang-fu and meridian functions [1]. Six out of the
Needles and manipulation procedure nine formal issued standard formulae are for musculoskeletal
Abdominal acupuncture is administered with tube guided dis- conditions.
posable stainless acupuncture needles. The needle diameters are
0.16, 0.18, 0.20 and 0.22 mm, and needle bodies are 30, 40 and Example of a standard formula for cervical spondylosis
50 mm in length. Needle gauge selection is based on the pa- Basic points: Zhongwan (CV12), Guanyuan (CV4), Shangqu
tient’s physique and condition. The needle insertion depth is (KI17) (both sides), Huaroumen (ST24) (both sides)
limited to the anterior abdominal wall, the needle should not Sequence: CV12 ൺ CV4 ൺ KI17 ൺ ST24
invade the abdominal cavity. The needling depths are divided Depth: CV12 (medium), CV4 (deep), KI17 (shallow), ST24
into 3 levels: superficial (heaven) level for regulation of the dis- (medium)
eased part of the body, middle (Human being) level for regula- Supplementary points: Add Shiguan (KI18) for nerve root type
tion of meridians and deep (earth) level for regulation of Zang- of cervical spondylosis; the location of KI18 varies with the
fu organs. Needles are firstly all inserted to the superficial level, painful area on the nape. If the painful area near the spine,
Table 1 Holographic reflex acupoints at the superficial layer of abdomen wall
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