3D-MRI rendering of the anatomical structures related to acupuncture points of the Dai mai, Yin qiao mai and Yang qiao mai meridians within the context of the WOMED concept of lateral tension: implications for musculoskeletal disease.
3D-MRI rendering of the anatomical structures related to acupuncture points of the Dai mai, Yin qiao mai and Yang qiao mai meridians within the context of the WOMED concept of lateral tension: implications for musculoskeletal disease.
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DOI：
10.1186/1471-2474-8-33
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发表时间：
2007-04-10
影响因子：
2.3
通讯作者：
Moncayo H
中科院分区：
文献类型：
--
作者：
Moncayo R;Rudisch A;Kremser C;Moncayo H
最近描述了甲状腺相关性眼病（TAO）患者的侧向肌张力概念模型。通过针灸属于所谓的奇经络的穴位，已经实现了临床改善。本研究的目的是通过依赖外部标记的 3D MRI 图像渲染来表征与这些穴位相关的解剖结构。对侧向张力模型的指标病例进行了调查。执业针灸师找到以下穴位： 1）阴翘脉经（踝关节内侧）：肾3、肾6、足底肾6（南京描述）； 2）阳翘脉经（踝外侧）：膀胱62、膀胱59、膀胱61、跖膀胱62（南京描述）； 3）大脉经（等）：肝13、胆26、胆27、胆28、胆29。用硝基甘油胶囊贴在皮肤上进行标记。成像是在西门子 Magnetom Avanto MR 扫描仪上使用阵列头和身体线圈完成的。主要使用常规用于患者检查的 T1 加权成像序列来获取多切片图像。使用专用软件（Leonardo、Siemens）以 3D 方式呈现图像数据。大脉经的穴位（位于腰部水平）对应于腹外斜肌和腹内斜肌。印翘脉经的穴位（位于踝关节内侧）对应于趾长屈肌的肌腱结构以及足底拇展肌的肌肉结构。阳翘脉经的穴位位于踝关节外侧，对应腓骨短肌、腓骨长肌、跟骨侧面的肌腱结构，靠近足底至小趾展肌。这项非侵入性 MRI 检查揭示了属于 3 个所谓非常经络的穴位的解剖关系。我们得出的结论是，临床开发的“侧向张力的WOMED概念”与肌腱肌肉结构有关。
A conceptual model of lateral muscular tension in patients presenting thyroid associated ophthalmopathy (TAO) has been recently described. Clinical improvement has been achieved by using acupuncture on points belonging to the so-called extraordinary meridians. The aim of this study was to characterize the anatomical structures related to these acupuncture points by means of 3D MRI image rendering relying on external markers. The investigation was carried out the index case patient of the lateral tension model. A licensed medical acupuncture practitioner located the following acupuncture points: 1) Yin qiao mai meridian (medial ankle): Kidney 3, Kidney 6, the plantar Kidney 6 (Nan jing description); 2) Yang qiao mai meridian (lateral ankle): Bladder 62, Bladder 59, Bladder 61, and the plantar Bladder 62 (Nan jing description); 3) Dai mai meridian (wait): Liver 13, Gall bladder 26, Gall bladder 27, Gall bladder 28, and Gall bladder 29. The points were marked by taping a nitro-glycerin capsule on the skin. Imaging was done on a Siemens Magnetom Avanto MR scanner using an array head and body coil. Mainly T1-weighted imaging sequences, as routinely used for patient exams, were used to obtain multi-slice images. The image data were rendered in 3D modus using dedicated software (Leonardo, Siemens). Points of the Dai mai meridian – at the level of the waist – corresponded to the obliquus externus abdominis and the obliquus internus abdominis. Points of the Yin qiao mai meridian – at the medial side of the ankle – corresponded to tendinous structures of the flexor digitorum longus as well as to muscular structures of the abductor hallucis on the foot sole. Points of the Yang qiao mai meridian – at the lateral side of the ankle – corresponded to tendinous structures of the peroneus brevis, the peroneous longus, and the lateral surface of the calcaneus and close to the foot sole to the abductor digiti minimi. This non-invasive MRI investigation has revealed the anatomical relations of acupuncture points belonging to 3 of the so-called extraordinary meridians. We conclude that the clinically developed "WOMED concept of lateral tension" is related to tendino-muscular structures.
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影响因子：
--
作者：
Langevin, Helene M.;Yandow, Jason A.
通讯作者：
Yandow, Jason A.
影响因子：
3
作者：
Hodges, PW;Richardson, CA
通讯作者：
Richardson, CA
影响因子：
3
作者：
Hides, J;Wilson, S;Richardson, C
通讯作者：
Richardson, C
影响因子：
4.7
作者：
Andersen, OK;Sonnenborg, FA;Arendt-Nielsen, L
通讯作者：
Arendt-Nielsen, L
影响因子：
3
作者：
Barker, PJ;Briggs, CA
通讯作者：
Briggs, CA