Jiaji and expansion of clinical application of embedding 

 


Mali Chang 

    Since the inception of CT cervical spondylosis, lumbar have an intuitive understanding of knowledge, its physiological and pathological processes and their clinical symptoms, and treatment produced a qualitative change. Chinese history books do not cervical spondylosis, lumbar the name of disease, not related to cervical Jiaji discussed, although Du Jiaji Points next to a point marked, but the treatment of disease is described is simple, general, neck Jiaji more only mention the word at the end. Therefore, only fourteen meridians, eight extra detailed discussion of related points. Jiaji both sides of the spine in the treatment of diseases during the last decade has been the role of detailed studies made in the treatment of a qualitative breakthrough, such as needle knife Jiaji treatment of cervical spondylosis and lumbar, achieved quick results, acupuncture treatment of cervical lumbar also shows the prospects for the development of its unique, we make application of catgut embedding therapy in 2001 treatment of cervical spondylosis, lumbar and thoracic treatment of internal diseases Jiaji excellent results achieved by the buried line treatment of cervical spondylosis, the needle to the disease, and the lasting effect, less recurrence, added a massage, massage, needle-knife therapy effective, less easy to relapse and acupuncture treatment lasting less cumbersome, burying the treatment of cervical disease, lumbar disease is excel the predecessors.
    Jiaji Points Acupuncture is widely used in ancient times, or the needle or moxibustion, and more by the good effect. Jiaji Points, also known as Jiaji, tuo a clear position of the first ridge point is the concept of the Jin dynasty Ge Hong's "elbow Emergencies": "folder and back in to finish a large ridge of bone and 1 inch." Modern commitment Light On In "Chinese Acupuncture", first proposed the "Jiaji Points," the name of the points classified by the external Qi. According to 1990 national standards approved by the State Bureau of Technical Supervision, "Points", Jiaji position "in the back waist, when the first thoracic to fifth lumbar spinous process on both sides of the center line after the next open 0.5 inch ", the side 17 points, so a total of 34 points. However, in clinical use in Jiaji been continuously expanded, such as analgesia at cervical and sacral segments have been included in many physicians Jiaji areas. According to the position of Jiaji anatomical features and modern knowledge, Jiaji including C1 to S4 spinal when the next 0.3 to 1 inch wide all the points, embedding open when the midline ridge of 0.3 ~ 0.5 inch safer.
    First, the embedding operation method
    ① flat thorn: that along the skin through the puncture, a needle through a few points;
    ② obliquely: the tip to 45 degrees or 75 degrees to the midline ridge piercing;
    ③ piercing: the vertical into the needle. Perpendicularly Jiaji Points feasible and safe. Regional anatomy of the autopsy we can see each vertebral spinous process adjacent to open 0.5-inch standard with the body, can arrive when the lamina deep puncture, measured in the vertebral lamina on the side away from the midline edge width. Also up to 1cm above the narrowest point, close to 0.5 inches with the body, so perpendicularly Jiaji C5 ~ L5 and injury without piercing the abdominal cavity organs. Cone and plate placed on top of the tip, even if the patient suddenly move the body is not coughing or accidental cause cause an accident.
    Minimally invasive application of burying disposable needles, the treatment of Jiaji provides a convenient means of treatment, usually the neck using the 9-pin, 00 wire, pain response of patients is small, but the effect is very good, general-pin to the disease, and less recurrence. Along the way one centimeter lateral to the neck piercing Jiaji 4-5 cm, under a warm feeling when the needle was the best. Line the chest with a 0-1, generally flat along the chest cavity through the puncture Jiaji, several points can Jiaji synergistic effect through, for example: treatment of stomach chest 7-5, with the common points, the better. Jiaji waist line with a 1-4, waist 3 / 4, 4 / 5, 5/D1 lumbar disc must line 4, line the body into the intervertebral foramen must be the best. Embedding operation is specific: for example, the L4 / 5 disc herniation, lumbar 4 / 5, 1 cm lateral to be between the points in the next 2 cm lateral to vertebral body as the needle points to a 45-degree angle upward obliquely into the vertebral foramen direction, if L5D1 disc, in the L5D1 1 cm lateral to be between the points in the next vertebral body adjacent to open 1.5 cm for the needle points to 45-degree angle upward direction of a vertebral obliquely into the intervertebral foramen. After embedding do not immediately stop the bleeding if the pinhole bleeding, bleeding 10-20 ml is appropriate, if not bleeding and the need for bloodletting, cupping the best bloodletting. Bleeding after burying the pain can quickly disappear straight away.
    Second, the clinical selection of points
    Jiaji is a set of points, made the correct selection of points is the key to good effect, the selection of the literature Comparison of Jiaji complicated disorder, clinical methods commonly used in selection of points:
    2. 1 According to the segment of the spinal cord and nerve distribution of selection of points: This is the most commonly used clinical method of choice points. The specific use is: C1 ~ C4 Jiaji the treatment of head disorders. Jiaji with C1 ~ C7 treatment of cervical disease. Treatment of upper limb with the C4 ~ C7 disease, with C5 ~ L5 Jiaji treatment of abdominal visceral disease. Treatment with T11 ~ S2 lumbosacral disease. With L1 ~ S4 treatment of pelvic visceral disease. Treatment with L1 ~ S2 Jiaji treatment of lower extremity disease.
    2. 2 interval selected points: the spirit of "streamlined, safe and efficient" principle, some experts advocate the use of acupoints Jiaji interval when, from under 2 thoracic origin, take a point across a vertebra, a total of eight points on each side
    2. 3 back-shu points according to the clinical efficacy of selection of points: Jiaji and back-shu points near the site, similar effects, such as Jiaji T3, T5, T7, T9, T11, L2, respectively Feishu, Xinyu, Yu liver, spleen Yu and Shenshu correspond to alternate or substitute may be used clinically.
    2. 4 According to point tenderness and positive reaction acupoints: the paraspinal tenderness and positive reaction organs lesions often respond, so often taken for treatment of the points were available.
    In addition, the disease is located in the spine and near a positive body card (such as tenderness) who preferred local Jiaji, disease in the limbs, chest and abdomen, according to nerve segment theory of acupoints or meridians, disease or symptoms of the relative position is not clear concentrated in a particular area by the person through the line, according to theory of acupoints of meridians.
    Third, the clinical application
    Jiaji range of treatment have included movement system, nervous system, urinary system, reproductive system, digestive system, respiratory system and blood system, including multi-system disease, particularly in the treatment of the spine and surrounding tissue diseases has obvious advantages.
    There are already many Jiaji treatment of diseases of the modern clinical report. Acupoint was used Jiaji movement disorders, such as: joint dislocation after lumbar spine, lumbar disc disease, frozen shoulder, etc., and achieved good effect; was concluded, treatment of nervous system diseases such as: syringomyelia, traumatic paraplegia, etc. significant effect: Some people think that treatment of urinary and reproductive system diseases, each were good effect; someone pick governing treatment of lymphatic Jiaji Points; some point injection method is reported by the treatment of herpes zoster hypochondrium; someone with Ginger moxibustion Jiaji S1 ~ 4 and Yaoyangguan treatment of thrombocytopenia; some acupuncture Jiaji Points by fire diarrhea. And so on.
We apply the embedding Jiaji treatment of cervical spondylosis, lumbar, and made an immediate impact of common diseases, the needle to the illness, the clinical results.

1 C1 cervical vertigo, migraine, insomnia, drowsiness, lethargy, head, neck hypertension, cerebral insufficiency, shaking his head
2 C2 cervical dizziness, headache, insomnia, drowsiness, dry eyes, tinnitus, tachycardia, mumps, and allergic rhinitis
3 C3 cervical vertigo, head dazed, migraine headaches, neck and shoulder syndrome, neuralgia, eczema, toothache, mouth can not be
4 C4 cervical dizziness, nausea, hiccups, his hands numb, frozen shoulder, stiff neck, nasal congestion, toothache
5 C5 cervical spine, chest pain, heart rate too slow, nausea, hiccups, neck, shoulder, hand pain, bad breath, Huo Qida
6 C6 cervical blood pressure fluctuations, shoulder pain, shoulder, thumb and finger food hemp, swollen tonsils, shoulder pain, upper limb numbness lateral
Cervical 7 C7 shortness of breath, chest tightness, fourth, numbness fingers, neck, shoulder pain, sore throat, shoulder sclerosis, upper limb numbness after the medial
Thoracic 1 T1 shortness of breath, shortness of breath, elbow hand pain, cold, premature beats, soft and weak, posterior upper arm numbness
Thoracic 2 T2 shortness of breath, chest pain, arrhythmia, coronary heart disease (angina pectoris), shoulder sclerosis, posterior upper arm numbness
3 T3 thoracic lung, bronchial symptoms, colds
4 T4 thoracodorsal thoracic pain, chest tightness, coronary heart disease (angina pectoris), long sigh,
Thoracic 5 T5, mouth pain, low blood pressure, stomach cramps, epilepsy
6 T6 thoracic stomach pain, indigestion, stomach cramps
7 T7 thoracic ulcer symptoms, indigestion, ptosis of the stomach, bad breath
8 T8 thoracic immune dysfunction, Hepatology, Diabetes
9 T9 thoracic kidney dysfunction, urine gonorrhea and urinary poor, allergic card, body cold hands and feet, seizures
10 T10 thoracic renal dysfunction, sexual dysfunction
11 T11 thoracic kidney dysfunction, urinary tract diseases, skin diseases
Cool under 12 T12 thoracic abdominal pain, fatigue syndrome, infertility, rheumatism, genital itching surface
1 L1 lumbar colonic dysfunction, constipation, diarrhea, back pain, lower abdominal pain
Under 2 L2 lumbar pain, lumbar pain, decreased sexual function
3 L3 lumbar bladder, oliguria, waist, knees weak medial pain
4 L4 lumbar back pain, sciatica, difficulty urinating, frequent urination, or oliguria, leg pain radiation to the calf outside, hemorrhoids
5 L5 lumbar legs, poor circulation, lower limb weakness afraid of cold, low back pain to the calf after Ma \ outer irregular menstruation,
Sacral lumbosacral joint disease, foot pain, Ma cool sense of roots, bladder disease, prostatitis
    Fourth, the mechanism of
    4.1 From the theoretical point of view of the meridian: in Du Jia Ji Jia Ji cavity, the bladder outside the Pro. Du The meridians are those with full sun and peer similarities, their collaterals in-depth on both sides of the spine, and the bladder full sun interconnected through the line. Jiaji effect of acupuncture through the "Du the other," "Du" and the bladder to play. Du as a "positive pulse of all the key link", "the Governor Zhu Yang," Giant bladder full sun to sun, the other by Du, Du yang metaplasia and subtle, to repose within and outside can be flexible tendons. Various organs and back Jiaji Yu and adjacent organs of the gas were transferred to this output. Jiaji where exactly is the Du and bladder full sun covered by the overlap extension at the gas, contacts and communication II Jiaji this vein, with a second pulse control pivotal role to play when embedding folder Jiaji Du of the sun to help the bladder of the gas, conditioning organs, and clear the meridians, regulate the integration of the two by the role.
    4.2 From the perspective of understanding of modern medicine: the points Jiaji anatomy shows per hole near the pass are dorsal spinal nerve fibers covering the disposal of parts of the cave area, thoracic, lumbar and sacral nerve posterior branch was segmental distribution, so Jiaji by attending at the District, the same segment as the back-shu points and Jiaji Points of the nerve branch from the same dorsal branch, the control of the same segment of skeletal muscle, therefore, buried line applications, the back shu points within the same segment Jiaji attending similar. According to neuroanatomical studies, sympathetic fibers through the traffic branch of spinal nerve contact, and with the spinal nerves to the surrounding organs and organ distribution, embedding piercing points, the cause of acupuncture transfer reaction, through the neurohumoral regulation, can affect the sympathetic nerve endings release a chemical medium, to adjust the internal organs, to the treatment of disease.