中髎 Zhōngliáo | Trou du milieu (Nguyen Van Nghi 1971) Trou du milieu de l'os (Pan 1993) Trou moyen (Lade 1994) \\Troisième trou sacré (Laurent 2000) |
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Zhōngkōng 中空 (1) | Da cheng (Guillaume 1995) |
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OBJECTIVE: To seek the problems of position, measuring and locating methods of Baliao points (posterior sacral foramina) in modern researches. METHODS: Using Baliao (eight sacral foramina), Shangliao(BL 31), Ciliao(BL 32), Zhongliao(BL 33), Xialiao(BL 34), Dihoukong (posterior sacral foramina), Dikong (sacral foramina) and Digu(sacrum) as the key words, literature in the database of the CNKI from 1957 to 2012 were re trieved and analyzed. RESULTS: Problems were found in the past researches including limited numbers of relative literature, disunity of the measurement targets, complicated terms of indices, disunity of the starting and ending point of measurement, unclear weight of indices, deviation of results, lacking of combination with clinical practice and variety of locating methods. CONCLUSION: Position of Baliao points (eight sacral foramina) are clear. However, the locating methods are blurred and vary a lot. Study on living body has more significance for measurement and researches. Factors of gender, body weight, height and childbearing should also be taken into consideration. Therefore, it is necessary to find a more accurate and easier way of locating.
The positional relation between the dorsal sacral foramina and a needle inserted in the point “T, ze-Liao” according to the method of Takenouchi-Hamazoe, and the proJection positions of the respective foramina to the body surface were anatomically and bilaterally examined using fifteen cadavers. The results were as follows. (1) The needles inserted in the point “T, ze-Liao” missed the second dorsal sacral foramen caudally or latero-caudally in many cases. (2) In the mediolateral direction, the first to fourth dorsal sacral foramina were located in the middle zone between the dorsal median line and the posterior superior iliac spine. (3) In the rostro-caudal direction, the first dorsal sacral foramen were approximately located at the same level as that of the posterior superior iliac spine. The second to fourth foramina corresponded to three points which divided the rostro-caudal distance between the posterior superior iliac spine and the sacral cornua equally into four.
Fifteen morphologically and structurally complete sacrum specimens of normotrophic adult females were choosen. Distances between posterior sacral foramina and median sacral crest,and between the cores of adjacent posterior sacral foramina were measured. Then statistical analysis was done so as to provide objective anatomical evidence for the surface localization of Baliao points. The average distance between Shangliao (BL 31) and median sacral crest was (2.08 ± 0.19) cm; and the average distance between Ciliao (BL 32) and median sacral crest was (1.75 ± 0.12) cm; Zhongliao (BL 33), (1.59 ± 0.15) cm; Xialiao (BL 34), (1.56 ± 0.15) cm. And the distance of S₁-S₂ was (2.36 ± 0.31) cm averagely; S₂-S₃, (1.98 ± 0.23) cm; S₃-S₄, (1.71 ± 0.18) cm. It is considered that to locate Baliao points, Ciliao (BL 32) needs to be ascertained firstly.
Acupuncture | Moxibustion | Source |
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Selon Tong ren, puncturer à 0,2 distance, laisser l'aiguille le temps de 10 expirations | Appliquer 3 cônes de moxa | Zhen jiu ju ying (Guillaume 1995) |
Puncture perpendiculaire entre 1 et 1,5 distance de profondeur | Cautérisation avec 3 à 7 cônes de moxa, moxibustion pendant 5 à 15 minutes | Guillaume 1995 |
Piqûre perpendiculaire à 1-2 distances | Cautériser 3-7 fois, chauffer 5-20 minutes | Roustan 1979 |
Piqûre perpendiculaire de 1 à 1,5 cun | Moxas : 1 à 3 ; chauffer 10 à 15 mn | Laurent 2000 |
Sensation de puncture
Sécurité
Discussion sur la technique de puncture
With deep acupuncture at Baliao points (eight sacral foramina) as the core, Professor WANG Ling-ling has treated diseases of urinary, digestive and reproductive systems with superior therapeutic effect. The key for efficacy of Baliao points is deep acupuncture. Only deeply insert into acupoints with long needles and directly stimulate at sacral nerves, could Baliao points play a superior role in treatment effect. Searching acupoints is the basis of deep acupuncture, and superficial anatomy should be combined to summarize the methods of searching Baliao points. The premise of deep acupuncture is needling manipulation. The angles of needles must be adjusted according to morphological features of posterior sacral foramina, or it is hard to practice deep acupuncture into Baliao points. The description of location and manipulation on Baliao points in ancient and modern literature was vague, which restricts clinical application of Baliao points. A lot of research on location, manipulation and clinical application of Baliao points has performed by Professor WANG Ling-ling, and its manipulation and clinical cases are introduced to make a positive effect on its application and popularization.
Classe d'usage | - | point secondaire |
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Indication | Association | Source |
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Difficulté de défécation | 33V + 5VC + 57V + 3F + 12VC + 4Rn + 3Rn + 56V | Qian jin (Guillaume 1995) |
Irrégularités menstruelles | 33V + 23V + 28V + 4VC + 3VC + 6Rte | Zhen jiu xue jian bian (Guillaume 1995) |
Moxibustion belongs to the pure Yang in nature and has the double functions of warrn dredging and supplementatiori. Pushing manipulation can dredge Meridians and promote the circulation of Qi and invigorate the blood. Combination of them at Baliao point as a clinical treatrnent for gynecological diseases has a significant effect. The article discusses the theory of Baliao point for treating gynecological diseases by rneans of moxibustion and pushing nianipulation in order to provide some ideas for the clinical treatment of similar diseases.
With deep acupuncture at Baliao points (eight sacral foramina) as the core, Professor WANG Ling-ling has treated diseases of urinary, digestive and reproductive systems with superior therapeutic effect. The key for efficacy of Baliao points is deep acupuncture. Only deeply insert into acupoints with long needles and directly stimulate at sacral nerves, could Baliao points play a superior role in treatment effect. Searching acupoints is the basis of deep acupuncture, and superficial anatomy should be combined to summarize the methods of searching Baliao points. The premise of deep acupuncture is needling manipulation. The angles of needles must be adjusted according to morphological features of posterior sacral foramina, or it is hard to practice deep acupuncture into Baliao points. The description of location and manipulation on Baliao points in ancient and modern literature was vague, which restricts clinical application of Baliao points. A lot of research on location, manipulation and clinical application of Baliao points has performed by Professor WANG Ling-ling, and its manipulation and clinical cases are introduced to make a positive effect on its application and popularization.
Objective: To discuss the specificities of acupoint at Zhongliao points for benign prostatic hyperplasia and observe the feasibility of the research approach. Methods :40 patients of BPH were randomly divided into two groups, experimental group ( acupuncture group) had 20 patients in electronic acupuncture at Zhongliao (BL33), and control group ( non - acupoints group) had 20 patients in electronic acupuncture at 2 inches side opening. Observe the change of International Prostatic Symptom Score( I - PSS) and QOL after 4 weeks therapy. We also observe the tolerance, security and compliance during the needling process. Results: Compared with the changes before arid after treatments, I - PSS and QOL of acupuncture group had a statistically significant difference (P <0. 01), and non - acupoints group s I - PSS had a statistically no significant difference (P> 0. 05) whi1e not changed remarkably (P <0. 01) about QOL. After 4 weeks therapy, there was a statistically significant difference compard with the acupuncture group (P <0. 01). The VAS average score of experimental group was 2. 523 8 土 1. 013 96 compared with the control group of 2. 114 7 士 1. 425 73, so the treatment was well accepted by patients. No complications occurred except subcutaneous hematoma in 2 patients and both of their hematomas disappeared after 2-3 days. According to the course of treatment, 40 patients who applied the acupuncture were involved in the result analysis without any drop, and the compliance was good. Conclusion: Electronicacupuncture at Zhongliao ( BL33) can improve the patients'syrnptom and the life quality of the patients significantly, and the trial demonstrated the acupuncture at Zhongliao point has a specific effect on benign prostatic hyperplasia, so electroacupuncture approach is feasible.
Objective To observe the clinical efficacy of electroacupuncture at Huiyang (BL35) and Zhongliao (BL33) plus scalp acupuncture in treating female stress urinary incontinence (SUT), for providing clinical evidence in the treatment of SUI. Method Ninety eligible female SUI patients were randomized into an observation group and a control group. The observation group was intervened by electroacupuncture at Huiyang and Zhongliao plus scalp acupuncture, while the control group was asked to practice contracting anus. The urine leakage degree, residual urine volume in bladder and clinical efficacy were compared. Result After treatment, there was a significant difference in comparing urine leakage degree between the two groups (P<0. 05); there was a significant between-group difference in comparing the residual urine volume (PeO. 05); the cured and markedly-effective rate was 62. 2% in the observation group versus 35. 6% in the control group, and the difference was statistically significant (PeO. 05). Conclusion Electroacupuncture at Huiyang and Zhongliao plus scalp acupuncture can produce a more significant clinical efficacy compared with rehabilitation training in treating female SUT.
Electroacupuncture (EA) at Zhongliao (BL33) can improve the symptoms of overactive bladder (OAB), such as urinary frequency, urgency, and incontinence. However, its performance compared with other acupoints remains unclear. This study investigated the effects of EA at BL33 with deep needling on rats with OAB by detecting urodynamics in eight groups: no intervention group, D-BL33 group (deep needling at BL33), S-BL33 group (shallow needling at BL33), non-acupoint group (needling at the non-acupoint next to BL33), Weizhong (BL40) group, Sanyinjiao (SP6) group, Tongtian (BL7) group, and Hegu (LI4) group. Results revealed that EA at BL33 with deep needling, BL40, and SP6 prolonged the intercontraction interval (ICI) of rats with OAB (P = 0.001, P = 0.005, P = 0.046, respectively, post-treatment vs. Post-modeling). Furthermore, the change in ICI from post-modeling in the D-BL33 group was significantly greater than those of the no intervention and other EA groups (all P < 0.01). Significantly shortened vesical micturition time (VMT) and elevated maximum detrusor pressure (MDP) were also observed in the D-BL33 group (P = 0.017 and P = 0.024, respectively, post-treatment vs. Post-modeling). However, no statistically significant differences in the changes of VMT and MDP from post-modeling were observed between D-BL33 and the other EA groups. In conclusion, EA at BL33 with deep needling may inhibit acetic-acid-induced OAB more effectively.