Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
권호 표지
DOI QR코드

DOI QR Code

Safe Needling Depth of Pungbu(GV16) with MRI-a Retrospective Study

MRI를 통한 풍부혈(GV16)의 안전 자침 깊이에 대한 연구

  • Yang, Hyun Jung (Department of Acupuncture & Moxibustion medicine, College of Oriental Medicine, Sang-Ji University) ;
  • Park, Hae In (Department of Acupuncture & Moxibustion medicine, College of Oriental Medicine, Sang-Ji University) ;
  • Lee, Kwang Ho (Department of Acupuncture & Moxibustion medicine, College of Oriental Medicine, Sang-Ji University)
  • 양현정 (상지대학교 한의과대학 침구의학교실) ;
  • 박해인 (상지대학교 한의과대학 침구의학교실) ;
  • 이광호 (상지대학교 한의과대학 침구의학교실)
  • Received : 2015.10.14
  • Accepted : 2015.11.27
  • Published : 2015.12.18
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : The purpose of this study is to determine the safe needling depth of Pungbu($GV_{16}$) retrospectively by using magnetic resonance imaging (MRI). Methods : We chose 114 Brain or C-spine MRI images from the Sang-Ji hospital picture archiving communication system. We measured the shortest distance from skin to cerebral dura mater passing by posterior edge of the foramen magnum on the sagittal view for the depth of Pungbu. We analyzed the differences between male and female measured values by using a student t-test. Results : The average depth of male insertion was $49.71{\pm}6.32mm$ and the shortest depth of insertion was 36.29 mm. The average depth of female insertion was $39.84{\pm}5.25mm$ and the shortest depth of insertion was 30.02 mm. The results showed a significant difference according to gender (p=0.00). Conclusions : The depth of male insertion is deeper than that of female, and the safe needling depth in the case of males is 36.29-67.35 mm, while the safe needling depth in the of females is 30.02-52.18 mm.

Keywords

References

  1. The Acupuncture and Moxibustion Textbook Compilation Committee. The Acupuncture & Moxibustion Medicine. Seoul : Jipmoondang. 2012 : 5, 293-6, 484.
  2. Arne JN, Vinjar F. Acupuncture adverse effects are more than occasional case reports : results from questionnaires among 1135 randomly selected doctors,and 197 acupuncturists. Complement Ther Med. 1996 ; 4(1) : 8-13. https://doi.org/10.1016/S0965-2299(96)80049-5
  3. Adrian W. A cumulative review of the range and incidence of significant adverse events associated with acupuncture. Acupunct Med. 2004 ; 22(3) : 122-33. https://doi.org/10.1136/aim.22.3.122
  4. Yamashita H, Tsukayama H, White AR, Tanno Y, Sugishita C, Ernst E. Systematic review of adverse events following acupuncture : the Japanese literature. Complement Ther Med. 2001 ; 9(2) : 98-104. https://doi.org/10.1054/ctim.2001.0446
  5. The Meridians & Acupoints Textbook Compilation Committee. Details of Meridians & Acupoints (Volume II) ; A Guidebook for College Students. Wonju : Uibang. 2009 : 1262-70.
  6. Zhang JH, Yan ZG, Yu AS et al. The safe needling depth in the accidental acupoints. Acupuncture Research. 2000 ; 25(3) : 233-5.
  7. Yan ZG, Bai J, Shao SJ, Zhang JH. Study on needling depth and direction for dangerous acupoints. Chinese Acupuncture & Moxibustion. 2004 ; 24(11) : 769-72.
  8. Fang JL, Zhang M, Wang YH. Study on safe neeling depth of Fengfu ($GV_{16}$) with CT. Chinese Acupuncture & Moxibustion. 2000 ; 20(12) : 729-30.
  9. Yang SD, Li YD, Jiang GH, Hu NN, Cong SY. Study on neeling depth of Fengfu ($GV_{16}$) with CT.ChineseAcupuncture &Moxibustion.2008; 28(1) : 47-8.
  10. Bai H. Study on acupuncture security of fengfu ($DU_{16}$) [dissertation]. Heilongjiang: Heilongjiang University of Chinese Medicine. 2009. Chinese.
  11. Park SJ, Jin M, Joo JC, Kwon YM. Assessment of factors associated with the safety depth of $GV_{15}$ Yamen: factors associated with the safety depth of GV15. J Pharmacopuncture. 2014 ; 17(1) : 70-3. https://doi.org/10.3831/KPI.2014.17.009
  12. Frank H. Netter. Atlas of Human Anatomy. 4th ed. Seoul : Jeongdam. 2007 : 10-1, 17-22, 100-9, 144.
  13. Korea Institute of Oriental Medicine. WHO standard acupuncture point locations in the Western Pacific Region. Seoul : Elsevier Korea. 2009 : 215.
  14. Micael H, Norbert K, Karl-Heinz C. Handbook of Acupuncture. Seoul : Hansol Medical Book. 2010 : 242-3.
  15. An IH, Han GH. Myology. Seoul : MDworld. 2011 : 20-48.
  16. Department of Meridian, College of Oriental Medicine. Applied anatomical diagram of acupoints. Seoul : Iljungsa. 2000 : 75, 98.
  17. Momoshima S. Zettai wakaru MRI no yomikata. Seoul : Daehan Medical Book. 2007 : 26-34.
  18. Whittle AT, Marshall I, Mortimore IL, Wraith PK, Sellar RJ, Douglas NJ. Neck soft tissue and fat distribution : comparison between normal men and women by magnetic resonance imaging. Thorax. 1999 ; 54(4) : 323-8. https://doi.org/10.1136/thx.54.4.323
  19. Tsukazaki Y, Inagaki T, Yamanouchi Y, Kawamoto K, Oka N. Traumatic subarachnoid hemorrhage associated with acupuncture. Headache. 2008 ; 48(8) : 1240-1. https://doi.org/10.1111/j.1526-4610.2008.01139.x
  20. Choo DC, Yue G. Acute intracranial hemorrhage in the brain caused by acupuncture. Headache. 2000 ; 40(5) : 397-8. https://doi.org/10.1046/j.1526-4610.2000.00061.x