• Title/Summary/Keyword: Safe needling depth

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Safe Needling Depth of Pungbu(GV16) with MRI-a Retrospective Study (MRI를 통한 풍부혈(GV16)의 안전 자침 깊이에 대한 연구)

  • Yang, Hyun Jung;Park, Hae In;Lee, Kwang Ho
    • Journal of Acupuncture Research
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    • v.32 no.4
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    • pp.11-16
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    • 2015
  • 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.

Needling Depth of Cheonchu(ST25) with Computed Tomography: a Retrospective Study (Computed Tomography를 통한 천추(ST25)의 자침 깊이에 대한 후향적 연구)

  • Park, Hae In;Yang, Hyun Jung;Park, Sang Kyun;Lee, Kwang Ho
    • Journal of Acupuncture Research
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    • v.32 no.3
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    • pp.61-67
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    • 2015
  • Objectives : The aim of this study is to investigate the safe needling depth of Cheonchu($ST_{25}$) retrospectively by using an abdomen abdomen computed tomography(CT), and to analyze the correlation between needling depth and the characteristics of the subjects. Methods : We marked spots 50 mm away from both sides of the umbilicus in the abdomen CT and measured the vertical distance to the parietal peritoneum from the skin surface as well as waist circumference. Correlations between measured depth of Cheonchu($ST_{25}$) and variables such as age, gender and waist circumference were analyzed. Results : Average depth of the Cheonchu(n = 90) was $3.21{\pm}0.87cm$, the minimum was 1.31 cm and the maximum was 5.63 cm. A definite positive correlation was noted between needling depth and waist circumference and a significant difference was observed in needling depth according to waist circumference groups. Conclusions : Needling depth of Cheonchu($ST_{25}$) varied depending on the patient's waist circumference; safe needling depth of Cheonchu($ST_{25}$) measured by abdomen CT is 1.31~5.63 cm.

Review on Intraperitoneal Acupuncture and Needling Depth (복강내침술과 관련 혈위의 자침 깊이에 대한 고찰)

  • Soyeon Kim
    • Korean Journal of Acupuncture
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    • v.40 no.3
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    • pp.55-61
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    • 2023
  • Objectives : To review the needling depth, therapeutic and adverse effects of intraperitoneal acupuncture and related acupoints. Methods : Studies and reports from the literature, Korean medical health insurance data and databases were searched and selected. Results : The depth of needle insertion for acupoints related to intraperitoneal acupuncture has been documented to range from 0.9 to 10.5 cm depending on the acupoints and literature. In studies of safe needling depth, the justice of safe needling depth varied from study to study, but was generally based on the peritoneum, and the depth varies by patient age, sex, body type, and weight. Clinical studies in China have shown good efficacy and no side effects of abdominal long needle acupuncture, but there have been case reports of adverse events following abdominal acupuncture. Conclusions : To ensure both therapeutic effectiveness and safety of intraperitoneal acupuncture, It is necessary to utilize the ultrasound in clinical practice and conduct related research.

Comparison of Cervical Hyeopcheok Acupoint's Depth Change with Cervical Rotation in a Prone Position: Protocol and Pilot Study Result for Accurate Observation of Cervical Hyeopcheok Acupoint by Ultrasonography (복와위에서 경추 회전 시 관찰되는 경추 협척혈의 심도 변화 비교: 초음파를 활용한 경추 협척혈 관찰 프로토콜 및 예비연구 결과)

  • Chu, Hongmin;Park, Kyungtae;Jang, Jongwon;Shin, Hee-Ra;Yang, Muhack;Kim, Doo Ri;Ryu, Won Hyung;Ryu, Ho-sun;Yeom, Seung-Ryong;Lee, Sangkwan;Kim, Cheol-hyun
    • Journal of Korean Medicine Rehabilitation
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    • v.29 no.4
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    • pp.81-88
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    • 2019
  • Objectives This study is a preliminary study for safe and accurate cervical Hyeopcheok acupuncture by comparing the depth of cervical Hyeopcheok acupoint with cervical spine rotation. Methods Researchers took ultrasonographic images of cervical Hyeopcheok acupoint during full rotation of cervical spine, 45 degree rotation and neutral condition in a prone position. 4 healthy volunteers were recruited. Results No significant difference in needling depth of cervical Hyeopcheok acupoint was observed. However, there were a differences in anatomical structures' shape such as muscles. Conclusions There are no significant difference in needling depth, but anatomical structures' shape were changed. This result mean that if patient rotate cervical spine during acupuncture treatment, it can occur complications. Thus, when acupuncture treatment on cervical Hyeopcheok acupoint, practioner should make subject's cervical spine alignment corrected and be careful not to change posture during the procedure.

Determination of Safe Needling Depth via X-ray at $TE_{17}$(Yifeng) and $ST_7$(Xiaguan) (X-ray를 통한 예풍(藝風)과 하관(何關)에서의 안전한 자침 깊이에 대한 고찰)

  • Byun, Hyuk;Kang, Min-Joo;Jung, Chan-Yung;Park, In-Shik;Jo, Hyeon-Seog;Kim, Gyeong-Ho;Lee, Seung-Deok;Kim, Kap-Sung
    • Journal of Acupuncture Research
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    • v.24 no.6
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    • pp.69-73
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    • 2007
  • 목적 : X-ray를 통해 안면마비에 다용되는 예풍과 안면통에 다용되는 하관에서의 안전한 자침 깊이에 대하여 고찰하여 보고자 하였다. 방법 : 건강한 지원자들에게 원치 않을 경우 언제든지 시험을 중지할 권리가 있다는 것을 공지한 후, 시험에 동의한 남녀 각각 2명의 피험자들을 대상으로 대학병원 침구과 전문의가 예풍과 하관을 직자(直刺)($40mm{\times}0.35mm$ 일회용 침)하였다. 피험자의 이상 반응 유무를 살피며 안면신경 혹은 삼차신경이 지나가는 경로로 알려진 깊이까지 진침(進鎬)하였다. 유침(留鍼) 상태에서 Skull X-ray의 AP view와 Lateral view를 촬영하였다. 결과 : 피험자들은 침병이 피부에 도달 하는 동안(40mm 직자) 자침 혈위에서 중창감(重脹感)을 자각하였으며, 추후 어떠한 이상 반응도 보이지 않았다. 결론 : 안면마비와 안면통의 효율적인 치료를 위하여 안면신경과 삼차신경에 근접할 수 있는 혈위인 예풍과 하관에서의 40mm 직자는 신경염이나 뇌 손상과 같은 이상 반응을 유발하지 않았다.

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