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How to use Observation, Olfaction, Inquiry\Auscultation, and Palpation in Paediatrics (part five)

Hey, I'm so excited to return to present you with the Bone Proportion Measurement with many diagrams as you wouldn't be able to memorise every part so easily.  

This is How to use Observation, Olfaction,  Inquiry\Auscultation,  and Palpation in Paediatrics. (part 5)




So in locating the anatomical landmarks on the human body surface, BPM forms a very important subject because this is where the identification of all the previous and newly updated acupuncture points are found and possibly better known as the natural anatomical landmarks. These are then classified into 2 types:  
  • Fixed and Movable landmarks.
Fixed landmarks:

It comprises sunken hollow and protrusion formed from the result of the moving muscles layer joining the bone structure.
The rest of the fixed landmarks are position along with the facial organs,  hairline (see diagrams), canthus, tummy button and so on.
Let's have some fun now, please search on your body for these few common acupuncture points: 
  • Yang Ling Quan is located at the lower end of the fibular head anteriorly just as you slide your finger down the fibular head and reach the first sunken hollow which is approximately one-inch point from the tip of the fibular head.
  • The inch measurement will be explained in the next paragraph.
  • San Yin Jiao is located at 3 inches point above the tip of the medial malleolus, just slightly behind the inner rim of the tibia posteriorly, again as you slide across the tibia bone you can find the sunken hollow at the 3 inches point.
  • Zan Zhu is located at sunken hollow found on the medial side of the eye brown.
  • Tian Shu is located horizontally 2 inches on both sides of the tummy button. (see diagram horizontally)
Movable landmarks:

It comprises all sunken hollows, gaps, wrinkles and tips caused as a result of the movement of the body from every joint, muscle, tendon and skin.  There is some necessary corresponding active posture to be taken up to reveal the required landmarks for acupuncture treatment.
Okay, let's have fun again, you need to look into the mirror to search for these acupuncture points:
  • Ting Gong is located at the sunken hollow revealed between the Tragus and the Mandibular joint when the mouth is slightly open up.
  • Jia Che is located at the anterior upper mandibular angle and is the protruding point of the masseter muscle during chewing.  Pay particular attention to this acupuncture point because the correct method to reach for the Jia Che is to press into the bulged up muscle to feel for the sunken hollow.
  • I just hope that you did not get confused.
The Inch Measurement
This method is the one-inch distance position measurement to be taken according to the size of the patient index and the third finger as shown in the diagram below.  I will limit this reading to 3 inches to be precise in locating the acupuncture point on the human body, that is to take a 3 inches measurement with the distance of 4 fingers lying together(index, middle ,ring and small fingers).




Next, I'll move on to the various part of the human body to dictate the proportional distance which would be more precise in practice.

The Lower Arm

The distance from Chi Ze (elbow line)to Tai Yuan(wrist line) is a standard 12 inches formed by the wrinkle on each end.
So the location of the midpoint is proportioned and so on.
And now it's fun to locate for yourself the acupuncture point called Kon Zui before referring to my diagram below.


Distance between the elbow lone to the wrist line is 12 inches


I'll continue on the same subject in my next blog as it is academic and need some time to digest.


Glossary





















Best of all





Xiong





 ***Reference:

Emperor's Interior Sutra is available on sales better known as the esoteric scripture of the yellow emperor in Amazon, it's just a different way of naming the book cover)




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