Copyright XiongHuaXiong. Powered by Blogger.
Showing posts with label 4 TCM diagnosis (part Nine ). Show all posts
thumbnail

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

 

Hey,  I'm back to continue on the remaining bone proportion measurement for the posterior shoulder blade and the limb.  My discussion in this blog includes the study of the Acromion's position and its surrounding acupuncture points and would be very interesting when you discover them because it is always there unexpectedly missed by most people.

This is How to use Observation, Olfaction,  Inquiry\Auscultation,  and Palpation in Paediatrics. (part 9)



Posterior Scapula


So, there are many new acupuncture points to include in this blog for you to slide your finger across, namely
  • Jian Yu 
  • Jian Liao 
just for the time being.    These 2 acupuncture points are easily found and how to locate them will be discussed later with diagrams.  By and large, they are both depressed hollows that would show up automatically when the arms are lifted 90° from the vertical position.  (They will be listed in the glossary in the last paragraph).


Acromion


Acromion


The first landmark to establish is the Acromion which is the high projecting point of the scapula or the shoulder blade.  It is located along the lateral side of the clavicle in which it joins the Acromion to form the Acromioclavicular joint Then the required measurement to be taken is the point at the most lateral highest point slightly away from the Acromion's peak to the posterior midline.  It is a standard 8 inches across for all sizes.  Please see the diagram.


The inner edge of the Scapula


The next required measurement is the distance between the inner edge of the scapula to the posterior midline which is a standard 3 inches across for all sizes.  This reference point is important because there are also many acupuncture points around the region especially in the posterior portion of the heart where patients had complained of long term painful spots.
Let's have some practice here, l will draw an imaginary line down from the 3 inches point to the waist in parallel with the posterior midline.



Gao Huang



Gao Huang


So, we are searching for the acupuncture point called Gao Huang which is located on the imaginary line 3 inches away from the posterior midline in adjacent to the depressed hollow below the 4th thoracic vertebra spinous process.
We have reached the search climate as why is this particular acupuncture point called Gao Huang and not any other name. 
This is the reason.
In ancient times,  Gao was referred to as Ointment paste and the Huang was referred to as the area between the heart and the diaphragm, and the ointment paste was applied to this place where it was not effective.
Next, there is another appropriate Chinese proverb that links with this Gao Huang which is:
Bing Ru Gao Huang. ( explained in the glossary)
It means that the disease has escalated to such critical condition that it has became incurable.  It also means that things have reached the point of irreversibility.
All terminally sick is classified in the same description as above.


Spinous process


Over here, l need to introduce one new part called the Spinous process.
The spinous process is a bony projection off the posterior (back) of each vertebra. And as you slide your finger over the vertebrae, you should be able to feel the difference in the spacing as each vertebra are not equal in size.  I'll provide the diagram to illustrate the size of the vertebrae(33 of them). 
This is the feel of the bony protrusion when you slide your finger along the backbone and the depressed hollow is just below each protrusion.


Spinous process


The Limb


The Limb comprises a vast understanding of the limb bone construction and location for the following:
 
  1. The upper margin of the Epicondyle of Femur
  2. The Line Below the Medial Tibia Condyle
  3. The Greater Trochanter
I'll discuss these in the next blog and giving you more time to digest the above.


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)

Current featured posts

A newborn baby from birth to the 28th day in the first month is defined as in the Neonatal period

A newborn baby from birth   to the 28th day in the first month is defined as in the Neonatal period   The  baby better known as the neonate...