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


Hey, I'm so excited to return to continue on the Bone Proportion Measurement because you are here to learn it and surely would like to ask for it.  So anyway, I'll prepare the whole meal for easy digestion.

This is How to use Observation, Olfaction,  Inquiry\Auscultation,  and Palpation in Paediatrics. (part 7)

 The Chest

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So far, I've discussed the required measurement of the head and forearm which is important for the location of the 3 Yang and 3 Yin meridian paths that spread along there.  
Next, I'll move on to the chest, abdomen and lateral lumbar for this blog.

The first thing is to identify one anatomical point called the Suprasternal Fossa of the human body.  So it is located at the top of the breast bone better known as the chest sword bone,  where it's the exact depression formed between the 2 clavicles.  Everyone should have this anatomical point as it is easy to locate as you slide your finger along the collar bone or the clavicle to the vertical mid-central dividing line of the chest.  However,  it is more practical to use official medical terms;  so the breast bone is called the Sternum.  And it is divided into 3 portions called:

  • The Manubrium (M)
  • The Gladiolus (G)
  • The Xiphoid Process (X)

To make it easier, the manubrium is like the handle of the sword 
The gladiolus is the body of the sword
The xiphoid process is the tip sharp edge of the sword.

And that's all about it.

The ribcage just joins the sternum anteriorly with 12 vertebrae posteriorly and it serves to protect the delicate organs like the lung and heart.  This is also called the thoracic cage.


Measurement between Tian Tu to bifurcation QiGu


So over here, I'm using the acupuncture point as the reference point called Tian Tu**  of the Ren Meridian Channel which connect up all the 6 Yin meridian channels altogether.  It is located just at the edge of the Suprasternal Fossa as illustrated in the picture above.

The next reference point to locate for the measurement is at the tip of the chest sword bone where the Xiphoid Process is attached to the Gladiolus( see diagram).  The word Qi Gu means bifurcation where the soft cartilage of the 7 to 9 rib bones are attached to the sternum at this point.
So the measurement to be taken from this bifurcation midpoint to the acupuncture point called Tian Tu at the edge of the handle of the breast bone is a standard 9 inches across.

As you can see from the diagram above, the next important reading to be taken is the distance between the 2 Nipples horizontally and should be a standard 8 inches across for all sizes. 


The left and right lumbar region for TCM bpm


So far so good,  I have not confused you, haven't you?  I'll touch on the left and right lateral lumbar region for one measurement.
We will find another new reference point called the Apex of the armpit.  And of course, we need a diagram to show where is the Apex of the armpit on the human body.
And so the location is at the small gap or interval between the superior border of the scapula(shoulder blade), the posterior border of the clavicle(collar bone) and the external border of the first rib.


Apex of the armpit



章门

The Lumbar 

So, I'm going to shift the body laterally to show you where about is the Free end of the floating eleventh rib.  And once again, there must have some diagrams to illustrate the exact position of the acupuncture point, Zhang Men.  This is very clear here and the exact position of the Zhang Men is situated at the slight depression below the tip of the floating rib as shown. 
Next, the required bpm is the distance between the Apex of the Armpit to the acupuncture point, (Zhang Men) which is a standard 12 inches across regardless of size.

There is still further explanation to be carried out and it needs some time for you to digest all the above.
 











 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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