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

Hey, I'm so excited to return to continue on the Bone Proportion Measurement with more individual detail 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 6)

The Upper Arm

The length of the upper arm(BPM) in the TCM perspective is taken from the anterior axillary line to the elbow line in a supinated position and is a standard 9 inches throughout.

So it is still read as a standard 9 inches even if measurement is taken from the posterior position but is taken from the posterior axillary line to the tip of the elbow or better known as Olecranon.  (See diagram)

Let's go a little slow in this approach as l have to refer you to my previous blogs on fontanelle and forehead.  The first measurement is:

The Head and Face

1.  to identify the forehead (front) hairline
2.  where the position is 3 inches upward from the midpoint between 2 eye brown.

This is standard reading for all whether it is for male or female.  The reason being there are cases of males with receding front hairline at about 30 years old and females having "widows peak" as early as in their late twenties.  So therefore there must have some reference points and it is so, otherwise, all head acupuncture points would become very messy.

Next, the front hairline runs horizontally until it bends at 2 'corners' on both sides of the face downwards to form the sideburn just in front of the ear.  These 2 first corners are the next reference to be measured.

• The distance measured across the 2 front hairline corners point is standard 9 inches for all (Please see diagram)
• There are other acupuncture points to be drawn from these 9 inches intervals and would discuss them as and when necessary.

Systematically, it runs in a straight line curve around the skull from the midpoint of the front forehead hairline to the midpoint of the posterior hairline measured to be a standard 12 inches for all.

 

The next acupuncture reference point is: 

• Da Zhui 
• Which is 3 inches downwards from the midpoint of the posterior hairline.

Next, I'm going to highlight the Mastoid Fontanelle which forms a very important landmark as well as one acupuncture point after closing.  This is a bony prominence located just inferior to the ear canal at the mastoid area of the temporal bone, called the Mastoid Process.

This is the next required measurement to be taken on the head as it is a standard 9 inches measured across along the posterior hairline.

It can be easily felt when you slide your finger just behind your ear and at the same time just slightly inferior to this conical bone is the sunken hollow which is an acupuncture point that l want you to identify called Wan Gu. 

Glossary

I'll continue on the next blog for the rest of the measurement leaving you time to digest this blog material.

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 Best of all

Xiong Sian 

 ***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)