SCALP ACUPUNCTURE XIAOTIAN SHEN L - Cat's TCM Notes

51 Pages·2009·0.65 MB·English

by  Shen Xiao Tian

SS
CC
AA
LL
PP

AA
CC
UU
PP The International
UU
NN Standard Scheme for
CC
TT Scalp Acupuncture
UU
RR
EE
XIAOTIAN SHEN L.Ac
General Introduction &
(cid:86)
SS
CC schools of scalp acupuncture
AA
LL
PP

AA
CC
UU
A Brief History
(cid:86)
PP
UU
In the ancient time
NN
CC
50’s
TT
UU
70’s
RR
EE
May 1984, November 1989
Regional Anatomy
Structure: 5 layers
(cid:86)
The soft tissue envelope of the
cranial vault is called the scalp. The
scalp extends from the external
occipital protuberance and superior
SS nuchal lines to the supraorbital
CC margins. The scalp consists of 5
AA layers: the skin, connective tissue,
LL epicranial aponeurosis, loose areolar
PP tissue, and pericranium. The first 3
layers are bound together as a single
unit. This single unit can move along
the loose areolar tissue over the
pericranium, which is adherent to the
calvarium.
The scalp is made
of 5 layers and
they spell
SCALP:
S -- skin
(cid:86)
SS
C -- connective
(cid:86)
CC
tissue
AA
LL A – aponeurosis
(cid:86)
PP
epicranialis
L -- loose
(cid:86)
connective
tissue
P -- pericranium
(cid:86)
Sensory supply
Six sensory nerve branches of either the trigeminal nerve or
the cervical nerve supply the scalp.
The supratrochlear nerve is a branch of the ophthalmic
(cid:86)
division of the trigeminal nerve. This nerve supplies the
scalp in the medial plane at the frontal region up to the
vertex.
The supraorbital nerve is also a branch of the ophthalmic
(cid:86)
division of the trigeminal nerve. This nerve supplies the
scalp at the front, lateral to the supratrochlear nerve
distribution, up to the vertex.
SS
The zygomaticotemporal nerve is a branch of the
CC (cid:86)
maxillary division of the trigeminal nerve and supplies
AA
the scalp over the temple region.
LL
The auriculotemporal nerve is a branch of the
PP (cid:86)
mandibular division of the trigeminal nerve and supplies
the skin over the temporal region of the scalp.
The lesser occipital nerve is a branch of the cervical
(cid:86)
plexus (C2), which supplies the scalp over the lateral
occipital region.
The greater occipital nerve is a branch of the posterior
(cid:86)
ramus of the second cervical nerve. This nerve supplies
the scalp in the median plane at the occipital region up to
the vertex.
The scalp has a rich vascular supply. The blood vessels
(cid:86)
traverse the connective tissue layer, which receives
vascular contribution from the internal and external
carotid arteries. The blood vessels anastomose freely in
the scalp. From the midline anteriorly, the arteries present
as follows: supratrochlear, supraorbital, superficial
temporal, posterior auricular, and occipital.
The supratrochlear and supraorbital arteries are
(cid:86)
AA
2 branches of the ophthalmic artery, which, in
rr
turn, is a branch of the internal carotid artery.
tt
ee These arteries accompany the corresponding
rr
nerves.
ii
aa
The superficial temporal artery is a terminal
(cid:86)
ll
branch of the external carotid artery that
ss
uu ascends in front of the auricle. This artery, which
pp supplies the scalp over the temporal region,
pp travels with the auriculotemporal nerve and
ll divides into anterior and posterior branches.
yy
The posterior auricular artery is a branch of the
(cid:86)
external carotid artery that ascends posterior to
the auricle.
The occipital artery is a branch of the external
(cid:86)
carotid artery. It is accompanied by the greater
occipital nerve.
The veins of the scalp freely anastomose with one
(cid:86)
another and are connected to the diploic veins of the
skull bones and the intracranial dural sinuses through
several emissary veins. The emissary veins are
VV
valveless. The veins of the scalp accompany the
arteries and have similar names.
ee
The supratrochlear and supraorbital veins drain
nn (cid:86)
the anterior region of the scalp. These 2 veins unite
oo
to form the angular vein at the medial angle region
uu of the eye and continue further as the facial vein.
The superficial temporal vein descends in front of
ss
the auricle and enters the parotid gland. It joins the

dd maxillary vein to form the retromandibular vein.
The anterior division of the retromandibular vein
rr
unites with the facial vein to form the common
aa
facial vein, which then drains into the internal
ii
jugular vein.
nn
The posterior auricular vein joins the posterior
(cid:86)
aa
division of the retromandibular vein to form the
gg
external jugular vein.
ee
The occipital vein terminates in the suboccipital
(cid:86)
venous plexus, which lies beneath the floor of the
upper part of the posterior triangle.

There’re 8 There’re 6
TT
hh
channels going channels
ee
up to the head reaching the

CC
directly: face:
hh
aa
BL
nn (cid:86)
nn
SJ LI
(cid:86) (cid:86)
ee
ll
GB SI
ss (cid:86) (cid:86)

tt
ST Ht
oo (cid:86) (cid:86)

tt LV Ren
(cid:86) (cid:86)
hh
ee DU Chong
(cid:86) (cid:86)

HH
Yangwei Yinqiao
(cid:86) (cid:86)
ee
aa Yangqiao
(cid:86)
dd
Du-24 GB-7
PP (cid:86) (cid:86)
oo
BL-3 GB-6
(cid:86) (cid:86)
ii
nn
tt GB-14 BL-7
(cid:86) (cid:86)

LL
GB-15 GB-17
oo (cid:86) (cid:86)
cc
St-8 GB-16
aa (cid:86) (cid:86)
tt
ii
oo (cid:86) Du-20 (cid:86) GB-18
nn
(cid:86) Du-21 (cid:86) GB-4
RR
ee Si Shen Cong D-17
(cid:86) (cid:86)
ff
rr
ee (cid:86) D-18
ss
hh BL-9
(cid:86)
mm
BL-10
ee (cid:86)
nn
tt