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천유혈의 해부학적 구조: 체계적 문헌고찰과 초음파 영상을 통한 확인
Park Seongjun,Gong Nahyun,Lee Sumin,Shin Jinyeong,Kang Kyungho,Kim Jaehyo,Chu Hongmin 대한침도의학회 2023 대한침도의학회지 Vol.7 No.2
Background: TE16, an acupuncture point near the second cervical vertebra’s spinous pro- cess (C2), signifies the 16th point on the Triple Energizer Meridian. ‘Celestial’ (天) denotes its upper body placement, while ‘pivot’ (牖) metaphorically describes a window for ventila- tion and light. Positioned at the back of the neck, aligned with the mandible’s angle, TE16 aligns with TE17 in the front and SI16 at the posterior shield-shaped cartilage’s height. Traditional Chinese Medicine literature associates these points with opening and connect- ing the “five senses” or facial orifices. Methods: Our study systematically reviewed anatomical and physiological aspects related to TE16, exploring both Korean and international databases. We included various study types, emphasizing anatomical structure or physiological mechanisms associated with TE16. Results: Of 250 studies, eight were selected, predominantly from China (eight), Taiwan (one), and Korea (one). The research focused on anatomical structure, with one study ex- amining depth and another highlighting physiological mechanisms. Conclusion: The review disclosed TE16’s anatomical connection with the sternocleido- mastoid muscle, its potential involvement in conditions like sudden deafness, and ex- plored physiological mechanisms. Our findings endorse TE16’s use in clinical practice, emphasizing precise acupuncture depth and method while considering safety measures during needling. Integrating imaging technologies like ultrasound may enhance our under- standing of TE16’s anatomical structures.
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