Yibian
 Shen Yaozi 
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acupointFutu
aliasShuixue
International codeLI18
smart_toy
[Origin]

Fu, supporting each other on both sides; Tu, a rising place. The points on both sides of the throat are similar to Shuitu (ST10), hence the name.

[Location]

Futu (LI18) acupoint
(quoted from "Meridians and Acupoints")
The lateral part of the neck, next to the larynx, between the anterior and posterior edges of the sternocleidomastoid muscle.
  • Lingshu‧Hanrebing: "After Yingjin";
  • Zhenjiu Jiayi Jing: "In Renying (ST9) One inch and five minutes after the nodule";
  • Xunjing Kaoxue Bian: "Take three inches from the side of the nodule.

[Anatomy]

  • Muscles: sternocleidomastoid, platysma, deep layer is the starting point of levator scapulae.
  • Nerve: There are terminal branches of the cervical plexus cutaneous nerve between the first and second layer of muscle membrane. The superficial cervical cutaneous nerve (cervical 2-3) crosses the sternocleidomastoid muscle and is divided into ascending and descending branches. To most of the skin on the front and side of the neck, the great auricular nerve (neck 2-3) goes up on the surface of the sternocleidomastoid muscle, enters the nuchal area behind the ear, and distributes to the skin of the mandibular angle, parotid gland, ear and mastoid. The lesser occipital nerve (cervical 2) bypasses the accessory nerve here, ascends along the posterior edge of the sternocleidomastoid muscle, and distributes to the skin on the lateral side of the occipital muscle. The anterior branch of the supraclavicular nerve (neck 3-4) runs medially and downward, passes through the inner 1/3 of the clavicle, and distributes to the skin above the sternal angle. The middle branch crosses the clavicle downward and distributes to the skin of the chest wall above the second rib; posterior branch The branch passes through the trapezius muscle and acromion, and is distributed on the skin of the upper and posterior parts of the shoulder. There are accessory nerves in the deep layers.
  • Blood vessels: There is the external jugular vein between the first and second muscle membranes; there is the ascending carotid artery on the deep inside.

[Manipulation]

Oblique insertion 0.5~1 inch downward. Do not go too deep and use high-frequency electroacupuncture to avoid causing vagal reaction. For example, when performing acupuncture anesthesia for neck surgery, a 1.5-inch filiform needle can be used above the junction of the sternocleidomastoid muscle and the external jugular vein, avoiding blood vessels, inserted parallel to the sternocleidomastoid muscle, and buried under the skin; Then insert another stitch 0.5 cm behind and below the Futu (LI18), parallel to the previous stitch. Then, give electrical pulse stimulation, and adjust the position of the second needle according to the occurrence of numbness area, so as to penetrate the cervical cutaneous nerve of the superficial cervical nerve. If the numb area reaches the mandible or ear, the needle insertion position should be lower; if the numb area reaches the clavicle, the needle insertion position should be raised 0.3 cm. If shoulder twitching occurs, the depth of needle insertion should be shallow. Until the numb area matches the location of the surgical incision, it is then fixed with tape. moxa cone moxibustion 3 ~ 5 strong, moxibustion with moxa stick 5 ~ 10 minutes.

[Efficacy]

Subduing swelling and dissipating bind, clearing throat and restoring voice.

  • Classical: cough wheezing, throat sound like water chicken, throat unfavorable, acute hoarseness air obstruction, tongue bleeding, cough with excessive saliva, hyperthyroidism.
  • Modern: Simple thyroid enlargement, acupuncture points for thyroid surgery.

[Recipe]

[Other related items]

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