Abdomen

Question 1

List 3 taught points in the abdomen and describe their location

Answer 1

Abdomen points

1. CV4

On the anterior midline, 3 cun below the centre of the umbilicus, 2 cun above the symphysis pubis

2. CV6

On the anterior midline, 1.5 cun below the centre of the umbilicus, 3.5 cun above the symphysis pubis (internally ~ at the level of the bifurcation of the abdominal aorta)

3. CV12

On the anterior midline, midway between the sternocostal angle and the centre of the umbilicus, 4 cun below the sternocostal angle and 4 cun above the umbilicus

Question 2

CV4 location and needling technique

• Location
• Insertion
• Depth

Answer 2

CV4 location and needling technique

Location

On the anterior midline, 3 cun below the centre of the umbilicus, 2 cun above the symphysis pubis

Insertion

oblique insertion, usually aiming superiorly (with the direction of the meridian)

Depth

0.5-1 cun, do not go past the resistance felt at the linea alba

Question 3

Describe relevant CV4 anatomy

• Muscles (1)
• Nerves (1)
• Vessels (4)

Answer 3

CV4 anatomy

Muscles:

1. rectus abdominis

Nerves:

1. medial branch of the anterior cutaneous branch of the T12 intercostal nerve

Vessels:

1-4. Branches of the superior and inferior epigastric arteries and veins

Question 4

List 2 neuroanatomical CV4 indications

Answer 4

CV4 indications

1. T12 neuralgia
2. Lower abdominal pain

Question 5

CV6 location and needling technique

• Location
• Insertion
• Depth

Answer 5

CV6 location and needling technique

Location:

On the anterior midline, 1.5 cun below the centre of the umbilicus, 3.5 cun above the symphysis pubis (internally ~ at the level of the bifurcation of the abdominal aorta)

Insertion:

oblique, generally in the direction of the flow of the meridian, inferior to superior

Depth:

0.8 – 1 cun

Do not go past the resistance felt at the linea alba.

Question 6

Describe relevant CV6 anatomy

• Muscles (1)
• Nerves (1)
• Vessels (4)

Answer 6

CV6 anatomy

Muscles

1. rectus abdominis

Nerves

1. anterior cutaneous branch of the T10 intercostal nerve

Vessels

1-4. Branches of the superior and inferior epigastric arteries and veins

Question 7

List 2 neuroanatomical CV6 indications

Answer 7

CV6 indications

1. Post-herpetic neuralgia T10 segment
2. Abdominal muscle spasm and pain

Question 8

CV12 location and needling technique

• Location
• Insertion
• Depth

Answer 8

CV12 location and needling technique

Location

On the anterior midline, midway between the sternocostal angle and the centre of the umbilicus, 4 cun below the sternocostal angle and 4 cun above the umbilicus

Insertion

Oblique insertion, usually aiming superiorly (with the direction of the meridian).

Depth

0.5-1 cun

Do not go past the resistance felt at the linea alba

Question 9

Describe relevant CV12 anatomy

• Muscles (1)
• Nerves (1)
• Vessels (2)

Answer 9

CV12 anatomy

Muscles

1. rectus abdominis

Nerves

1. anterior cutaneous branch of T7 intercostal nerve

Vessels

1-2. superior epigastric artery and vein

Question 10

List 2 neuroanatomical indications for CV12

Answer 10

CV12 indications

1. T7 neuralgia
2. Upper abdominal pain