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Acupuncture > Face > Flashcards

Face Flashcards

1
Q

List the 6 taught face points and describe their location

A

Face points

  1. GV24.5

On the midline of the face, between the medial ends of the eyebrows (glabella)

  1. GV26

On the midline of the philtrum on the upper lip at the junction between the upper one third and the lower two thirds.

  1. CV24

On the anterior midline at the midpoint of the mentolabial groove (fossa).

  1. LI20

In the nasolabial groove at the level of the midpoint of the nasal ala. This is the last point of the LI meridian and is on the opposite side of the body from the rest of the meridian.

  1. ST7

In the depression below the middle of the zygomatic arch, posterior to the masseter and between the coronoid process and the condyloid process of the mandible. The point is located with the mouth closed. If a finger is placed on the point and the mouth is opened, the condyloid process will be felt as it moves forward.

  1. Taiyang

In the temporal fossa, 1 cun posterior to the midpoint of the line joining the lateral end of the eyebrow (superior lateral corner of the orbit) and the lateral canthus of the eye

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2
Q

GV24.5 location and needling technique

  • Location
  • Insertion
  • Depth
A

GV24.5 location and needling technique

Location:

On the midline of the face, between the medial ends of the eyebrows (glabella)

Insertion

Obliquely downward, pinch the skin to insert. Use 15 mm or 30 mm needle

Depth

0.3 – 0.5 cun

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3
Q

List relevant GV24.5 anatomy

  • Muscles (3)
  • Nerves (3)
  • Vessels (2)
A

GV24.5 anatomy

Muscles:

  1. frontalis procerus
  2. orbicularis oculi
  3. corrugator supercilli

Nerves:

  1. ophthalmic division of the trigeminal nerve V1
  2. anastomoses of supraorbital, supratrochlear and frontal nerves
  3. facial nerve VII: anastomosis of zygomatic branches

Vessels:

  1. angular artery (branch of facial artery)
  2. dorsal nasal artery supratrochlear anastomosis
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4
Q

List 5 neuroanatomical indications for GV24.5

A

GV24.5 indications

  1. Frontal muscle tension headache
  2. Bell’s palsy affecting the eye region
  3. Trigeminal neuralgia involving V1
  4. Influence on hypothalamus
  5. Motor function orbicularis oculi either side
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5
Q

GV26 location and needling technique

  • Location
  • Insertion
  • Depth
A

GV26 location and needling technique

Location

On the midline of the philtrum on the upper lip at the junction between the upper one third and the lower two thirds.

Insertion

slightly oblique in a cranial direction

Depth

0.3 – 0.5 cun

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6
Q

List relevant GV26 anatomy

  • Muscles (1)
  • Nerves (3)
  • Vessels (1)
A

GV26 anatomy

Muscles

  1. orbicularis oris

Nerves

  1. maxillary division of trigeminal nerve V2
  2. superior labial nerve, a branch of the infraorbital nerve V2
  3. facial nerve VII: buccal branch

Vessels

  1. superior labial artery and vein
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7
Q

List 7 neuroanatomical indications for GV26

A

GV26 indications

Nb. Sympathetic Switch & Life Saving Point

  1. panic/emergency switch for autonomic crisis, shock, vasovagal syncope, stroke, heart attack
  2. indirect stimulation of the medulla Anatomical:
  3. trigeminal neuralgia involving V2
  4. severe pain anywhere in the body
  5. acute whiplash
  6. acute back pain
  7. migraine headache
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8
Q

CV24 location and needling technique

  • Location
  • Insertion
  • Depth
A

CV24 location and needling technique

Location

On the anterior midline at the midpoint of the mentolabial groove (fossa).

Insertion

perpendicular or obliquely upward towards the inferior lip

Depth

0.3-0.5 cun

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9
Q

List relevant CV24 anatomy

  • Muscles (4)
  • Nerves (3)
  • Vessels (4)
A

CV24 anatomy

Muscles:

  1. orbicularis oris
  2. mentalis
  3. depressor anguli oris
  4. depressor inferioris

Nerves

  1. mandibular nerve of trigeminal nerve V3:
  2. mental nerve anastomosis
  3. facial nerve VII: marginal mandibular branch

Vessels

  1. & 2. mental branch of the inferior alveolar artery and vein
  2. & 4. inferior labial artery and vein
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10
Q

List 6 neuroanatomical indications for CV24

A

CV24 indications

Nb Parasympathetic switch

  1. Normalizes parasympathetic function, anti-anxiety
  2. Increases saliva in the mouth
  3. Trigeminal V3 neuralgia
  4. Pain lower teeth, gums and jaw
  5. Bell’s palsy marginal mandibular branch of Facial nerve
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11
Q

LI20 location and needling technique

  • Location
  • Insertion
  • Depth
A

LI20 location and needling technique

Location

In the nasolabial groove at the level of the midpoint of the nasal ala. This is the last point of the LI meridian and is on the opposite side of the body from the rest of the meridian.

Insertion

obliquely, subcutaneously, superiorly and medially towards the bridge of the nose, following the nasolabial groove. Use 15mm or 30mm needle.

Depth

0.25-0.5 cun

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12
Q

List relevant LI20 anatomy

  • Muscles (1)
  • Nerves (2; deep - 1)
  • Vessels (1)
A

LI20 anatomy

Muscles

  1. levator superioris labii alaque nasi

Nerves

  1. anastomosis between trigeminal V2 and facial VII nerves
  2. infraorbital nerve (branch of maxillary division of trigeminal nerve V2
    * Deep*
  3. olfactory nerve I

Vessels

  1. lateral nasal branch of the facial artery
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13
Q

List 3 neuroanatomical LI20 indications

A

LI20 indications

  1. Bell’s palsy affecting the side of the nose and mouth,
  2. Anosmia and perosmia, stimulation may help recover function
  3. Trigeminal neuralgia involving V2.
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14
Q

ST7 location and needling technique

  • Location
  • Insertion
  • Depth
A

ST7 location and needling technique

Location

In the depression below the middle of the zygomatic arch, posterior to the masseter and between the coronoid process and the condyloid process of the mandible. The point is located with the mouth closed. If a finger is placed on the point and the mouth is opened, the condyloid process will be felt as it moves forward.

Insertion

lateral to medial, perpendicular to the skin.

Depth

0.5-1 cun

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15
Q

List relevant ST7 anatomy

  • Muscles (4)
  • Nerves (3)
  • Vessels (3)
A

ST7 anatomy

Muscles

  • mastication muscles*
    1. masseter
    2. temporalis
    3. medial pterygoids
    4. lateral pterygoids

Nerves:

  1. inferior alveolar nerve (mandibular division of the trigeminal nerve V3)
  2. motor branches to muscles of mastication
  3. facial nerve VII: zygomatic branch

Vessels:

  1. maxillary artery
  2. & 3. retromandibular artery and vein
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16
Q

List 5 neuroanatomical ST7 indications

A

ST7 indications

  1. pain and inflammation of the temporomandibular joint
  2. pain in the lower gum, teeth and jaw
  3. facial paralysis
  4. trigeminal neuralgia involving V3
  5. myofascial dysfunction muscles of mastication
17
Q

Taiyang location and needling technique

  • Location
  • Insertion
  • Depth
A

Taiyang location and needling technique

Location

In the temporal fossa, 1 cun posterior to the midpoint of the line joining the lateral end of the eyebrow (superior lateral corner of the orbit) and the lateral canthus of the eye

Insertion

Oblique anterior to posterior or perpendicular to the skin. Avoid hitting the temporal artery.

Depth

0.3 - 0.4 cun

18
Q

List relevant Taiyang anatomy

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

Taiyang anatomy

Muscles

  1. temporalis

Nerves

  1. trigeminal nerve V2 - maxillary division - zygomaticotemporal nerve
  2. trigeminal nerve V3 - mandibular division - auriculotemporal nerve

Vessels

  1. & 2. branches of the superficial temporal artery and vein
19
Q

List 3 neuroanatomical Taiyang indications

A

Taiyang indications

  1. Muscle tension headache
  2. Temporal arteritis
  3. Trigeminal V2 and V3 neuralgia

Acupuncture (23 decks)

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