2006.2.1 2006 561, 27-56 1 2 3 4 4 5 2 6 7 8 3 1 2 3 4 5 6 7 8 461-0032 1-10-19 Yamada Kansho, 1-10-19, Deki-machi, Higashi-kuNagoya, Aichi 461-0032, Japan, E-mail: kansho@va.starcat.ne.jp
561. 1 5 1. 62 8 1. 2. 3. 4. 5. 6. 7. 8. 9.. 1 1 2 12 2 3 3 4
2006.2.1 ST 1 ST 5 ST 6 ST 7 ST 8 ST 9 ST 10 5 4 GV1 GV12 4 4 2 1 2 6 LI20 BL 1
561 ST 2 ST 3 ST 4 6 6 6 3 1 7 7 SI 8 7 2 8 HT 8 HT 9 8 3 9
2006.2.1 9 4 10 LU 7 LI 1 10 10 11 11 4 1 11 5 1 12 2 13 13 6 1
561 14 14 2 15 15 15 3 16 16 16 7 1 BL 40 17
2006.2.1 17 2 18 8 1 VR 6 VR 8 19 2
561 20 20 3 BL 40 BL 57 21 9 1 22 2 23
2006.2.1. 1 1500 1) 2) 3-10) 11-13) 15) 15) 2) 1952 2 1953 6 1 11) 12,13) PSC Propagated Sensation along Channels 14) 2 4,5) 6) 7) 8) 9) 10)
561 100 % 17) 2 1-3) 1 2 12) GOTS greater occipital trigeminal syndrome2 2 3 C 5Th 1 4,5) 6) 7) LU 3 LU 4 PC 7 PC 8
2006.2.1 SI 8 7) 4 5 6 4) 6 cm 7 8
561 9. 7) -... 2. EBM. 1 1 23 3 23 LU 3 LU 4 LU 5 PC 2 PC 3 HT 2 H T3 24 33 LU 5 LU 6 LU 7 LU 8 PC 4 PC 5 PC 6 HT 4
2006.2.1 HT 5 HT 6 25 4 1 LU 91/6 4 cm 2 2 1/3 8.5 1 C3, C4 C5, C6 C5, C6 C5, C6 5 C5, C6 6 C5, C6 7 C5, C6 10 C5, C6 C6
561 1 C8, Th1 C8, Th1 C8, Th1 2 C8, Th1 3 C8, Th1 C8, Th1 5 C8, Th1 10 4 Th4 C7 3 C7 1 C8, Th1 C8, Th1 C8, Th1 C8, Th1 C8, Th1 C8, Th1 3 C8, Th13 C8, Th1 C8, Th1 7C8, Th1 C8, Th1 8C8, Th1 10 C8, Th1 5 C8 5
2006.2.1 2 3 PC 71/3 8 cm 2 56 91 91 38 8 91 46 4 6. -.... 1 26 27 1 5 3 4 4 7 4 27 2 1 1 3 1 1 1 3 4 1 1 5 1 1 1 1 4 6 2 1 2 3 8 7 1 1 2 8 1 5 3 2 11 9 0 10 2 3 2 10 8 9 34 11 9 9 20 23 19 91
561 2 28PC 1 29 PC 8 PC 9 2 30 3 31HT 1
2006.2.1 HT 8 32 2 4 SI9 SI13SI14 33. 1.. 18,19). 51 21 30 1990 6 7
561. 1 GV 16 GV 15 21 53.11 7.9530 50.10.7.93 21 53.13 8.70 30 47.62 7.22 20) 2GV 20BL 1 51 49.71 9.14 50.23.9.2651 43.437.09 42.816.04 20) 3 50.318.2651.12 8.4349.379.9449.52 9.98 43.655.71 42.455.6343.288.11 43.097.04 20) 80 42.49 mm40.08 mm 42.50 mm38.10 mm 40.58 mm39.56 mm 34.44 m m34.55 mm 20) 4 1 KI 22 KI23 KI 24 26.756.03 26.316.38 18.73 18.42 14.316.18 13.596.24 10.02 9.51 12.117.21 11.876.22 8.47 8.31 13.085.11 13.145.34 9.16 9.20 15.445.41 14.414.73 10.81 10.09 17.645.75 16.094.52 12.35 11.26 38.3412.45 38.5012.42 26.84 26.95 30.8310.10 30.6211.21 21.58 21.43 19.768.96 18.668.40 13.83 13.06 16.358.49 15.427.34 11.45 10.79 15.298.31 14.747.60 10.70 10.32 12.214.96 13.934.82 8.55 9.75 12.815.12 14.375.21 8.97 10.06 15.194.18 15.814.03 10.63 11.07 15.489.68 15.007.40 10.84 10.50 19.4411.62 19.6411.00 13.61 13.75 18.7010.11 18.197.13 13.09 12.73 16.5110.08 16.509.38 11.56 11.55 24.749.32 24.7010.28 17.32 17.29 20.129.00 19.778.48 14.08 13.83 17.499.43 17.268.41 12.24 12.08 15.179.30 16.869.20 11.80 11.80 22.917.97 24.597.17 16.04 17.21 KI 25 ST 14 ST 15 ST 16CV 17 ST 18 P C1 SP 17 SP 18 10 21) 5 2 SP 21 GV 22 GV 23 10 SP 19 SP 20 20 10 21) 5 3 BL 11 BL 12 BL 13BL 14 BL 15 BL 41 BL 42 BL 43
2006.2.1 BL 44BL 20 BL 21 BL 49 BL 50 BL 51 BL 52 BL 16 BL 17 BL 18 B L19 BL 45 BL 46 BL 47 BL 48 2 22) 6 65.9813.07 65.9510.57 62.3711.61 59.1211.65 62.4512.78 63.3311.62 57.6510.85 54.307.76 54.5312.92 54.7911.86 46.678.86 46.586.58 44.2511.41 46.0410.17 40.259.37 41.1411.06 37.9610.20 42.0110.44 35.078.14 37.9110.34 33.329.10 38.309.75 32.287.25 36.4012.45 31.588.84 37.7011.55 29.787.81 34.5311.66 31.138.79 37.9610.73 30.407.68 34.6611.50 32.579.63 38.569.47 31.577.65 34.1111.72 35.9411.79 40.0810.09 35.529.58 33.5011.07 39.0212.98 43.5111.24 37.6210.13 32.727.76 43.6110.51 49.1611.30 41.697.67 40.2511.01 55.6914.95 59.8212.27 55.1513.23 52.1110.97 54.4411.36 57.2012.30 51.2111.34 49.1611.01 46.4111.55 50.2310.56 42.4311.07 41.528.67 36.7011.00 39.899.58 35.6911.59 34.307.35 30.289.41 31.259.09 28.288.19 27.537.11 25.058.63 25.878.71 23.736.78 21.425.97 21.237.74 22.077.24 20.585.54 19.155.23 20.285.79 20.824.85 19.414.47 18.543.87 20.836.17 22.356.22 20.144.90 18.923.68 23.418.07 24.487.27 22.006.28 21.714.54 29.4911.93 30.2110.97 26.897.62 26.747.06 33.6115.16 33.3810.34 33.3811.66 30.989.26 32.1211.43 33.258.28 34.677.33 33.3912.70 56.5612.53 59.529.88 55.3510.87 55.1911.61 62.2414.34 63.2910.14 58.5312.03 57.2511.40 61.1114.73 59.8411.09 57.7912.15 54.6610.06 p<0.05
561 34 VHP Visible Human Project 35 36 23). 22 CV 22 1 2 2 42.4940.08 42.5038.1040.58 39.7734.44 34.25... CT MRI X GV 15 BL 10 GV 21 BL 43 CV 17. 1 24 37 3 37-1BL2 37-2 37-3 37-4 37 40 2 25 38 26 MRI 38-5 7 3 38-6 55 39 32 5024 25 X 2 39-7 2 25
2006.2.1 3 26 40 5 6 40-8 40-9 5 40-10 1034 4440 22
561 40-11 40-12 22.7 10.9 33.628. 440 29.431.8 4 27 41 4 9 13159 5 3 21 11.52 915 31 174 15.85 11. 1 28 29 30 31
2006.2.1 32 120 CT 19,33 1 7 51 19, 33 50 MRI 53.1946.77 47 5 37416 31 496 39477 36 2 8 51 19, 33 44 56.612.5 59.5 9.9 55.410.955.2 11.6 507 36477 35 3 9 51 19, 33 104 36.711 39.910 35.712 34.3 7 25.14.520.23.418.82.3 212.516.82.517.42.3 10 21 53.19 30 47.67 21 56.612.5 59.59.9 30 55.410.9 55.211.6 21 36.711 39.910 30 35.712 34.37 mm MRI 26 475 24 416 CT 23 507 21 477 mm. 10 3030 mm BMI 21 25.14.5 45 20.23.4 18 18.82.3 4 21.02.5 6 16.82.5 10 17.42.3 20 25 19
561.. RCT 34-36 RCT RCT. 1983 2004 20 1 24. 504 62 10 1 11 8 2 137 37 ST 36 38 2-4 12 12 4 3 39. 1112 RCT
2006.2.1 BL67 SP 6 CV3 GB 20 LI4 Cuishu ST36 ST44 110 1-3 50-60mm 10 15 1Hz 10 10 10 7mm5 68 137 24 17 33 11 6 51 LI 7 Baxie LI 10 ST 7 TE 17 GB12 LI17 Taiyang BL 2 LR3 KI1 CV4 ST25 1Hz. 15 2cm5 1Hz30Hz10 27 2cm20 2cm20 1cm5Hz 15 1Hz 30 10 10 7 20 25 25 17 13 40 7 6 16 28 3 11 40 137 89 57 32 SP 36 48 26 22 2 12 41 40 5 50 1 3 EOG 10 16 14 3 intensity 63 20 jerky 20 jerky EBM
561.. (LI 4. 4 22 28 34 35 50 mm20 1.2 cm 10 30 1 Hz10 1 4 42 LC 6 24 42 12 V200A 10 10 20 30 4 26.5 27 24 Dunnet. 10 p0.07 30 p0.05 13 10 20 30 33.25.8 23.46.5 27.67.2 22.67.6 38.714.4 34.815.4 31.516.9 28.016.8 33.415.2 22.612.2 18.111.3 19.69.8 43.214.0 41.06.5 37.45.5 36.07.0 p<0.05, p<0.07vs A.
2006.2.1 20 30 20 10 20 30 42 43 d/a PTGAI 1. --.. 1959; 10: 3-6. 2... 1952; 2: 2-8. 3,,,... 2002; 52(5): 529-47. 4... 1986; 10: 53-56. 5. 2.. 1987; 10: 77-9. 6... 2000; 16(2): 21-9. 7... 1989; 40(2): 449-71. 8,,,. - -.. 1984; 34(2): 81-4. 9. - -.. 1979: 143-53. 10,,,,,... 1982; 31(4): 310-14. 11... 1982: 159-61. 12,,,,... 1983; 33(1):
561 33-41. 13,. PSC.. 1983; 4(2): 71-4. 14,,... 1995; 54(3): 22-7. 15. - -. 1982; 120(9): C-410. 16,. 1981 12. 1982; 3(2): 77-81. 17. - -.. 1975: 28-43. 18... 1990. 19... 1996; 15(3): 37. 20,,,,,,... 1997; 47(3): 191-5. 21,,,,,... 1998; 28(4): 139-42. 22,,,,,... 1998; 28(4): 143-6. 23,,,,.... 2004; 27(1,2): 8-16. 24,. MRI. 1995; 54(6): 12-23 25. MRIX. 1994; 53(10): 25-36 26,.. 2002; 52(4): 413-20 27,. 1. 2000; 50(1): 103-10 28, : 1989; 391 : 154. 29,,,. 1 1991; 413 : 271-80 30,. 1986; 363 : 235 31. 1- - 1992; 573: 30-4 32, 1992; 50: 388-9 33,,,.. 1998; 28(4): 143-6 34,,,,,... 2003; 54(5): 939-44. 35Tsukayama H, Yamashita H, Tanno Y. Randomised Controlled Trial Comparing the Effectiveness of Electroacupuncture and TENS for Low Back Pain: A Preliminary Study for a Pragmatic Trial. Acupunct Med. 2002; 20(4): 175-80. 36,,,,,. -.. 2002; 52(5): 553-61. 37,... 2001; 25: 20-5. 38,... 1991; 41(3): 346-52. 39,,,. SjS
2006.2.1.. 2000; 63(2): 79-90. 40,... 2002; 43(1): 148-55. 41. -1 -.. 1989; 6: 207-17. 42.. 3... 2004: 1-25. 43... 2001; 40: 1-5. Workshop Meridian Point An Anatomical and Clinical Examination of Meridian and Meridian Point YAMADA Kansho 1), OZAKI Tomofumi 2), MATSUOKA Kenji 3), SAKAGUCHI Shunji 4), WANG Cai Yuan 4), MORIKAWA Kazuhiro 5), MORI Shyungo 2), YOSHIDA Atsushi 6), KITAMURA Seiichiro 7), YONEYAMA Sakae 8), TANIGUCHI Kazuhisa 3) The Research Committee for the Meridian Point, The Japan Society of Acupuncture and Moxibustion 1Trident College of Sports and Health Science 2Morinomiya College of Medical Arts and Science 3Meiji School of Oriental Medicine 4Kansai College of Oriental Medicine 5Toyo Medical College 6Osaka University Graduate School of Dentistry, Department of Oral Anatomy and Neurobiology 7The University of Tokushima Graduate School, Institute of Health Biosciences, Department of Oral and Maxillofacial Anatomy 8Yoneyama Clinic Abstract Six members of the Research Committee for the Meridian Point (former Committee for the Meridian Point) reported on three themes regarding meridian and acupuncture point at Workshop of the 54 th Science Rally of The Japan Society of Acupuncture and Moxibustion held in Fukuoka. 1 st theme: Anatomical examination of the meridian and meridian point. 1Anatomic structure showing path and meridian running. (Kenji Matsuoka): Similarity of meridian pathway and course of nerve and blood vessels in cadaver. 2Gross anatomical study of meridian and acupuncture point in upper limbs (Kansho Yamada): Doctoral study of Katsuyosi Toyoda, former Nagoya City University School of Medicine researcher and Yamada's
561 study (Relation between running of meridian & acupuncture point and subdermal nerve & blood vessels) were reported. 2 nd theme: Study of acupuncture safety depth in Japan and China. 1) Research and progress situation of acupuncture safety depth in China. (WANG Cai Yuan): Data of Yan Zhenguo, professor of anatomy at Shanghai University of Traditional Chinese Medicine, an authority on the study of acupuncture safety depth and progress situation of recent study of acupuncture safety depth in China. 2) Retrospective study of acupuncture safety depth (Tomofumi Ozaki): Study of acupuncture safety depth published by Ozaki to date and comparative study alongside Prof. Yan Zhenguo data. 3 rd theme: Examination of clinical effect of a few meridian points. 1) Acupuncture clinical effect using a few meridian points (Syunji Sakaguchi): Paper research and analysis of acupuncture clinical effects using 1-4 meridian points of Japana Centra Revuo Medicina. 2) Inflence on skin energizing current by various acupuncture stimulation of L I4 (Gokoku)(Kazuhiro Morikawa): Influence on the amount of skin energizing current by acupuncture stimulation, direct current electricity stimulation and stimulation of electroacupuncture to L I4. Zen Nippon Shinkyu Gakkai Zasshi (Journal of the Japan Society of Acupuncture and Moxibustion: JJSAM). 2006; 56(1): 27-56. Key words: meridian, meridian point, nerve, blood vessel, acupuncture and moxibustion, a few meridian points, acupuncture safety depth, clinical effect