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Anatomy of the Cun Position at Wrist and Its Application in Pulse Diagnosis

机译:腕部寸位解剖及其在脉诊中的应用

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摘要

Information on anatomy of the Cun position at wrist is lacking; whether the blood vessel taking pulse in Cun is the radial artery or the superficial palmar branch is also clinically controversial. The objective was to investigate the boundaries and contents, and the vascular distribution and their pulse points in Cun. Thirty-two upper extremities of 16 human cadavers were investigated for dissection and observation. The boundaries, contents, and blood vessel distribution in Cun were observed; the location of pulse points in Cun was identified; the length of the superficial palmar branch in wrist pulse (L1), the pulp width of the index finger (L2), and the angle between the radial artery and the superficial palmar branch were measured. The results showed that the Cun was located in the region formed by the bulge of the prominent bone proximal to the palm, the radial flexor tendon, the tubercle of scaphoid, and the abductor longus muscle tendon. In this area, the radial artery could be pulsed part in the medial side of the abductor longus muscle tendon, while the superficial palmar branch lied near the surface and was easy to pulse in the lateral side of the radial flexor tendon and the medial side of the tubercle of scaphoid. The ratio of L1 to L2 was 1.2±0.8, and the angle was 23.3±9.9°. The results suggested that it could not be generalized that the blood vessel taking pulse in Cun was the radial artery or the superficial palmar branch; it might depend on the vascular distribution in Cun, the region of finger positioning, and the patient's pulse condition.
机译:缺乏有关腕部Cun位置的解剖信息;在Cun中接受脉搏的血管是the动脉还是掌掌浅支,在临床上也存在争议。目的是研究Cun的边界和内容,血管分布及其脉搏点。研究了16个人类尸体的32个上肢,以进行解剖和观察。观察村的边界,内容和血管分布。确定了脉点在村的位置;测量手腕脉搏上的掌浅支的长度(L1),食指的牙髓宽度(L2)以及the动脉与掌浅支的夹角。结果表明,Cun位于由手掌近端的突出骨隆起,the屈肌腱,舟骨结节和外展肌长肌腱形成的区域。在该区域,the动脉可在外展肌长肌腱的内侧脉动,而掌浅表分支位于表面附近,并且容易在radial屈肌腱的外侧和脉络膜的内侧脉动。舟骨的结节。 L1与L2之比为1.2±0.8,角度为23.3±9.9°。结果提示,在村村民接受脉搏的血管是was动脉或掌浅支,不能一概而论。它可能取决于Cun中的血管分布,手指定位的区域以及患者的脉搏状况。

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