ＴＨＥ ＴＲＥＡＴＭＥＮＴ ＯＦ ＮＡＧＡＮＯ ＭＥＴＨＯＤ ＤＥＴＡＩＬＳ ４
Ｔｈｅ ｔｒｅａｔｍｅｎｔｓ ｆｏｒ Ｍｕｓｃｌｅ Ｓｙｓｔｅｍｓ
１ treatment for obi pulse
By relaxing the tension of musculus erector spinae, we will brace up the slackness of the external or internal oblique muscle, in particular, of the abdomen. By doing this remedy, we’ll maintain the balance between flexor and extensor of a human trunk.
“the obi pulse of qijing (奇経) rises from xue (穴) of zhangmen (章門) and circulates like belt in our body through daimaixue (帯脈穴). The obi pulse is called so because it bundles some different meridians” excerpt from Qijingbamaikao (奇経八脈考), which is one of the classics about acupuncture and moxibustion
(anatomy) There are the external or internal oblique muscle, transversus abdominis muscle, broadest muscle of back, and in them subcostal artery or vein and superior epigastric artery or vein race through it. Intercostal nerve and llioinguinal nerve trunk are distributed among them.
２ treatment for demulcent of muscular strain.
face-up position ― the posterior region of the neck (stemocleidomastoid muscle, trapezius) ― pressure examination with three or four fingers ― qiuxu (丘墟) sidu (四犢) + yanlingquan (陽陵泉) on the back side of the strain, quezhuo (雀啄), pecking sparrow needling → the muscular strain of the neck begins to disappear
※ in using moxibustion, 20 or 30 layers of moxa should be done.
Stimulating corticocerebral motor area gets rid of the muscular strain of the back side because of the pyramidal decussation at the medulla oblongata (pyramidal system).
in case of paralysis, we must select acupuncture points on the paralytic side.
３ treatment for demulcent of musculus erector spinae
(掘進)―to get rid of the strain of the origin part of the lliocostalis lumborum muscle ―to soften the sclerosis of the lumbosacral joint or the sacroiliac joint.
to get rid of muscular strain by stimulating under the ilium arch from the inside of upper side, needling slantingly.
inside huiyang (内会陽)―２寸６, quezhuo (雀啄), pecking sparrow needling
→ to identify erector muscle
４ treatment for the activation of connective tissue
(1) ache, stiffness, numbness, or cramp of cervix, shoulder, arms, fingers,
➀ the ache of stemocleidomastoid muscle of the side region of neck ̴
make acupuncture on fengchi (風池) wangu（完骨）tianyou（天牖）on the outside of mastoid and the underside of occiput nodule at the attachment part of this muscle, single needling 3－2 in length
➁ indisposition of the cervical front ～the upper side of greater pectoral muscle, which is the starting point of platysma muscle, i.e.
zhongfu (中府) yunmen (雲門）
for the demulcent of scalenus muscle, shufu (兪府) qihu (気戸)
➂ the indisposition of deltoid ～ one third’s outside of under the bone spicule of scapula, 3－2 needle in length, 2~3cm in depth, quezhuo (雀啄), pecking sparrow needling
in relation to this, acupuncture on the starting point of trapezius, quezhuo (雀啄), pecking sparrow needling, about 5mm in depth
➃ the indisposition of biceps brachil (antebrachial flexure) ~ acupuncture on the coronoid process of scapula, 1~3 cm under the chize (尺沢), 3－2 needle in length, 2~3cm in depth
➄ the indisposition of triceps brachil muscle (antebrachial extension) ~ acupuncture on the back of scapula angulus and the back of the armpit of scapula (the starting point of teres major and minor muscle)
➅ the disfunction of wrist joints extension or finger joints
quezhuo (雀啄), pecking sparrow needling on 2 cm above sidu (四犢) on the under rim of elbow joint as the starting point of extensor digitorum muscle
(2) The treatment for pain, strain, stiffness, and convulsions of lumbosacral joint, interrertebal joint, sacroiliac joint, and hip joint (the treatment of huckle bone)
to assuage twitch, strain, or strangulation of muscles such as greatest, middle, or least gluteal muscle, superior or inferior muscle, internal or external obturator muscle and piriform muscle. In particular, to promote the circulation and metabolism of a group of flexor muscle of the femoral region and bring the activation of them.
In a lumbar region, to mitigate overstrain of such muscles as musculus erector spinae ( iliocostails lumborum muscle, longissimus muscle, spinal muscle), broadest muscle of back, and quadratus lumborum muscle, and, in addition, to be able to control the overstrain of the sympathetic nerve and activate the parasympathetic nerve.
➀ the edge of sacrum (the starting point of greatest gluteal muscle and iliocostails lumborum muscle )
Making a patient in the prone position or the lateral position, an operator jabs a needle 6-4 in size into a stiffened part mentioned above of the patient from the left side of him with 20 degrees, 3cm in depth and softens that part.
➁ the under border of ilium born
From the outside of the part mentioned above toward inside, jab a needle in the same way and repeat to jab and pull out a needle up to sacroiliac joint.
➂ the up border of ilium born
From the outside of the part mentioned above to lumbosacral joint, jab a needle in the same way as ➁
to mitigate stiffnes of musculus erector spinae, broadest muscle of back, quadratus lumborum muscle and at the same time it’s very effective as one of the moderations of autonomic nerve system.
➃ the trochanter major of thighbone
To soften the stiffness of connective tissue on the attachment part of buttock muscles above, under, and inside the part mentioned above. ( the angle is 45 degrees)
➄ lower spine
for the spasm of multifidus muscles that start from L1~5 of papillary process and reach spinal process, jab a needle into the very near part of spinal process upward 45 degrees 1~2cm in depth and soften the stiffened part because of twisting.
by touching with fingers the stiffened part of the very near area of L1~5 of spinal process, we can find which part to jab a needle pressure pain.
➅ sacral hole
The mentioned above mitigates the stiffness of piriform muscle, accelerates the blood stream of internal pudendal artery, and improve the metabolism of the pelvic viscera. ( in particular, it’s effective in the ilioninguinal nerve symptom.
(3) a pain, strain, numbness, and convulsions of the thigh, the knee joint, the lower thigh , and the foot joints and so on.
➀ chengfu (承扶) ～6 in length, 5cm in depth in the lateral position on the starting point of the biceps muscle of the thigh and half tendon semimembranosus muscle.
➁ 2cm under from weiyang ( 委陽) ～ the attachment area of the biceps muscle of the thigh and the starting point of gastrocnemius muscle.
➂ yinlingquan (陰陵泉), ququan (曲泉), yingu (陰谷) ～ the attachment area of the half tendon semimembranosus muscle and the satorius muscle.
the attachment area of the thigh adductor or the inside of the medial epicondyle of femur. (the inflammation caused by the lacerate wound inside the knee joint)
➃ anterior inferior iliac spine ～ the pain of the upper side of the kneecap is at the starting point of the rectus femoris muscle.
➄ xipangxue (膝膀穴) ～ the pain of the outside of knee joint. make moxibustion on that place.
➅ four finger’s wide upper or under edge outside of zusanli (足三里)
～ the disfunction of knee joints extension, the starting point of iliotibal tract, tibialis anterior muscle, and the long extensor muscle of digit.
➆ zhaohai (照海), tianyou (天牖), shousanli (手三里), zhongfeng (中封), jiexi (解谿) ～the inflammation of Achilles tendon (making moxibustion)