Objective:The acupoints of the “The acupuncture method of treating aphasia” are mainly concentrated in the neck,and the acupoints of the neck are important in ancient acupuncture taboos.Modern studies have shown that neck anatomy is complex and special,with important blood vessels and nerves in the neck,and should be carefully handled when acupuncture.Acupuncture points in the book of acupuncture depth has no uniform standard,"The acupuncture method of treating aphasia" specific operating mainly on the basis of clinical experience,so for “The acupuncture method of treating aphasia” safety study is necessary.In this paper,we evaluated the safety of the acupoint of “The acupuncture method of treating aphasia” in the study of literature and clinical research,and standardized its clinical operation standard.Methods:1.Literature research.This paper collects,collates and analyzes the safety data of acupuncture points in the database literatures such as CNKI,WanFang and MENDLINE.This paper summarizes the research on the clinical operation and safety related problems in the six points of “The acupuncture method of treating aphasia” from the three aspects of anatomical structure,acupuncture depth and acupuncture angle.And summarized the acupoints of existing safety standards.2.Clinical research.The safe depth of acupuncture was discussed by using CT technique for the dangerous acupoints with no standard or standard.Select a body mass index(BMI)within the scope of the normal adult volunteers,30 cases of male,female 30 cases,record its height,weight,neck circumference,under CT localization,the distance measurement of body surface location to dangerous anatomical structure,the dangerous depth,according to the formula: safety depth or less dangerous depth by 75% on average,it is concluded that acupuncture needle safety depth.Results : 1.Literature research.The Yamen acupoint and Fengchi acupoint are dangerous acupoints.The research on the safety standard of two acupunctures are more comprehensive.The direction and safety depth of Yamen acupoint: straight stab-male<51.05 ± 2.02mm;Female <41.94 ± 2.02 mm,downward oblique-male <47.39 ±1.88mm;Female <39.37±1.81 mm.Acupuncture direction and safe depth of the Fengchi acupoint: in the tip direction 42.75 ± 3.92mm(male);36.19 ± 2.19mm(female).The hierarchy structure and adjoining structure of lianquan point,yifeng point and tongli point are exact,and none of them belong to the dangerous acupoints,and the probability of the occurrence of acupuncture accidents is small.The deep part of the bone cavity is thespinal cord,which belongs to the dangerous acupoint,and the research on the safety of the acupuncture point is not comprehensive,so it is meaningful to study the safety of YiFeng.Conclusion: This paper adopts the method of combining literature research and clinical research to perfect the standard specification of acupuncture point in the six points of the "The acupuncture method of treating aphasia".Clinical studies using computed tomography(CT)technology as a supplementary means,for clinical provides the depth of needle safety operation reference value,avoid the happening of the placing,but also to expand the "The acupuncture method of treating aphasia" in clinical application. |